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Improving the Evaluation of Permanent Impairment
Linda Cocchiarella, MD, MSc;
Margaret A. Turk, MD;
Gunnar Andersson, MD, PhD
JAMA. 2000;283:532-533.
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More than 40 million people in the United States consider themselves to have a physical or mental impairment that significantly affects life activities.1 Clarifying the scope of impairment and disability assessment has been increasingly addressed by the courts,2 the medical community,3 and workers' compensation authorities.4 In the United States, the American Medical Association's Guides to the Evaluation of Permanent Impairment5 is the most commonly used source for assessing and rating an individual's permanent impairments.
In this issue of THE JOURNAL, Spieler and colleagues6 present a thoughtful analysis of and recommendations for revising the Guides. Their contributions already have helped improve the forthcoming fifth edition of the Guides.7 Although we agree with the fundamental principles that Spieler et al discuss, we will address how the fifth edition will respond to some of these concerns and identify areas . . . [Full Text of this Article]
Author Affiliations: American Medical Association (Dr Cocchiarella) and Department of Orthopedic Surgery, Rush-Presbyterian-St Luke's Medical Center (Dr Andersson), Chicago, Ill; and Department of Physical Medicine and Rehabilitation, SUNY Upstate Medical University, Syracuse, NY (Dr Turk).
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Recommendations to Guide Revision of the Guides to the Evaluation of Permanent Impairment
Emily A. Spieler, Peter S. Barth, John F. Burton, Jr, Jay Himmelstein, and Linda Rudolph
JAMA. 2000;283(4):519-523.
ABSTRACT
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