Slideshow Project DOI 10 1682JRRD 2013 05 0115

Slideshow Project DOI: 10. 1682/JRRD. 2013. 05. 0115 JSP Concordance of clinician judgment of mild traumatic brain injury history with a diagnostic standard Terri K. Pogoda, Ph. D; Katherine M. Iverson, Ph. D; Mark Meterko, Ph. D; Errol Baker, Ph. D; Ann M. Hendricks, Ph. D; Kelly L. Stolzmann, MS; Maxine Krengel, Ph. D; Martin P. Charns, DBA; Jomana Amara, Ph. D; Rachel Kimerling, Ph. D; Henry L. Lew, MD, Ph. D This article and any supplementary material should be cited as follows: Pogoda TK, Iverson KM, Meterko M, Baker E, Hendricks AM, Stolzmann KL, Krengel M, Charns MP, Amara J, Kimerling R, Lew HL. Concordance of clinician judgment of mild traumatic brain injury history with a diagnostic standard. J Rehabil Res Dev. 2014; 51(3): XXX–XXX. http: //dx. doi. org/10. 1682/JRRD. 2013. 05. 0115

Slideshow Project DOI: 10. 1682/JRRD. 2013. 05. 0115 JSP • Aim – Examine concordance of VA clinician judgment of mild traumatic brain injury (m. TBI) history with American Congress of Rehabilitation Medicine (ACRM)-based criteria for Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans. • Relevance – Examining associations between evaluation outcomes and patient characteristics, deployment-related events, self-reported health symptoms, and psychiatric conditions can clarify inconsistencies in m. TBI diagnoses. This article and any supplementary material should be cited as follows: Pogoda TK, Iverson KM, Meterko M, Baker E, Hendricks AM, Stolzmann KL, Krengel M, Charns MP, Amara J, Kimerling R, Lew HL. Concordance of clinician judgment of mild traumatic brain injury history with a diagnostic standard. J Rehabil Res Dev. 2014; 51(3): XXX–XXX. http: //dx. doi. org/10. 1682/JRRD. 2013. 05. 0115

Method Slideshow Project DOI: 10. 1682/JRRD. 2013. 05. 0115 JSP • Examined Veteran sample as defined by ACRMbased criteria: – 14, 026 OIF/OEF VA patients. • With deployment-related m. TBI: 9, 858. • With no history of m. TBI: 4, 168. This article and any supplementary material should be cited as follows: Pogoda TK, Iverson KM, Meterko M, Baker E, Hendricks AM, Stolzmann KL, Krengel M, Charns MP, Amara J, Kimerling R, Lew HL. Concordance of clinician judgment of mild traumatic brain injury history with a diagnostic standard. J Rehabil Res Dev. 2014; 51(3): XXX–XXX. http: //dx. doi. org/10. 1682/JRRD. 2013. 05. 0115

Results Slideshow Project DOI: 10. 1682/JRRD. 2013. 05. 0115 JSP • Clinician judgment agreed with ACRM-based criteria in majority of cases (76. 0%). • Most common inconsistency was between clinician judgment (no) and ACRM-based criteria (yes) for 21. 3% of patients. • Additional factors associated with clinician diagnosis and ACRM-based criteria disagreement: – Injury etiology. – Current self-reported health symptoms. – Suspected psychiatric conditions. This article and any supplementary material should be cited as follows: Pogoda TK, Iverson KM, Meterko M, Baker E, Hendricks AM, Stolzmann KL, Krengel M, Charns MP, Amara J, Kimerling R, Lew HL. Concordance of clinician judgment of mild traumatic brain injury history with a diagnostic standard. J Rehabil Res Dev. 2014; 51(3): XXX–XXX. http: //dx. doi. org/10. 1682/JRRD. 2013. 05. 0115

Conclusion Slideshow Project DOI: 10. 1682/JRRD. 2013. 05. 0115 JSP • Adherence to established diagnostic guidelines is essential for: – Accurate determination of m. TBI history. – Understanding extent to which m. TBI symptoms resolve or persist over time in OIF/OEF Veterans This article and any supplementary material should be cited as follows: Pogoda TK, Iverson KM, Meterko M, Baker E, Hendricks AM, Stolzmann KL, Krengel M, Charns MP, Amara J, Kimerling R, Lew HL. Concordance of clinician judgment of mild traumatic brain injury history with a diagnostic standard. J Rehabil Res Dev. 2014; 51(3): XXX–XXX. http: //dx. doi. org/10. 1682/JRRD. 2013. 05. 0115