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EEOICPA Compensation Results (through March 2004) Russ Henshaw, MS Epidemiologist NIOSH/Office of Compensation Analysis & Support Cincinnati, OH
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Completed Claim Results: Important Caveats Results are through March 31, 2004 Includes only those cases in which NIOSH has received notice from DOL of an official compensation decision (~ 2/3 of cases) May NOT be predictive of future results Unless otherwise noted, results are for claims with only one primary cancer
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Completed Claims: Proportion That Were Compensable, by NIOSH-IREP Cancer Model Cancer Model (ICD-9 Code)Total Compensated Oral Cavity and Pharynx (140-149) 23 4 (17%) Esophagus (150)190 (0%) Stomach (151)210 (0%) Colon (153)781 (1%) Rectum (154)270 (0%)
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Completed Claims: Proportion That Were Compensable, by NIOSH-IREP Cancer Model (Cont.) Cancer Model (ICD-9 Code)Total Compensated All digestive (150-159) 3 0 (0%) Liver (155.0)75 (71%) Gallbladder (155.1, 156)31 (33%) Pancreas (157)430 (0%) Lung (162)230209 (91%)
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Completed Claims: Proportion That Were Compensable, by NIOSH-IREP Cancer Model (Cont.) Cancer Model (ICD-9 Code)Total Compensated Other respiratory (160, 161, 163-165) 19 6 (32%) Bone (170)31 (33%) Connective tissue (171)130 (0%) Malignant melanoma (172)193 (16%) Non-melanoma skin-Basal Cell (173)2511 (44%)
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Completed Claims: Proportion That Were Compensable, by NIOSH-IREP Cancer Model (Cont.) Cancer Model (ICD-9 Code)Total Compensated Non-melanoma skin-Squamous Cell (173) 16 1 (6%) Breast (174-175)691 (1%) Ovary (183)20 (0%) Female genitalia, excluding ovary (179-182, 184) 140 (0%) All male genitalia (185-187)2190 (0%)
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Completed Claims: Proportion That Were Compensable, by NIOSH-IREP Cancer Model (Cont.) Cancer Model (ICD-9 Code)Total Compensated Bladder (188) 42 2 (5%) Urinary organs, excluding bladder (189)115 (45%) Eye (190)20 (0%) Nervous system (191-192)330 (0%) Thyroid (193)140 (0%)
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Completed Claims: Proportion That Were Compensable, by NIOSH-IREP Cancer Model (Cont.) Cancer Model (ICD-9 Code)Total Compensated Other endocrine glands (194) 2 0 (0%) Other and ill-defined sites (195)0N/A Lymphoma & multiple myeloma (200-203) 902 (2%) Leukemia, excluding CLL (204-208, excluding 204.1) 65 (83%) Acute Lymphocytic Leukemia (204.0) 3 3 (100%)
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Completed Claims: Proportion That Were Compensable, by NIOSH-IREP Cancer Model (Cont.) Cancer Model (ICD-9 Code)Total Compensated Acute Myeloid Leukemia (205.0)83 (38%) Chronic Myeloid Leukemia (205.1)75 (71%) Claims with unknown primary cancer2824 (86%) Claims with multiple primary cancers226146 (65%) All Completed Claims1325438 (33%)
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Compensability Rate, by Cancer Model (10 or More Completed Cases)
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0% (no compensable cases): Esophagus Stomach Rectum Pancreas Connective tissue Female genitalia, excluding ovary All male genitalia Nervous system Thyroid
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Compensability Rates for “Unknown Primary” and “Multiple Primary” Claims
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Proportion of Claims That Were Compensable, by Years Worked
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Proportion of Claims That Were Compensable, by Age at Diagnosis
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Lung Cancer Compensability (Single Primary Cancer) by Smoking Status
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Compensability Rate by Gender (All Completed Claims)
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Summary Some initial surprises, but current results are skewed: By dose reconstruction “efficiency process” Possibly by incomplete data (we are awaiting official decisions from DOL for about 1/3 of all completed cases) Data will continue to be monitored for trends & anomalies Results are not predictive of future claims
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