Shoulder: what evidence wins at the Board

For shoulder 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 1,907,778 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 (1993–2025) — 852,152 decisions — so each evidence flag attaches to exactly one decided issue. A split is shown only when both sides have at least 30 decisions. Data build: 2026-09-02.

Service connection for Shoulder (n = 5,878)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record59% (338/576)37% (1,191/3,263)+22 pts15% (101/682)
Private physician opinion, letter or DBQEvidence in the record51% (440/859)37% (1,089/2,980)+15 pts13% (135/1,003)
Disability Benefits Questionnaire in the recordEvidence in the record44% (70/159)40% (1,459/3,680)+4 pts40% (104/263)
Third-party lay statements (spouse, buddy, employer)Evidence in the record44% (147/331)39% (1,382/3,508)+5 pts15% (61/398)
Service treatment records document the condition or injuryEvidence in the record39% (852/2,170)41% (677/1,669)-1 pts18% (475/2,677)
Service treatment records silent for the conditionEvidence in the record24% (370/1,516)50% (1,159/2,323)-25 pts13% (236/1,771)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued30% (530/1,745)48% (999/2,094)-17 pts10% (185/1,944)
Board hearing held or testimony takenProcedure42% (840/1,996)37% (689/1,843)+5 pts24% (662/2,751)
Social Security records in the fileEvidence in the record23% (35/149)40% (1,494/3,690)-17 pts16% (28/179)
Medical literature or treatise citedEvidence in the record38% (145/384)40% (1,384/3,455)-2 pts35% (206/597)
Functional loss / DeLuca factors argued (rating cases)Theory argued43% (201/472)39% (1,328/3,367)+3 pts18% (108/595)
Presumptive service connection discussedTheory argued28% (539/1,909)51% (990/1,930)-23 pts7% (152/2,072)
Secondary service connection (38 CFR 3.310) in playTheory argued38% (501/1,323)41% (1,028/2,516)-3 pts29% (542/1,899)
Combat service / 1154(b) in playTheory argued40% (163/410)40% (1,366/3,429)-0 pts17% (86/505)
A medical source gave a negative nexus opinionEvidence in the record39% (800/2,049)41% (729/1,790)-2 pts30% (890/2,949)
No nexus opinion of recordEvidence in the record11% (27/251)42% (1,502/3,588)-31 pts12% (35/287)
VA examination or VA medical opinion obtainedEvidence in the record39% (1,324/3,358)43% (205/481)-3 pts30% (1,488/4,904)
Board found a VA exam or opinion inadequateHow the Board read the record50% (491/983)36% (1,038/2,856)+14 pts49% (961/1,958)
Board found the VA exam or opinion adequateHow the Board read the record13% (39/294)42% (1,490/3,545)-29 pts4% (11/305)
Board found the veteran's statements credibleHow the Board read the record70% (377/536)35% (1,152/3,303)+35 pts7% (39/579)
Board found the veteran's statements not credible or inconsistentHow the Board read the record6% (13/212)42% (1,516/3,627)-36 pts4% (10/223)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record89% (645/726)28% (884/3,113)+60 pts0% (3/730)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record2% (39/1,580)66% (1,490/2,259)-63 pts0% (2/1,586)
Duty-to-assist error foundHow the Board read the record38% (20/52)40% (1,509/3,787)-1 pts86% (356/414)
Board ordered a new exam or addendum opinionProcedure39% (232/602)40% (1,297/3,237)-2 pts70% (1,494/2,128)
AMA favorable finding acknowledgedProcedure67% (161/240)38% (1,368/3,599)+29 pts36% (138/381)

"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 Shoulder (n = 2,733)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record24% (10/41)16% (297/1,813)+8 pts9% (4/46)
Private physician opinion, letter or DBQEvidence in the record19% (29/153)16% (278/1,701)+3 pts8% (13/172)
Disability Benefits Questionnaire in the recordEvidence in the record25% (18/73)16% (289/1,781)+8 pts47% (66/140)
Service treatment records document the condition or injuryEvidence in the record17% (70/411)16% (237/1,443)+1 pts2% (9/434)
Service treatment records silent for the conditionEvidence in the record24% (15/63)16% (292/1,791)+8 pts4% (3/73)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued23% (7/31)16% (300/1,823)+6 pts0% (0/37)
Board hearing held or testimony takenProcedure18% (139/771)16% (168/1,083)+3 pts23% (253/1,097)
Social Security records in the fileEvidence in the record11% (7/61)17% (300/1,793)-5 pts15% (11/75)
Functional loss / DeLuca factors argued (rating cases)Theory argued17% (285/1,723)17% (22/131)-0 pts23% (519/2,254)
Secondary service connection (38 CFR 3.310) in playTheory argued15% (63/414)17% (244/1,440)-2 pts5% (23/457)
Combat service / 1154(b) in playTheory argued23% (14/60)16% (293/1,794)+7 pts10% (7/68)
A medical source gave a negative nexus opinionEvidence in the record14% (12/84)17% (295/1,770)-2 pts12% (13/105)
VA examination or VA medical opinion obtainedEvidence in the record16% (297/1,808)22% (10/46)-5 pts25% (625/2,476)
Board found a VA exam or opinion inadequateHow the Board read the record19% (45/243)16% (262/1,611)+2 pts50% (261/518)
Board found the VA exam or opinion adequateHow the Board read the record15% (36/242)17% (271/1,612)-2 pts2% (4/247)
Board found the veteran's statements credibleHow the Board read the record24% (20/82)16% (287/1,772)+8 pts7% (6/90)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record66% (79/120)13% (228/1,734)+53 pts2% (3/124)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record7% (78/1,104)31% (229/750)-23 pts0% (0/1,113)
Board ordered a new exam or addendum opinionProcedure16% (39/250)17% (268/1,604)-1 pts69% (584/852)

"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 Shoulder issues, every benefit type (n = 10,285)

When the record had…Granted, with itGranted, without itDifferenceRemanded, with it
A medical source gave a positive nexus opinionEvidence in the record56% (365/648)33% (2,049/6,298)+24 pts15% (112/767)
Private physician opinion, letter or DBQEvidence in the record46% (519/1,129)33% (1,895/5,817)+13 pts12% (162/1,309)
Disability Benefits Questionnaire in the recordEvidence in the record41% (111/274)35% (2,303/6,672)+6 pts42% (197/474)
Third-party lay statements (spouse, buddy, employer)Evidence in the record43% (165/381)34% (2,249/6,565)+9 pts14% (64/456)
Service treatment records document the condition or injuryEvidence in the record37% (1,054/2,830)33% (1,360/4,116)+4 pts15% (497/3,376)
Service treatment records silent for the conditionEvidence in the record25% (402/1,619)38% (2,012/5,327)-13 pts13% (243/1,888)
Continuity of symptoms argued (38 CFR 3.303(b))Theory argued30% (543/1,799)36% (1,871/5,147)-6 pts9% (191/2,011)
Board hearing held or testimony takenProcedure37% (1,253/3,345)32% (1,161/3,601)+5 pts23% (1,043/4,590)
Social Security records in the fileEvidence in the record26% (66/254)35% (2,348/6,692)-9 pts15% (46/310)
Vocational expert or assessmentEvidence in the record35% (43/123)35% (2,371/6,823)+0 pts10% (14/142)
Medical literature or treatise citedEvidence in the record36% (160/441)35% (2,254/6,505)+2 pts34% (233/685)
Functional loss / DeLuca factors argued (rating cases)Theory argued30% (883/2,914)38% (1,531/4,032)-8 pts20% (733/3,678)
Presumptive service connection discussedTheory argued28% (558/1,962)37% (1,856/4,984)-9 pts7% (157/2,134)
Secondary service connection (38 CFR 3.310) in playTheory argued34% (692/2,020)35% (1,722/4,926)-1 pts23% (605/2,688)
Combat service / 1154(b) in playTheory argued39% (192/495)34% (2,222/6,451)+4 pts17% (102/611)
A medical source gave a negative nexus opinionEvidence in the record38% (856/2,268)33% (1,558/4,678)+4 pts29% (946/3,232)
No nexus opinion of recordEvidence in the record12% (33/277)36% (2,381/6,669)-24 pts12% (38/318)
VA examination or VA medical opinion obtainedEvidence in the record34% (2,109/6,187)40% (305/759)-6 pts27% (2,347/8,652)
Board found a VA exam or opinion inadequateHow the Board read the record44% (619/1,399)32% (1,795/5,547)+12 pts48% (1,315/2,742)
Board found the VA exam or opinion adequateHow the Board read the record18% (116/635)36% (2,298/6,311)-18 pts2% (15/651)
Board found the veteran's statements credibleHow the Board read the record65% (443/681)31% (1,971/6,265)+34 pts7% (49/736)
Board found the veteran's statements not credible or inconsistentHow the Board read the record8% (18/235)36% (2,396/6,711)-28 pts5% (12/249)
Benefit of the doubt resolved in the veteran's favorHow the Board read the record85% (853/998)26% (1,561/5,948)+59 pts1% (6/1,008)
Preponderance of the evidence against / doctrine not applicableHow the Board read the record6% (194/3,091)58% (2,220/3,855)-51 pts0% (2/3,109)
Duty-to-assist error foundHow the Board read the record30% (33/110)35% (2,381/6,836)-5 pts79% (445/564)
Board ordered a new exam or addendum opinionProcedure34% (334/972)35% (2,080/5,974)-0 pts69% (2,305/3,333)
AMA favorable finding acknowledgedProcedure64% (167/260)34% (2,247/6,686)+31 pts35% (142/405)

"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: Shoulder decisions · all conditions · outcome rates.