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Gislard A, Gramond C, Clin B, Paris C, Delva F, Brochard P, Laurent F, Benoist J, Andujar P, Chouaïd C, Thaon I, Boudet L, Pairon JC. [Compensation of occupational diseases during monitoring of the ARDCO cohort]. Rev Mal Respir 2024; 41:472-487. [PMID: 39060158 DOI: 10.1016/j.rmr.2024.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Accepted: 06/26/2024] [Indexed: 07/28/2024]
Abstract
INTRODUCTION Questions concerning under-reporting of occupational diseases (OD) linked to asbestos exposure are regularly voiced in France. Monitoring of the French multicenter Asbestos-Related Disease Cohort (ARDCO), which ensures post-occupational medical surveillance of subjects having been exposed to asbestos, provides information on (1) the medico-legal steps taken following screening by computed tomography (CT) for benign thoracic diseases, and (2) recognition of OD as a causal factor in malignant diseases. METHODS OD recognition - and possible compensation - was analyzed in July 2021 among 13,289 volunteers in the cohort recruited between 2003 and 2005. RESULTS Fifteen percent of the subjects in the cohort were found to have at least one recognized asbestos-related OD (78.2% benign pleural disease, 10.3% asbestosis, 14.2% lung cancer, and 6.0% mesothelioma). Only 58% of pleural plaques reported by the radiologist who performed the CT resulted in their recognition as ODs. On a parallel track, 88.7% of the mesotheliomas identified based on French National health insurance data and 46.9% of lung cancers were recognized as ODs. CONCLUSIONS This study confirms the feasibility of a system designed to facilitate recognition, leading to possible compensation, of asbestos-related occupational diseases. The system could be improved by better training of the medical actors involved.
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Affiliation(s)
- A Gislard
- UNIROUEN, UNICAEN, ABTE, Normandie université, 76000 Rouen, France; Centre de consultations de pathologie professionnelle et environnemental, CHU de Rouen, 37, boulevard Gambetta, 76000 Rouen cedex, France.
| | - C Gramond
- Inserm U1219, équipe EPICENE, université de Bordeaux, Aquitaine, Bordeaux cedex, France
| | - B Clin
- Service de santé au travail et pathologie professionnelle, CHU de Caen, Caen, France; Inserm U1086 « ANTICIPE », Caen, France
| | - C Paris
- Service de santé au travail et pathologie professionnelle, CHU de Rennes, Rennes, France; Institut de recherche en santé, environnement et travail, Inserm U1085, Rennes, France
| | - F Delva
- Inserm U1219, équipe EPICENE, université de Bordeaux, Aquitaine, Bordeaux cedex, France; Service de médecine du travail et de pathologies professionnelles, CHU de Bordeaux, Bordeaux, France
| | - P Brochard
- Service de médecine du travail et de pathologies professionnelles, CHU de Bordeaux, Bordeaux, France
| | - F Laurent
- Centre de recherche cardiothoracique de Bordeaux, U-1045, Université de Bordeaux, 33600 Pessac, France
| | - J Benoist
- Institut interuniversitaire de médecine du travail de Paris - Île-de-France, Créteil, France
| | - P Andujar
- Équipe GEIC20, Inserm, U955, Créteil, France; Service de pathologies professionnelles et de l'environnement, institut santé-travail Paris-Est, centre hospitalier intercommunal de Créteil, Créteil, France
| | - C Chouaïd
- Département de pneumologie, Inserm U955, UPEC, IMRB, CHI de Créteil, Créteil, France
| | - I Thaon
- INGRES, EA 7298, université de Lorraine, Vandœuvre-Lès-Nancy, France; Centre de consultations de pathologie professionnelle, CHU de Nancy, Vandœuvre-Lès-Nancy, France
| | - L Boudet
- Service de pathologies professionnelles et de l'environnement, institut santé-travail Paris-Est, centre hospitalier intercommunal de Créteil, Créteil, France; Faculté de santé, université Paris-Est Créteil, Créteil, France
| | - J C Pairon
- Équipe GEIC20, Inserm, U955, Créteil, France; Service de pathologies professionnelles et de l'environnement, institut santé-travail Paris-Est, centre hospitalier intercommunal de Créteil, Créteil, France
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Pérol O, Lepage N, Noelle H, Lebailly P, de Labrusse B, Clin B, Boulanger M, Praud D, Fournié F, Galvaing G, Dutheil F, Le Meur B, Serin D, Dansin E, Nisse C, Charbotel B, Fervers B. A Multicenter Study to Assess a Systematic Screening of Occupational Exposures in Lung Cancer Patients. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5068. [PMID: 36981979 PMCID: PMC10049492 DOI: 10.3390/ijerph20065068] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 03/10/2023] [Accepted: 03/12/2023] [Indexed: 06/18/2023]
Abstract
Occupational lung cancer cases remain largely under-reported and under-compensated worldwide. In order to improve the detection and compensation of work-related lung cancers, we implemented a systematic screening of occupational exposures, combining a validated self-administered questionnaire to assess occupational exposures and a specialized occupational cancer consultation. After a pilot study, the present prospective, open-label, scale-up study aimed to assess this systematic screening of occupational exposures in lung cancer patients in five sites in France by associating university hospitals with cancer centers. Patients with lung cancer were sent a self-administered questionnaire to collect their job history and potential exposure to lung carcinogens. The questionnaire was assessed by a physician to determine if a specialized occupational cancer consultation was required. During the consultation, a physician assessed if the lung cancer was occupation-related and, if it was, delivered a medical certificate to claim for compensation. Patients were offered help from a social worker for the administrative procedure. Over 15 months, 1251 patients received the questionnaire and 462 returned it (37%). Among them, 176 patients (38.1%) were convened to the occupational cancer consultation and 150 patients attended the consultation. An exposure to occupational lung carcinogen was identified in 133 patients and a claim for compensation was judged possible for 90 patients. A medical certificate was delivered to 88 patients and 38 patients received compensation. Our national study demonstrated that a systematic screening of occupational exposures is feasible and will bring a significant contribution to improve the detection of occupational exposures in lung cancer patients.
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Affiliation(s)
- Olivia Pérol
- Département Prévention Cancer Environnement, Centre Léon Bérard, 69373 Lyon, France
- INSERM U1296 Radiations: Défense, Santé, Environnement, Centre Léon Bérard, 69373 Lyon, France
| | - Nadège Lepage
- CHU Lille, Centre Régional de Pathologies Professionnelles et Environnementales, 59800 Lille, France
- CHU Lille, ULR 4483-IMPECS-IMPact de l’Environnement Chimique sur la Santé Humaine, University of Lille, 59000 Lille, France
| | - Hugo Noelle
- Département Prévention Cancer Environnement, Centre Léon Bérard, 69373 Lyon, France
- Faculté de Médecine, Université Claude Bernard Lyon 1, 69373 Lyon, France
- Service d’Evaluation Economique en Santé, Hospices Civils de Lyon, Pôle de Santé Publique, 69003 Lyon, France
| | - Pierre Lebailly
- INSERM U1086, Unité de Recherche Interdisciplinaire pour la Prévention et le Traitement des Cancers, Université de Caen Normandie, UFR Santé, 14032 Caen, France
- Centre François Baclesse, 14076 Caen, France
| | | | - Bénédicte Clin
- INSERM U1086, Unité de Recherche Interdisciplinaire pour la Prévention et le Traitement des Cancers, Université de Caen Normandie, UFR Santé, 14032 Caen, France
- Service de Santé au Travail et Pathologie Professionnelle, CHRU de Caen, 14033 Caen, France
| | | | - Delphine Praud
- Département Prévention Cancer Environnement, Centre Léon Bérard, 69373 Lyon, France
- INSERM U1296 Radiations: Défense, Santé, Environnement, Centre Léon Bérard, 69373 Lyon, France
| | - Françoise Fournié
- Département Interdisciplinaire des Soins de Support du Patient en Oncologie, Service Social, Centre Léon Bérard, 69373 Lyon, France
| | - Géraud Galvaing
- Chirurgie Thoracique, Centre Jean Perrin, 63011 Clermont-Ferrand, France
| | - Frédéric Dutheil
- Université Clermont Auvergne, CNRS, LaPSCo, Service Santé Travail Environnement, CHU Clermont Ferrand, 63011 Clermont-Ferrand, France
| | | | - Daniel Serin
- Institut du Cancer Sainte Catherine, 84918 Avignon, France
| | - Eric Dansin
- Département d’Oncologie Médicale, Centre Oscar Lambret, 59000 Lille, France
| | - Catherine Nisse
- CHU Lille, Centre Régional de Pathologies Professionnelles et Environnementales, 59800 Lille, France
- CHU Lille, ULR 4483-IMPECS-IMPact de l’Environnement Chimique sur la Santé Humaine, University of Lille, 59000 Lille, France
| | - Barbara Charbotel
- UMRESTTE (Unité Mixte IFSTTAR/UCBL), Université Lyon 1, 69373 Lyon, France
- Service des Maladies Professionnelles, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, 69495 Pierre-Bénite, France
| | - Beatrice Fervers
- Département Prévention Cancer Environnement, Centre Léon Bérard, 69373 Lyon, France
- INSERM U1296 Radiations: Défense, Santé, Environnement, Centre Léon Bérard, 69373 Lyon, France
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Pelissier C, Kalecinski J, Brochaye S, Tissot C, Vergnon JM, Fournel P, Chauvin F. Implementation of a self-administered questionnaire to detect lung carcinogens. Occup Med (Lond) 2019; 69:266-271. [DOI: 10.1093/occmed/kqz065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- C Pelissier
- Univ Lyon, Univ Lyon 1, IFSTTAR, UMRESTTE, Lyon, France
| | - J Kalecinski
- Centre HYGÉE, Institut de Cancérologie de la Loire Lucien Neuwirth, Saint Etienne, France
| | - S Brochaye
- Centre HYGÉE, Institut de Cancérologie de la Loire Lucien Neuwirth, Saint Etienne, France
| | - C Tissot
- Service de Pneumologie et d’Oncologie Thoracique, CHU de Saint-Etienne, Saint Etienne, France
| | - J M Vergnon
- Service de Pneumologie et d’Oncologie Thoracique, CHU de Saint-Etienne, Saint Etienne, France
| | - P Fournel
- Département d’Oncologie Médicale, Institut de Cancérologie Lucien Neuwirth, Saint Etienne, France
| | - F Chauvin
- Centre HYGÉE, Institut de Cancérologie de la Loire Lucien Neuwirth, Saint Etienne, France
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