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

Olivia Pérol (), Nadège Lepage, Hugo Noelle, Pierre Lebailly, Benoit de Labrusse, Bénédicte Clin, Mathilde Boulanger, Delphine Praud, Françoise Fournié, Géraud Galvaing, Frédéric Dutheil, Brigitte Le Meur, Daniel Serin, Eric Dansin, Catherine Nisse, Barbara Charbotel and Beatrice Fervers
Additional contact information
Olivia Pérol: Département Prévention Cancer Environnement, Centre Léon Bérard, 69373 Lyon, France
Nadège Lepage: CHU Lille, Centre Régional de Pathologies Professionnelles et Environnementales, 59800 Lille, France
Hugo Noelle: Département Prévention Cancer Environnement, Centre Léon Bérard, 69373 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
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
Mathilde Boulanger: Centre François Baclesse, 14076 Caen, France
Delphine Praud: Département Prévention Cancer 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
Barbara Charbotel: UMRESTTE (Unité Mixte IFSTTAR/UCBL), Université Lyon 1, 69373 Lyon, France
Beatrice Fervers: Département Prévention Cancer Environnement, Centre Léon Bérard, 69373 Lyon, France

IJERPH, 2023, vol. 20, issue 6, 1-15

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.

Keywords: occupational exposures; lung cancer; systematic screening; compensation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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