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Journal of Insurance Medicine

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https://www.readbyqxmd.com/read/28326879/jim-reading-list
#1
(no author information available yet)
No abstract text is available yet for this article.
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/28326878/t-tests-the-bmi-study-continues
#2
David Wesley
Medical directors may be asked to analyze their company's experienced laboratory results. This practical research note explores the use of the statistical programming language R for analysis. Use of the two different t-tests available in R (unpaired and paired) is explained.
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/28326877/a-perplexing-ecg
#3
Ross MacKenzie
An unusual appearing electrocardiogram (ECG) is sent to the medical director's department for interpretation prior to receiving the actual life insurance application. As a result, no background details are available to provide a clinical context. Preliminary perusal of the ECG suggests several diagnostic possibilities.
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/28326876/the-gang-of-four-insurance-medicine-art-science-or-pseudo-science
#4
(no author information available yet)
No abstract text is available yet for this article.
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/28326875/pancreatic-cysts
#5
Timothy Meagher, Andreas Armuss
Pancreatic cysts are more common than before, largely because of widespread abdominal imaging. Pancreatic cystic neoplasms (PCN) are relevant to risk selection on 2 counts: they constitute more than 50% of all pancreatic cysts and, in contrast to the other 2 cyst types, are capable of malignant transformation. The majority of PCNs are benign at time of diagnosis and will follow a benign course. The challenge is to identify those PCNs that are malignant or will undergo malignant transformation with time. The purpose of this article is to provide pointers that can help meet this challenge while also summarizing the ongoing debate about their optimal management...
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/28326874/intraductal-papillary-mucinous-neoplasm
#6
David S Williams
Intraductal papillary mucinous neoplasms are cystic growths often noted incidentally in the pancreatic ducts. Left untreated, some may progress to invasive cancer.
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/28326873/the-future-for-medical-directors-in-insurance-companies-leaner-stronger-and-more-involved
#7
(no author information available yet)
No abstract text is available yet for this article.
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/28326872/psa-testing-for-age-and-amount
#8
John R Iacovino
No abstract text is available yet for this article.
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27562111/choroidal-nevi
#9
David S Williams
Choroidal nevi are common benign melanocytic lesions of the posterior uvea.
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27562110/primary-sj%C3%A3-gren-s-syndrome-white-matter-changes-and-cognitive-dysfunction
#10
Mary Dess, Wayne F Heidenreich
This case report describes a 52-year-old, female applicant for long term-care insurance with a history of an autoimmune connective tissue disease initially diagnosed as systemic lupus erythematosus (SLE). Over several years, the signs and symptoms evolved into a clear diagnosis of primary Sjögren's syndrome (PSS). The specific criteria for this diagnosis are reviewed including the symptoms, antinuclear antibodies (ANA), extractable nuclear antigen antibodies (ENA), abnormal salivary scintigraphy and positive Schirmer test...
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27562109/regular-expressions-the-build-study-vignette
#11
David Wesley
The author creates a fictional vignette to illustrate how a medical director can use data analysis to help review cases comparing attending physician statement (APS) values for build vs those reported by the paramedical examiners for the same lives. In this first of two articles, a method for extracting suitable data is explored.
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27562108/2014-crl-build-study-of-life-insurance-applicants
#12
Michael Fulks, Vera F Dolan, Robert L Stout
Objective .- Determine the impact of build on insurance applicant mortality accounting for smoking, laboratory test values and blood pressure. Method .- The study consisted of 2,051,370 applicants tested at Clinical Reference Laboratory between 1993 and 2007 with build and cotinine measurements available whose body mass index (BMI) was between 15 and 47. Vital status was determined as of September, 2011 by the Social Security Death Master File. Excluded from the primary study were applicants with HbA1c values ≥6...
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27562107/all-cause-mortality-for-diabetics-or-individuals-with-hyperglycemia-applying-for-life-insurance
#13
Stephen A Freitas, Ross MacKenzie, David N Wylde, Bradley T Roudebush, Richard L Bergstrom, J Carl Holowaty, Anna Hart, Steven J Rigatti, Stacy J Gill
Diabetics and individuals with lab results consistent with a diagnosis of diabetes or hyperglycemia were extracted from data covering US residents who applied for life insurance between January 2007 and January 2014. Information about these applicants was matched to the Social Security Death Master File (SSDMF) and another commercially available death source file to determine vital status. Due to the inconsistencies of reporting within the death files, there were two cohorts of death cases, one including the imputed year of birth (full cohort of deaths), and the second where the date of birth was known (reduced cohort of deaths)...
2016: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27584925/jim-reading-list
#14
(no author information available yet)
No abstract text is available yet for this article.
2015: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27584924/alpha-1-antitrypsin-deficiency
#15
David S Williams
Alpha-1 antitrypsin deficiency is an inherited disorder that may cause severe lung and liver disease.
2015: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27584923/unusual-qrs-pattern-in-the-early-precordial-leads
#16
Ross MacKenzie
An asymptomatic, middle-aged man is found to have a QR pattern in lead V1 and a qR pattern in lead V2 of his ECG obtained during routine life insurance applicant screening. The risk assessment implication of this ECG finding is reviewed.
2015: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27584922/highly-sensitive-troponin-and-critical-illness-insurance-have-the-goalposts-moved-again
#17
Alban Senn, Timothy Meagher
An elevated cardiac troponin is a sine qua non for the clinical diagnosis of myocardial infarction. The sensitivity of troponin assays has improved repeatedly since troponin entered clinical use in the late 1990s. Its most recent iteration, "highly sensitive" troponin will shortly enter clinical use in North America. It is able to detect amounts of troponin 10 times smaller than the current assay. As a result, more myocardial infarctions will be diagnosed. This may have an impact on the number of critical illness claims for heart attack...
2015: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27584921/mortality-and-risk-stratification-of-hiv-infected-individuals
#18
Bradley R Heltemes
For the first decade and a half after the Human Immunodeficiency Virus (HIV) was first identified, the prognosis for most people infected with HIV was quite poor. Life insurance companies responded accordingly and insurance laboratories developed new means to test for the infection. However, it is now clear that people with HIV infection are living longer and that the majority of deaths occurring among those on treatment are now no longer due to AIDS-defining illnesses. This review examines the results of selected studies which analyzed mortality outcomes in those with HIV infection, the many factors which influence those outcomes, and the limitations in the data and in their applicability to an insurance population...
2015: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27584920/hiv-a-chronic-condition
#19
Daniel D Zimmerman
By virtue of the success of anti-retroviral therapy (ART), human immunodeficiency virus (HIV) infection has evolved into a chronic disease in which the typical complications of acquired immune deficiency syndrome (AIDS) are no longer the dominant problem. Rather than dealing with acute and potentially life-threatening complications, clinicians are now confronted with managing a chronic disease that, in the absence of a cure, will persist for many decades. (1) This review will focus on the longer term sequelae and consequences of chronic HIV infection...
2015: Journal of Insurance Medicine
https://www.readbyqxmd.com/read/27584919/on-the-potential-insurability-of-hiv
#20
John F White
For the past two years, a group of medical directors representing a wide variety of companies with a concentration in life insurance has reviewed literature pertinent to the mortality studies on Human Immunodeficiency Virus (HIV) and has had discussions with experts in the field. We did so as a result of our commitment to studying this disease process with an eye toward applying our findings to enhance individual companies' analysis of the potential insurability of people currently living with HIV. This is something that to our knowledge has not been done in a similar form in this country in the recent past...
2015: Journal of Insurance Medicine
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