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 Béatrice Fervers ()
Additional contact information
Olivia Pérol: Centre Léon Bérard [Lyon]
Barbara Charbotel: 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
Sandrine Bonnand: Centre Léon Bérard [Lyon]
Elodie Belladame: Centre Léon Bérard [Lyon]
Virginie Avrillon: Centre Léon Bérard [Lyon]
Paul Rebattu: Centre Léon Bérard [Lyon]
Frédéric Gomez: Centre Léon Bérard [Lyon]
Maurice Pérol: Centre Léon Bérard [Lyon]
Béatrice Fervers: Centre Léon Bérard [Lyon]

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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)
Date: 2018
Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-01704517v1
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Citations: View citations in EconPapers (1)

Published in International Journal of Environmental Research and Public Health, 2018, 15 (1), pp.65. ⟨10.3390/ijerph15010065⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:halshs-01704517

DOI: 10.3390/ijerph15010065

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