Assessment of a self-administered questionnaire identifying occupational exposures among lung cancer patients

Évaluation d’un auto-questionnaire de repérage des expositions professionnelles chez les patients atteints de cancer bronchopulmonaire

Mélanie Varin, Barbara Charbotel (), Olivia Pérol, Lionel Perrier, Amélie Massardier-Pilonchéry, Sandrine Bonnand, Elodie Belladame, Emmanuel Fort (), Virginie Avrillon, Paul Rebattu, Maurice Pérol () and Béatrice Fervers ()
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Mélanie Varin: UMRESTTE UMR T9405 - Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - IFSTTAR - Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux
Barbara Charbotel: CHLS - Centre Hospitalier Lyon Sud [CHU - HCL] - HCL - Hospices Civils de Lyon, UMRESTTE UMR T9405 - Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - IFSTTAR - Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux, Centre Léon Bérard [Lyon]
Olivia Pérol: Centre Léon Bérard [Lyon]
Amélie Massardier-Pilonchéry: UMRESTTE UMR T9405 - Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - IFSTTAR - Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux, CHLS - Centre Hospitalier Lyon Sud [CHU - HCL] - HCL - Hospices Civils de Lyon
Sandrine Bonnand: Centre Léon Bérard [Lyon]
Elodie Belladame: Centre Léon Bérard [Lyon]
Emmanuel Fort: UMRESTTE UMR T9405 - Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon - IFSTTAR - Institut Français des Sciences et Technologies des Transports, de l'Aménagement et des Réseaux
Virginie Avrillon: Centre Léon Bérard [Lyon]
Paul Rebattu: Centre Léon Bérard [Lyon]
Maurice Pérol: Centre Léon Bérard [Lyon]
Béatrice Fervers: Centre Léon Bérard [Lyon]

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Abstract: Ten to 29% of lung cancers might be linked to occupational factors but 60% of them are not compensated. The PROPOUMON project aimed to improve the identification, recognition and compensation of occupational lung cancer as occupational disease using a self-administered questionnaire (AQREP). One objective was to assess the AQREP, comparing it with the questionnaire drawn up by the French Language Pneumology Society (Q-SPLF). From March 2014 to September 2015, 90 lung cancer patients treated at the Centre Léon-Bérard responded to the AQREP and Q-SPLF. The two physicians in charge of the consultation assessed independently whether or not a consultation was indicated. A certificate for the compensation process was proposed when a suspicion of high or average imputability was identified. Analysis of the questionnaires was concordant for 73% of the patients. The AQREP has a sensitivity of 72% and a specificity of 73%. Its positive and negative predictive values were 62 and 82%. The information provided by 24 patients were discordant between questionnaires. In two patients with discordant evaluation (AQREP+/Q-SPLF-; AQREP-/Q-SPLF+), one Initial Medical Certificate (IMC) was written. This study made it possible to conclude that AQREP is relevant for the identification of potentially occupational lung cancers. Collegial discussion of complex cases might be considered. The project is currently been extended to other centers and to lymphoma.

Keywords: Self-administered questionnaire; Lung cancer; Occupational exposure; Auto-questionnaire; Maladie professionnelle; Cancer bronchopulmonaire; Exposition professionnelle; Occupational disease (search for similar items in EconPapers)
Date: 2017
New Economics Papers: this item is included in nep-hea
Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01526744v1
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Published in Bulletin du Cancer, 2017, 104 (6), pp. 559-564. ⟨10.1016/j.bulcan.2017.03.014⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:halshs-01526744

DOI: 10.1016/j.bulcan.2017.03.014

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