Compensation for Patients with Work-Related Lung Cancers: Value of Specialised Occupational Disease Consultations to Reduce Under-Recognition

Clémence Roux, Mélanie Fafin-Lefevre, Rémy Morello, Laurent Boullard and Bénédicte Clin ()
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Clémence Roux: Occupational Health Department, Caen University Hospital, 14000 Caen, France
Mélanie Fafin-Lefevre: UFR Santé, Caen Normandie University, 14000 Caen, France
Rémy Morello: UFR Santé, Caen Normandie University, 14000 Caen, France
Laurent Boullard: PST14, 14000 Caen, France
Bénédicte Clin: Occupational Health Department, Caen University Hospital, 14000 Caen, France

IJERPH, 2025, vol. 22, issue 6, 1-19

Abstract: Purpose: The aim of this retrospective study was to analyse the compensation procedures concerning patients presenting with work-related lung cancer (LC), hospitalised in a French university hospital, and to assess the benefit of systematic specialised occupational disease (OD) consultations in improving procedures for reporting and recognising OD. Methods: Patient exposure to occupational lung carcinogens was assessed via an analysis of a standardised questionnaire, completed between 1 January 2009 and 24 April 2023. Among the 2024 patients who completed the questionnaire, 621 patients with probable exposure to occupational lung carcinogens were included. Among these patients, two groups were compiled: group 1, consisting of the 392 subjects who did not benefit from specialised OD consultations, and group 2, consisting of the 229 subjects who benefited from such consultations since 2014 and to whom a medical certificate to claim for compensation was issued by a physician. During the second phase of our study, we determined the outcome of the compensation procedure for OD. Uni- and multivariate logistic regressions were performed according to descending logistic regression methods. Results: Multivariate analyses, including smoking status, sex, age and claim for compensation, confirm the significant relationship between specialised OD consultation and claim for compensation (OR 18.13, 95% CI [11.47–28.64]). Furthermore, the rate of occupational disease recognition has multiplied by 1.5 since 2014. Conclusion: This study confirms the importance of specialised OD consultations in helping patients with LC to obtain compensation and to reduce under-recognition.

Keywords: cancer; lung; occupational exposure; work-related cancer; occupational disease; compensation; recognition (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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