Public Health Implications of the Variability in the Interpretation of 'B' Readings for Pleural Changes
During. 1985 in Minnesota, an initial reading of 566 radiographs found 30% of them to be positive for pleural changes. However, only 4% were considered positive by at least two out of three readers from National Institute for Occupational Safety and Health panel reading the radiographs under blind c...
Gespeichert in:
| Veröffentlicht in: | Journal of occupational and environmental medicine 1989-09, Vol.31 (9), p.775-780 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 780 |
|---|---|
| container_issue | 9 |
| container_start_page | 775 |
| container_title | Journal of occupational and environmental medicine |
| container_volume | 31 |
| creator | Parker, David L. Bender, Alan P. Hankinson, Susan Aeppli, Dorothee |
| description | During. 1985 in Minnesota, an initial reading of 566 radiographs found 30% of them to be positive for pleural changes. However, only 4% were considered positive by at least two out of three readers from National Institute for Occupational Safety and Health panel reading the radiographs under blind conditions. The implications of this variability in radiographie readings for public health decisions was illustrated in Minnesota, where selective overreading of radiographs of female subjects created an illusion of a generalized environmental problem rather than an occupational exposure. One solution to this dilemma is establishment of criteria to minimize falsepositive pleural findings. The study also supports the need for more careful consideration of other disease processes in the interpretation of "B" readings. |
| doi_str_mv | 10.1097/00043764-198909000-00018 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_15343771</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>45012631</jstor_id><sourcerecordid>45012631</sourcerecordid><originalsourceid>FETCH-LOGICAL-c363t-665b8cf3078fa9dbf395e686261a2575ec89290696303e52293f6681af18fab03</originalsourceid><addsrcrecordid>eNpFkE1LAzEQhoMotVZ_gpCTnlaTzCa7OWpRWyhYRL0u2W3SpuxHTbKH_nvTD-thGGbe952BByFMyQMlMnskhKSQiTShMpdExjGJRfMzNGQALIFM8nM0JESKhGYgLtGV92tCOLBUDtCARZ1xMUTLeV_WtsITreqwwtNmEycVbNd63BkcVhp_K2dVaWsbtti2-9W0DdptnA575854_3yPP7Ra2Hbpsekcnte6d6rG45Vql9pfowujaq9vjn2Evl5fPseTZPb-Nh0_zZIKBIRECF7mlQGS5UbJRWlAci1ywQRVjGdcV7lkkggpgIDmjEkwQuRUGRoDJYERujvc3bjup9c-FI31la5r1equ9wXlEMFlNBrzg7FynfdOm2LjbKPctqCk2DEu_hgXJ8bFnnGM3h5_9GWjF6fgEeq_vvahcyc55YQyARR-AXUWf8Y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>15343771</pqid></control><display><type>article</type><title>Public Health Implications of the Variability in the Interpretation of 'B' Readings for Pleural Changes</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Parker, David L. ; Bender, Alan P. ; Hankinson, Susan ; Aeppli, Dorothee</creator><creatorcontrib>Parker, David L. ; Bender, Alan P. ; Hankinson, Susan ; Aeppli, Dorothee</creatorcontrib><description>During. 1985 in Minnesota, an initial reading of 566 radiographs found 30% of them to be positive for pleural changes. However, only 4% were considered positive by at least two out of three readers from National Institute for Occupational Safety and Health panel reading the radiographs under blind conditions. The implications of this variability in radiographie readings for public health decisions was illustrated in Minnesota, where selective overreading of radiographs of female subjects created an illusion of a generalized environmental problem rather than an occupational exposure. One solution to this dilemma is establishment of criteria to minimize falsepositive pleural findings. The study also supports the need for more careful consideration of other disease processes in the interpretation of "B" readings.</description><identifier>ISSN: 0096-1736</identifier><identifier>ISSN: 1076-2752</identifier><identifier>EISSN: 2332-3795</identifier><identifier>DOI: 10.1097/00043764-198909000-00018</identifier><identifier>PMID: 2795256</identifier><language>eng</language><publisher>United States: Williams & Wilkins</publisher><subject>False Negative Reactions ; False Positive Reactions ; Female ; Humans ; Male ; Minnesota - epidemiology ; Observer Variation ; ORIGINAL ARTICLES ; Pneumoconiosis - diagnostic imaging ; Pneumoconiosis - epidemiology ; Probability ; Public Health ; Radiography</subject><ispartof>Journal of occupational and environmental medicine, 1989-09, Vol.31 (9), p.775-780</ispartof><rights>Copyright © 1989 American College of Occupational Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c363t-665b8cf3078fa9dbf395e686261a2575ec89290696303e52293f6681af18fab03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2795256$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parker, David L.</creatorcontrib><creatorcontrib>Bender, Alan P.</creatorcontrib><creatorcontrib>Hankinson, Susan</creatorcontrib><creatorcontrib>Aeppli, Dorothee</creatorcontrib><title>Public Health Implications of the Variability in the Interpretation of 'B' Readings for Pleural Changes</title><title>Journal of occupational and environmental medicine</title><addtitle>J Occup Med</addtitle><description>During. 1985 in Minnesota, an initial reading of 566 radiographs found 30% of them to be positive for pleural changes. However, only 4% were considered positive by at least two out of three readers from National Institute for Occupational Safety and Health panel reading the radiographs under blind conditions. The implications of this variability in radiographie readings for public health decisions was illustrated in Minnesota, where selective overreading of radiographs of female subjects created an illusion of a generalized environmental problem rather than an occupational exposure. One solution to this dilemma is establishment of criteria to minimize falsepositive pleural findings. The study also supports the need for more careful consideration of other disease processes in the interpretation of "B" readings.</description><subject>False Negative Reactions</subject><subject>False Positive Reactions</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Minnesota - epidemiology</subject><subject>Observer Variation</subject><subject>ORIGINAL ARTICLES</subject><subject>Pneumoconiosis - diagnostic imaging</subject><subject>Pneumoconiosis - epidemiology</subject><subject>Probability</subject><subject>Public Health</subject><subject>Radiography</subject><issn>0096-1736</issn><issn>1076-2752</issn><issn>2332-3795</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LAzEQhoMotVZ_gpCTnlaTzCa7OWpRWyhYRL0u2W3SpuxHTbKH_nvTD-thGGbe952BByFMyQMlMnskhKSQiTShMpdExjGJRfMzNGQALIFM8nM0JESKhGYgLtGV92tCOLBUDtCARZ1xMUTLeV_WtsITreqwwtNmEycVbNd63BkcVhp_K2dVaWsbtti2-9W0DdptnA575854_3yPP7Ra2Hbpsekcnte6d6rG45Vql9pfowujaq9vjn2Evl5fPseTZPb-Nh0_zZIKBIRECF7mlQGS5UbJRWlAci1ywQRVjGdcV7lkkggpgIDmjEkwQuRUGRoDJYERujvc3bjup9c-FI31la5r1equ9wXlEMFlNBrzg7FynfdOm2LjbKPctqCk2DEu_hgXJ8bFnnGM3h5_9GWjF6fgEeq_vvahcyc55YQyARR-AXUWf8Y</recordid><startdate>19890901</startdate><enddate>19890901</enddate><creator>Parker, David L.</creator><creator>Bender, Alan P.</creator><creator>Hankinson, Susan</creator><creator>Aeppli, Dorothee</creator><general>Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>19890901</creationdate><title>Public Health Implications of the Variability in the Interpretation of 'B' Readings for Pleural Changes</title><author>Parker, David L. ; Bender, Alan P. ; Hankinson, Susan ; Aeppli, Dorothee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-665b8cf3078fa9dbf395e686261a2575ec89290696303e52293f6681af18fab03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>False Negative Reactions</topic><topic>False Positive Reactions</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Minnesota - epidemiology</topic><topic>Observer Variation</topic><topic>ORIGINAL ARTICLES</topic><topic>Pneumoconiosis - diagnostic imaging</topic><topic>Pneumoconiosis - epidemiology</topic><topic>Probability</topic><topic>Public Health</topic><topic>Radiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parker, David L.</creatorcontrib><creatorcontrib>Bender, Alan P.</creatorcontrib><creatorcontrib>Hankinson, Susan</creatorcontrib><creatorcontrib>Aeppli, Dorothee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of occupational and environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parker, David L.</au><au>Bender, Alan P.</au><au>Hankinson, Susan</au><au>Aeppli, Dorothee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Public Health Implications of the Variability in the Interpretation of 'B' Readings for Pleural Changes</atitle><jtitle>Journal of occupational and environmental medicine</jtitle><addtitle>J Occup Med</addtitle><date>1989-09-01</date><risdate>1989</risdate><volume>31</volume><issue>9</issue><spage>775</spage><epage>780</epage><pages>775-780</pages><issn>0096-1736</issn><issn>1076-2752</issn><eissn>2332-3795</eissn><abstract>During. 1985 in Minnesota, an initial reading of 566 radiographs found 30% of them to be positive for pleural changes. However, only 4% were considered positive by at least two out of three readers from National Institute for Occupational Safety and Health panel reading the radiographs under blind conditions. The implications of this variability in radiographie readings for public health decisions was illustrated in Minnesota, where selective overreading of radiographs of female subjects created an illusion of a generalized environmental problem rather than an occupational exposure. One solution to this dilemma is establishment of criteria to minimize falsepositive pleural findings. The study also supports the need for more careful consideration of other disease processes in the interpretation of "B" readings.</abstract><cop>United States</cop><pub>Williams & Wilkins</pub><pmid>2795256</pmid><doi>10.1097/00043764-198909000-00018</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0096-1736 |
| ispartof | Journal of occupational and environmental medicine, 1989-09, Vol.31 (9), p.775-780 |
| issn | 0096-1736 1076-2752 2332-3795 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_15343771 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | False Negative Reactions False Positive Reactions Female Humans Male Minnesota - epidemiology Observer Variation ORIGINAL ARTICLES Pneumoconiosis - diagnostic imaging Pneumoconiosis - epidemiology Probability Public Health Radiography |
| title | Public Health Implications of the Variability in the Interpretation of 'B' Readings for Pleural Changes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T21%3A56%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Public%20Health%20Implications%20of%20the%20Variability%20in%20the%20Interpretation%20of%20'B'%20Readings%20for%20Pleural%20Changes&rft.jtitle=Journal%20of%20occupational%20and%20environmental%20medicine&rft.au=Parker,%20David%20L.&rft.date=1989-09-01&rft.volume=31&rft.issue=9&rft.spage=775&rft.epage=780&rft.pages=775-780&rft.issn=0096-1736&rft.eissn=2332-3795&rft_id=info:doi/10.1097/00043764-198909000-00018&rft_dat=%3Cjstor_proqu%3E45012631%3C/jstor_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=15343771&rft_id=info:pmid/2795256&rft_jstor_id=45012631&rfr_iscdi=true |