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Robert J. Barth
and
Christopher R. Brigham

Introduction “Does head trauma cause a pre-existing benign meningioma to become malignant ” Meningiomas are “slow-growing neoplasms that most likely derive from the meningothelial cells of the arachnoid layer.” 1 This question provides an excellent foundation for exploring the process of causation analysis. The baseless nature of claims of trauma causing cancer had long been highlighted in publications documenting United States (US) Supreme Court rulings from the 1990s regarding expert witness work. A prominent and quotable example is the work of Peter

in AMA Guides® Newsletter
Richard T. Katz

perhaps a suspicion that workers who regularly rest their elbows on surfaces for prolonged periods of time are at higher risk of developing UNE. A patient-centered approach to grading evidence in the medical literature would classify this as the weakest type—Type C. Such literature has the lowest content of 3 key elements—quality, quantity, and consistency. 66 Standard for Expert Testimony. Several recent US Supreme Court decisions have strengthened the ability of federal courts to decide whether to admit or exclude medical and other expert testimony. Many other

in AMA Guides® Newsletter