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Int. J. Environ. Res. Public Health 2018, 15(1), 65; doi:10.3390/ijerph15010065

Systematic Screening for Occupational Exposures in Lung Cancer Patients: A Prospective French Cohort

1
Département Cancer et Environnement, Centre Léon Bérard, 69373 Lyon CEDEX 08, France
2
Université Lyon 1, UMRESTTE (Unité Mixte IFSTTAR/UCBL), 69373 Lyon CEDEX 03, France
3
Hospices Civils de Lyon, Service des Maladies Professionnelles, Centre Hospitalier Lyon Sud, 69495 Pierre Bénite, France
4
Université Lyon, Centre Léon Bérard, GATE L-SE UMR 5824, F-69008 Lyon, France
5
Département Interdisciplinaire de soins de Support du Patient en Oncologie, Service Social, Centre Léon Bérard, 69373 Lyon CEDEX 08, France
6
Département d’Oncologie Médicale, Centre Léon Bérard, 69373 Lyon CEDEX 08, France
7
Département d’Information Médicale, Centre Léon Bérard, 69373 Lyon CEDEX 08, France
8
Département d’Oncologie Médicale, Centre Oscar Lambret, 59000 Lille, France
9
Centre de Recherche en Cancérologie de Lyon, UMR INSERM 1052-CNRS 5286, F-69008 Lyon, France
*
Author to whom correspondence should be addressed.
Received: 1 December 2017 / Revised: 22 December 2017 / Accepted: 27 December 2017 / Published: 4 January 2018
(This article belongs to the Section Occupational Safety and Health)
View Full-Text   |   Download PDF [919 KB, uploaded 4 January 2018]   |  

Abstract

Occupational lung cancers are under-reported and under-compensated worldwide. We assessed systematic screening for occupational exposure to carcinogens combining a self-administered questionnaire and an occupational consultation to improve the detection of occupational lung cancers and their compensation. Social deprivation and the costs of this investigation were estimated. Patients with lung cancer received a self-administered questionnaire to collect their job history, potential exposure to carcinogens and deprivation. A physician assessed the questionnaire and recommended an occupational consultation if necessary. During the consultation, a physician assessed if the lung cancer was work-related and, if it was, delivered a medical certificate to claim for compensation. Over 18 months, 440 patients received the self-administered questionnaire: 234 returned a completed questionnaire and a consultation was required for 120 patients. Compensation was judged possible for 41 patients. Among the 35 medical certificates delivered, 19 patients received compensation. Nearly half the patients (46%) were assessed as socially deprived and these patients took significantly longer to return the questionnaire compared with those who were not deprived. The mean cost of the process was €62.65 per patient. Our results showed a systematic self-administered questionnaire can be used to identify patients potentially exposed to carcinogens and to improve compensation. View Full-Text
Keywords: lung cancer; occupational exposures; systematic self-administered questionnaire; cost analysis; social deprivation lung cancer; occupational exposures; systematic self-administered questionnaire; cost analysis; social deprivation
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MDPI and ACS Style

Pérol, O.; Charbotel, B.; Perrier, L.; Bonnand, S.; Belladame, E.; Avrillon, V.; Rebattu, P.; Gomez, F.; Lauridant, G.; Pérol, M.; Fervers, B. Systematic Screening for Occupational Exposures in Lung Cancer Patients: A Prospective French Cohort. Int. J. Environ. Res. Public Health 2018, 15, 65.

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