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

Olivia Pérol, Barbara Charbotel, Lionel Perrier, Sandrine Bonnand, Elodie Belladame, Virginie Avrillon, Paul Rebattu, Frédéric Gomez, Géraldine Lauridant, Maurice Pérol and Beatrice Fervers
Additional contact information
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
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

IJERPH, 2018, vol. 15, issue 1, 1-13

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.

Keywords: lung cancer; occupational exposures; systematic self-administered questionnaire; cost analysis; social deprivation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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