Use of objective testing in the diagnosis of work-related asthma by physician specialty.

Use of objective testing in the diagnosis of work-related asthma by physician specialty. Research Abstract Details 

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Use of objective testing in the diagnosis of work-related asthma by physician specialty. Abstract Text:

Christy C Curwick,David K Bonauto,Darrin A Adams,

BACKGROUND: Although early and accurate diagnosis of work-related asthma is critical to avoid unnecessary medical, legal, social, and economic consequences, little is currently known about the diagnostic practices of physicians treating workers with work-related asthma. OBJECTIVE: To characterize the use of objective diagnostic testing for work-related asthma by physician specialty. METHODS: A cross-sectional, descriptive, comparative evaluation was conducted of 301 workers' compensation claimants with work-related asthma. RESULTS: A few claimants (36.9%) were treated by specialists in work-related asthma (allergists, pulmonologists, or occupational medicine physicians) either initially or through the course of their claim. Workers with occupational asthma were more likely to have seen a specialist than those with work-aggravated asthma (47.9% vs 23.0%; P < .001). Less than half of the claimants with work-related asthma (43.2%) had received an objective evaluation of pulmonary function, through either pulmonary function testing or testing for reversible airflow limitation, for the evaluation of their work-related asthma. Claimants treated by specialists were significantly more likely to have received diagnostic testing during evaluation of their disease than those treated solely by generalists (82.9% vs 20.0%; P < .001). CONCLUSIONS: The results of this study point to the lack of appropriate diagnostic care received by workers with work-related asthma. Physicians who may have questions about diagnostic procedures should consider referral to a specialist. The development of referral networks for work-related asthma may be warranted and should be explored.

Use of objective testing in the diagnosis of work-related asthma by physician specialty. Publishing Authors By Initials

CC Curwick,DK Bonauto,DA Adams,

For similar diagnosis: prognosis: treatment outcome research abstracts see: diagnosis: prognosis: treatment outcome research

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Use of objective testing in the diagnosis of work-related asthma by physician specialty. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Annals of allergy, asthma & immunology : official

VOLUME: 97

Page Numbers: 546-50

Journal Abbreviation: Ann. Allergy Asthma Immunol.

ISSN: 1081-1206

DAY: 3

MONTH: Oct

YEAR: 2006

Use of objective testing in the diagnosis of work-related asthma by physician specialty. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9503580

Use of objective testing in the diagnosis of work-related asthma by physician specialty. Keywords Mesh Terms:

KEYWORDS: Treatment Outcome

MESH TERMS: classification

Chemical & Substance for Abstract: Use of objective testing in the diagnosis of work-related asthma by physician specialty. Information

Substance Name: Air Pollutants, Occupational

Registry Number: 0

Grant and Affiliation Information for Use of objective testing in the diagnosis of work-related asthma by physician specialty.

AFFILIATION: Safety & Health Assessment & Research for Prevention (SHARP) Program, Washington State Department of Labor and Industries, Olympia, Washington 98504-4330, USA. cure235@lni.wa.gov

Country: United States

AGENCY: United States NIOSH

GRANT: 5 U01 OH007292

ACRONYM: OH

MEDLINETA: Ann Allergy Asthma Immunol

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