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A Multicenter Study to Assess a Systematic Screening of Occupational Exposures in Lung Cancer Patients

Author

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  • 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)

  • Benoit de Labrusse

    (Institut du Cancer Sainte Catherine, 84918 Avignon, 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)

  • Mathilde Boulanger

    (Centre François Baclesse, 14076 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)

  • Brigitte Le Meur

    (Institut du Cancer Sainte Catherine, 84918 Avignon, 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)

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.

Suggested Citation

  • Olivia Pérol & Nadège Lepage & Hugo Noelle & Pierre Lebailly & Benoit de Labrusse & Bénédicte Clin & Mathilde Boulanger & Delphine Praud & Françoise Fournié & Géraud Galvaing & Frédéric Dutheil & Brig, 2023. "A Multicenter Study to Assess a Systematic Screening of Occupational Exposures in Lung Cancer Patients," IJERPH, MDPI, vol. 20(6), pages 1-15, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:5068-:d:1096276
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    References listed on IDEAS

    as
    1. Sonja Klebe & James Leigh & Douglas W. Henderson & Markku Nurminen, 2019. "Asbestos, Smoking and Lung Cancer: An Update," IJERPH, MDPI, vol. 17(1), pages 1-23, December.
    2. Steven B. Markowitz, 2022. "Lung Cancer Screening in Asbestos-Exposed Populations," IJERPH, MDPI, vol. 19(5), pages 1-15, February.
    3. Kwang Min Lee & Lode Godderis & Sugio Furuya & Yoon Ji Kim & Dongmug Kang, 2021. "Comparison of Asbestos Victim Relief Available Outside of Conventional Occupational Compensation Schemes," IJERPH, MDPI, vol. 18(10), pages 1-21, May.
    4. Marinaccio, Alessandro & Gariazzo, Claudio & Di Marzio, Davide & Iavicoli, Sergio, 2020. "Predictors of filing claims and receiving compensation in malignant mesothelioma patients," Health Policy, Elsevier, vol. 124(9), pages 1032-1040.
    5. Olivia Pérol & Barbara Charbotel & Lionel Perrier & Sandrine Bonnand & Elodie Belladame & Virginie Avrillon & Paul Rebattu & Frédéric Gomez & Géraldine Lauridant & Maurice Pérol & Beatrice Fervers, 2018. "Systematic Screening for Occupational Exposures in Lung Cancer Patients: A Prospective French Cohort," IJERPH, MDPI, vol. 15(1), pages 1-13, January.
    6. Olivia Pérol & Barbara Charbotel & Lionel Perrier & Sandrine Bonnand & Elodie Belladame & Virginie Avrillon & Paul Rebattu & Frédéric Gomez & Géraldine Lauridant & Maurice Pérol & Béatrice Fervers, 2018. "Systematic Screening for Occupational Exposures in Lung Cancer Patients: A Prospective French Cohort," Post-Print halshs-01704517, HAL.
    7. Mélanie Varin & Barbara Charbotel & Olivia Pérol & Lionel Perrier & Amélie Massardier-Pilonchéry & Sandrine Bonnand & Elodie Belladame & Emmanuel Fort & Virginie Avrillon & Paul Rebattu & Maurice Péro, 2017. "Assessment of a self-administered questionnaire identifying occupational exposures among lung cancer patients [Évaluation d’un auto-questionnaire de repérage des expositions professionnelles chez l," Post-Print halshs-01526744, HAL.
    Full references (including those not matched with items on IDEAS)

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