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

Author

Listed:
  • Olivia Pérol

    (Département Cancer et Environnement, Centre Léon Bérard, 69373 Lyon CEDEX 08, France)

  • Barbara Charbotel

    (Université Lyon 1, UMRESTTE (Unité Mixte IFSTTAR/UCBL), 69373 Lyon CEDEX 03, France
    Hospices Civils de Lyon, Service des Maladies Professionnelles, Centre Hospitalier Lyon Sud, 69495 Pierre Bénite, France)

  • Lionel Perrier

    (Université Lyon, Centre Léon Bérard, GATE L-SE UMR 5824, F-69008 Lyon, France)

  • Sandrine Bonnand

    (Département Interdisciplinaire de soins de Support du Patient en Oncologie, Service Social, Centre Léon Bérard, 69373 Lyon CEDEX 08, France)

  • Elodie Belladame

    (Département Cancer et Environnement, Centre Léon Bérard, 69373 Lyon CEDEX 08, France)

  • Virginie Avrillon

    (Département d’Oncologie Médicale, Centre Léon Bérard, 69373 Lyon CEDEX 08, France)

  • Paul Rebattu

    (Département d’Oncologie Médicale, Centre Léon Bérard, 69373 Lyon CEDEX 08, France)

  • Frédéric Gomez

    (Département d’Information Médicale, Centre Léon Bérard, 69373 Lyon CEDEX 08, France)

  • Géraldine Lauridant

    (Département d’Oncologie Médicale, Centre Oscar Lambret, 59000 Lille, France)

  • Maurice Pérol

    (Département d’Oncologie Médicale, Centre Léon Bérard, 69373 Lyon CEDEX 08, France)

  • Beatrice Fervers

    (Département Cancer et Environnement, Centre Léon Bérard, 69373 Lyon CEDEX 08, France
    Centre de Recherche en Cancérologie de Lyon, UMR INSERM 1052-CNRS 5286, F-69008 Lyon, France)

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.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:1:p:65-:d:125437
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    References listed on IDEAS

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    1. S. Tan & F. Rutten & B. Ineveld & W. Redekop & L. Hakkaart-van Roijen, 2009. "Comparing methodologies for the cost estimation of hospital services," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 10(1), pages 39-45, February.
    2. 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.
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    Cited by:

    1. 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.

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