Neck: what evidence wins at the Board

For neck appeals, how often the Board granted the issue when the record held each kind of evidence, and how often when it did not. Measured from the decisions themselves; every number carries its fraction.

What this is computed from: evidence types detected in the full text of 1,929,585 public Board of Veterans' Appeals decisions (va.gov/vetapp), joined to the issue-level outcome. The tables use only single-issue decisions with a clean parse in complete crawl years (1992–2025) — 971,127 decisions — so each evidence flag attaches to exactly one decided issue. A split is shown only when both sides have at least 30 decisions. Every count opens its decisions in the Board decision finder, with links to the full text on va.gov. Data build: 2026-10-15.

Service connection for Neck (n = 3,198)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record63% (172/271)32% (461/1,446)+32 pts20% (66/337)
Private physician opinion, letter or DBQEvidence in the record53% (219/414)32% (414/1,303)+21 pts24% (131/553)
Disability Benefits Questionnaire in the recordEvidence in the record51% (35/68)36% (598/1,649)+15 pts39% (44/112)
Third-party lay statements (spouse, buddy, employer)Evidence in the record35% (45/129)37% (588/1,588)-2 pts27% (49/182)
Service treatment records document the condition or injuryEvidence in the record33% (296/900)41% (337/817)-8 pts27% (335/1,254)
Service treatment records silent for the conditionEvidence in the record21% (145/685)47% (488/1,032)-26 pts18% (160/865)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued27% (194/714)44% (439/1,003)-17 pts12% (96/820)
Board hearing held or testimony takenProcedure40% (347/863)33% (286/854)+7 pts37% (526/1,424)
Social Security records in the fileEvidence in the record24% (20/83)38% (613/1,634)-13 pts39% (53/137)
Medical literature or treatise citedEvidence in the record37% (83/223)37% (550/1,494)+0 pts36% (125/349)
Functional loss / DeLuca factors argued (rating cases)Theory argued40% (51/127)37% (582/1,590)+4 pts28% (50/177)
Presumptive service connection discussedTheory argued26% (225/859)48% (408/858)-21 pts15% (153/1,023)
Secondary service connection (38 CFR 3.310) in playTheory argued33% (227/683)39% (406/1,034)-6 pts37% (420/1,121)
Combat service / 1154(b) in playTheory argued35% (67/193)37% (566/1,524)-2 pts25% (65/261)
A medical source gave a negative nexus opinionEvidence in the record41% (326/790)33% (307/927)+8 pts37% (456/1,249)
No nexus opinion of recordEvidence in the record5% (7/135)40% (626/1,582)-34 pts13% (21/160)
VA examination or VA medical opinion obtainedEvidence in the record36% (516/1,434)41% (117/283)-5 pts41% (1,018/2,479)
Board found a VA exam or opinion inadequateHow the Board read the record46% (192/413)34% (441/1,304)+13 pts54% (495/911)
Board found the VA exam or opinion adequateHow the Board read the record16% (19/122)38% (614/1,595)-23 pts2% (3/126)
Board found the veteran's statements credibleHow the Board read the record69% (113/163)33% (520/1,554)+36 pts13% (24/188)
Board found the veteran's statements not credible or inconsistentHow the Board read the record5% (4/80)38% (629/1,637)-33 pts2% (2/83)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record89% (266/300)26% (367/1,417)+63 pts2% (5/306)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record2% (16/715)62% (617/1,002)-59 pts0% (0/717)
Board ordered a new exam or addendum opinionProcedure39% (95/241)36% (538/1,476)+3 pts80% (980/1,229)
AMA favorable finding acknowledgedProcedure74% (76/103)35% (557/1,614)+39 pts39% (67/170)

"Granted" = share of issues decided on the merits (granted + denied); remands and dismissals are excluded from that fraction and shown separately. Fractions are the raw counts.

Increased rating for Neck (n = 1,070)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
Private physician opinion, letter or DBQEvidence in the record26% (15/57)18% (87/475)+8 pts19% (14/73)
Service treatment records document the condition or injuryEvidence in the record22% (32/144)18% (70/388)+4 pts10% (17/164)
Board hearing held or testimony takenProcedure22% (47/215)17% (55/317)+5 pts46% (198/431)
Functional loss / DeLuca factors argued (rating cases)Theory argued18% (64/349)21% (38/183)-2 pts39% (227/584)
Secondary service connection (38 CFR 3.310) in playTheory argued21% (36/170)18% (66/362)+3 pts25% (58/236)
A medical source gave a negative nexus opinionEvidence in the record30% (14/47)18% (88/485)+12 pts23% (15/65)
Board found a VA exam or opinion inadequateHow the Board read the record19% (13/70)19% (89/462)-1 pts61% (113/186)
Board found the VA exam or opinion adequateHow the Board read the record12% (7/60)20% (95/472)-8 pts3% (2/62)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record8% (26/325)37% (76/207)-29 pts0% (0/327)
Board ordered a new exam or addendum opinionProcedure16% (11/70)20% (91/462)-4 pts82% (347/425)

"Granted" = share of issues decided on the merits (granted + denied); remands and dismissals are excluded from that fraction and shown separately. Fractions are the raw counts.

All Neck issues, every benefit type (n = 4,980)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record61% (180/295)32% (771/2,414)+29 pts20% (74/371)
Private physician opinion, letter or DBQEvidence in the record49% (260/527)32% (691/2,182)+18 pts23% (158/695)
Disability Benefits Questionnaire in the recordEvidence in the record51% (55/108)34% (896/2,601)+16 pts40% (74/183)
Third-party lay statements (spouse, buddy, employer)Evidence in the record35% (53/153)35% (898/2,556)-0 pts25% (52/209)
Service treatment records document the condition or injuryEvidence in the record34% (378/1,124)36% (573/1,585)-3 pts24% (357/1,504)
Service treatment records silent for the conditionEvidence in the record21% (156/728)40% (795/1,981)-19 pts18% (164/917)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued28% (204/740)38% (747/1,969)-10 pts12% (99/851)
Board hearing held or testimony takenProcedure38% (478/1,260)33% (473/1,449)+5 pts38% (806/2,126)
Social Security records in the fileEvidence in the record25% (27/109)36% (924/2,600)-11 pts40% (73/184)
Vocational expert or assessmentEvidence in the record22% (11/50)35% (940/2,659)-13 pts11% (6/57)
Medical literature or treatise citedEvidence in the record37% (93/251)35% (858/2,458)+2 pts37% (147/402)
Functional loss / DeLuca factors argued (rating cases)Theory argued34% (221/646)35% (730/2,063)-1 pts32% (302/957)
Presumptive service connection discussedTheory argued27% (240/895)39% (711/1,814)-12 pts15% (160/1,068)
Secondary service connection (38 CFR 3.310) in playTheory argued33% (328/990)36% (623/1,719)-3 pts34% (522/1,541)
Combat service / 1154(b) in playTheory argued35% (78/221)35% (873/2,488)+0 pts23% (66/291)
A medical source gave a negative nexus opinionEvidence in the record40% (354/894)33% (597/1,815)+7 pts35% (490/1,390)
No nexus opinion of recordEvidence in the record7% (10/152)37% (941/2,557)-30 pts13% (24/181)
VA examination or VA medical opinion obtainedEvidence in the record34% (791/2,304)40% (160/405)-5 pts39% (1,529/3,873)
Board found a VA exam or opinion inadequateHow the Board read the record43% (234/539)33% (717/2,170)+10 pts55% (657/1,202)
Board found the VA exam or opinion adequateHow the Board read the record18% (38/207)36% (913/2,502)-18 pts4% (8/216)
Board found the veteran's statements credibleHow the Board read the record64% (129/202)33% (822/2,507)+31 pts11% (25/228)
Board found the veteran's statements not credible or inconsistentHow the Board read the record8% (7/87)36% (944/2,622)-28 pts2% (2/90)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record86% (323/374)27% (628/2,335)+59 pts2% (7/383)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record6% (66/1,188)58% (885/1,521)-53 pts0% (0/1,192)
Duty-to-assist error foundHow the Board read the record42% (18/43)35% (933/2,666)+7 pts83% (219/264)
Board ordered a new exam or addendum opinionProcedure37% (130/352)35% (821/2,357)+2 pts80% (1,453/1,821)
AMA favorable finding acknowledgedProcedure73% (80/110)34% (871/2,599)+39 pts38% (68/178)

"Granted" = share of issues decided on the merits (granted + denied); remands and dismissals are excluded from that fraction and shown separately. Fractions are the raw counts.

Reading these tables honestly

Association, not cause. A positive nexus opinion appears in the records of granted appeals far more often than in denied ones. That does not mean any letter wins; it means the Board grants when the evidence supports the claim, and a nexus opinion is how that support usually reaches the file.

Appeals are not claims. Every decision here is an appealed denial. Grant rates at the Board say nothing about the share of initial claims VA grants.

Findings are outcomes in disguise. Rows under "how the Board read the record" — credibility, benefit of the doubt, an inadequate exam — describe how the judge decided, not evidence to gather. They are shown because they say which arguments the Board actually reaches for.

Detection is by text pattern. Each evidence type is found by reading the decision for finding-shaped language with negation handling; precision was read on samples before publication and is stated per feature in the method notes below. Expect a few percent of misclassified rows, not zero.

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See also: Neck decisions · all conditions · outcome rates.

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