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Occupational Medicine 1991;41:137-139
© 1991 Society of Occupational Medicine

research-article

Death Certificate Categorization of Malignant Pleural and Peritoneal Mesothelioma in a Cohort of Asbestos Insulation Workers

J. RIBAK, R. LILIS, Y. SUZUKI, L. PENNER and I. J. SELIKOFF

Division of Environmental and Occupational Medicine, Mount Sinai School of Medicine of the City University of New York USA

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.

Requests for reprints should be addressed to: Dr Joseph Ribak, Department of Preventive and Social Medicine, Tel Aviv University, Sackler School of Medicine, Ramat Aviv, Tel Aviv 69978, Israel


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