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Missed opportunities to counsel patients with malignant pleural mesothelioma about causation and potential

Ware G Kuschner1, Radhika Varma, Roberto Flores

  • 1Pulmonary Section, U.S. Department of Veterans Affairs Palo Alto Health Care System, California 94304, USA. kuschner@stanford.edu

The American Journal of the Medical Sciences
|August 6, 2011
PubMed
Abstract

Insights

Most patients with malignant pleural mesothelioma (MPM) have documented asbestos exposure, yet few receive counseling on compensation. Physicians should discuss legal redress and compensation with newly diagnosed MPM patients.

Area of Science:

  • Occupational Medicine
  • Oncology
  • Public Health

Background:

  • Malignant pleural mesothelioma (MPM) is a rare and aggressive cancer.
  • Asbestos exposure is the primary risk factor for MPM.
  • Effective patient counseling regarding causation and compensation is crucial.

Purpose of the Study:

  • To evaluate the quality of counseling provided to MPM patients.
  • To assess patient understanding of MPM causation.
  • To determine if compensation opportunities were discussed.

Main Methods:

  • Retrospective review of 16 MPM patient charts.
  • Data abstraction included demographics, occupational/environmental history, and asbestos exposure.
  • Searched for documentation of patient education and counseling.

Main Results:

  • Occupational asbestos exposure documented in 75% of patients.
  • Bystander asbestos exposure identified in 13% of patients.
  • Counseling on MPM causation and compensation occurred in only 6% of cases.

Conclusions:

  • Occupational history, including asbestos exposure, is frequently documented for MPM patients.
  • Physicians rarely advise MPM patients on pursuing compensation.
  • There's a missed opportunity to inform patients about legal redress and compensation.

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