Ribak J, Lilis R, Suzuki Y, Penner L, Selikoff I J
Division of Environmental and Occupational Medicine, Mount Sinai School of Medicine, City University of New York.
J Soc Occup Med. 1991 Autumn;41(3):137-9. doi: 10.1093/occmed/41.3.137.
Accuracy of diagnosis of malignant mesothelioma (pleural and peritoneal) was studied in a cohort of asbestos insulation workers in the United States and Canada. Initial clinical diagnosis, clinical diagnosis at death and death certificate diagnosis were compared with the diagnosis of malignant mesothelioma ascertained by full data review at the Division of Environmental and Occupational Medicine, Mount Sinai Medical Center, New York ('best evidence'). In both groups the death certificate diagnosis was somewhat less frequently accurate than clinical diagnosis at death. Knowledge of the patients' occupational history by the attending physician and its relation to accuracy of diagnosis of malignant mesothelioma is considered.
在美国和加拿大的一组石棉绝缘工人中，对恶性间皮瘤（胸膜和腹膜）的诊断准确性进行了研究。将初始临床诊断、死亡时的临床诊断和死亡证明诊断与纽约西奈山医学中心环境与职业医学部通过全面数据审查确定的恶性间皮瘤诊断（“最佳证据”）进行了比较。在两组中，死亡证明诊断的准确性略低于死亡时的临床诊断。研究了主治医生对患者职业史的了解情况及其与恶性间皮瘤诊断准确性的关系。
