Analysis of Diagnostic Disparities in Occupational Pneumoconiosis in Guizhou Province
Objective:To analyze the reasons for diagnostic differences in occupational pneumoconiosis among institutions and physicians of different professional ranks in our province,as well as to explore factors contributing to missed and misdiagnoses,providing new insights and suggestions for reducing such occurrences.Methods:A total of 150 cases diagnosed by physicians who participated in provincial occupational disease diagnosis training,assessment training,visiting physicians at our hospital,and in-house physicians with intermediate or lower titles were randomly selected as research subjects.Results:Diagnostic accuracy in lung region density classification improved with longer tenure in diagnostic work.CT verification was more ac-curate than non-CT verified diagnoses,with an odds ratio(OR)of 0.41,95％confidence interval(CI)[0.25-0.66],P＜0.001.Participation in occupational assessment training resulted in higher diagnostic ac-curacy compared to non-participation,OR=0.29,95％CI[0.16,0.54],P＜0.001.Longer disease dura-tion was associated with higher diagnostic accuracy,OR=0.64,95％CI[0.45,0.90],P=0.012.Patient age did not significantly impact diagnostic results,OR=0.92,95％CI[0.63,1.34],P=0.672.Similarly,patient BMI had no significant effect on diagnostic outcomes,OR=1.13,95％CI[0.73,1.74],P=0.585.Conclusion:Senior professional titles,CT verification,specialized assessment training,and longer disease duration are protective factors against missed and misdiagnoses.Lower professional seniority,lack of CT verification,absence from specialized training assessments,and shorter disease duration are risk factors leading to diagnostic errors.It is recommended to strengthen spe-cialized training for the diagnosis and treatment of pneumoconiosis,enhance the qualifications of diagnosing physicians,and rein-force steps for CT verification and expert review to improve accuracy and reduce disputes and diagnostic errors.
万方数据
维普
