DeCandia, Victor. Comparison of expert judgement vs. veteran self-report of exposure and medical concerns of us veterans of conflicts in Afghanistan and Iraq. Retrieved from https://doi.org/doi:10.7282/T3S75JM7
DescriptionBackground: The United States Department of Veterans Affairs - War Related Injury and Illness Study Center (WRIISC] located in East Orange, New Jersey collects data on both self-reported and expert identified exposure and medical concerns of US veterans who served in Afghanistan and Iraq. This study will compare the frequencies of self-reported and WRIISC identified concerns. Materials and Methods: A total of 894 veterans completed a self-reported intake questionnaire developed by the WRIISC from June 2004 to January 2012. These questionnaires as well as formal medical evaluations were used by WRIISC medical personnel to assess medical and psychological function in US veterans who served in Afghanistan and Iraq. Data from the questionnaires and medical forms were abstracted into a database developed by the WRIISC. Expected Results: Patterns of exposure and medical concerns were analyzed using a percent agreement and sensitivity/specificity approach. It is expected that veteran exposure and medical concerns endorsed on the WRIISC intake questionnaire would differ from the physical assessment of exposure and medical concerns identified during the WRIISC clinical evaluation. Limitations: Recall bias of veterans while reporting exposure and medical concerns may be an issue. Information on both exposures and health were "yes"/’'no'' or "present" / "absent”, thus limiting quantitative interpretations. Conclusions: There were unique exposure and medical concerns reported by US veterans who served in Afghanistan and Iraq. Overall, the largest number of exposure concerns that were identified by the WRIISC were Burning Trash (N=431, 54.1%), Sandstorms (N=365,45.8%), and Petrochemicals (N=196, 24.6%). The largest number of medical concerns that were identified by the WRIISC were Musculoskeletal (N= 556, 6.6%), Neurological (N= 281, 22.6%) and Gastrointestinal (N=276, 33.0%).