vols 1 & 2, edited by Edward A. Lew and Jerzy Gajewski (reference volumes sponsored by the Association of Life Insurance Medical Directors of America and The Society of Actuaries), various pagination, $195, ISBN 0-275-93786-0, New York, NY, Praeger, 1990.
Many physicians think of "medical risks" in terms of the risk of accident or the risk of an untoward clinical outcome, or perhaps the lung cancer risk of a heavy smoker. Insurance physicians and actuaries use the term more broadly, as an idiom for medical impairments, conditions or risk factors with morbidity or premature mortality implications. This extensive two-volume document focuses on the latter concept.
Similarly, while practicing physicians talk about survival rates, this document homes in on mortality ratios (100 × number of deaths in interval/number of expected deaths) and excess death rates per 1000 per year (1000 × the difference between observed and expected number of deaths per person-years of exposure).
Why the difference? A 95% five-year survival rate for a group of 30-year-olds treated for a particular type of cancer sounds pretty good to clinicians (especially given
Battista ME, Kita M. Medical Risks: Trends in Mortality by Age and Time Elapsed. JAMA. 1991;265(24):3316-3317. doi:10.1001/jama.1991.03460240114043