US race-neutral lung assessments to have profound effects, study finds

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US race-neutral lung assessments to have profound effects, study finds
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A guideline for U.S. doctors to ignore race in assessing lung health will likely have profound effects beyond the intended improvements in medical care, such as increasing disability payments and disease diagnoses for Black patients while boosting their job disqualifications, a study found on Sunday.

Item 1 of 2 An X-ray of a COVID-19 patient's lungs is looked over by Dr. Joseph Varon , the chief medical officer at United Memorial Medical Center , during the coronavirus disease outbreak, in Houston, Texas, U.S., July 10, 2020. REUTERS/Callaghan O'Hare/File PhotoAn X-ray of a COVID-19 patient's lungs is looked over by Dr. Joseph Varon , the chief medical officer at United Memorial Medical Center , during the coronavirus disease outbreak, in Houston, Texas, U.S., July 10, 2020.

Annual disability payments for Black military veterans will likely rise by more than $1 billion and fall by $500 million for white veterans, the researchers estimated. Experts now believe smaller lung capacities in some nonwhite populations may be due to environmental exposures to pollution, poor nutrition, and other risk factors.

The results of the new equations could be complex. If they reveal more severe lung impairment, surgeons might be less likely to recommend potentially curative surgeries, but this may prevent surgical complications in patients who are at higher risk than previously recognized, the researchers found. The new equations will reclassify medical impairment ratings for 8.16 million people; eligibility for jobs, such as firefighter, requiring a certain level of lung function for 2.28 million; grading of chronic obstructive pulmonary diseases for 2.05 million; and military disability compensation eligibility for 413,000, the researchers estimated.

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