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Document ID (ISN)111448
CIS number 11-0058
ISSN - Serial title 1077-3525 - International Journal of Occupational and Environmental Health
Year 2011
Convention or series no.
Author(s) Verger P., Cabut S., Viau A., Souville M., Pardon C., Charrier D., De Labrusse B., Lehucher-Michel M.P., Arnaud S.
Title Use of imaging in the follow-up of workers exposed to lung carcinogens: Practices in occupational medicine and its determinants
Original title Application de l'imagerie pour le suivi médical des travailleurs exposés aux cancérogènes pulmonaires: pratiques en médecine du travail et ses déterminants [in French]
Bibliographic information 1st quarter 2011, Vol. 17, No.1, p.71-79. 27 ref.
Abstract Occupational physicians' (OPs) practices of referrals for the imaging of workers occupationally-exposed to lung/pleural carcinogens and their related factors were studied. This cross-sectional telephone survey of 379 OPs practicing in Southeastern France showed that 81% referred exposed patients for chest radiographs, 33.5% for computed tomography (CT), and 16.1% for neither. Making no referral was positively associated with believing cancer risks are lower in one's own geographic sector than elsewhere and negatively associated with keeping employee risk records up-to-date. Referrals for CT were positively associated with work at in-house occupational health services (OHS), and completing employee exposure histories often/always. Both the OHS type and factors that may shape OPs' awareness of cancer risks in their sector appear to influence imaging referral practices. Occupational physicians would benefit from guidelines clarifying benefits and risks associated with imaging in such patients. An effort to harmonize regulatory provisions and guidelines also appears necessary.
Descriptors (primary) France; occupational medicine; carcinogens; diagnosis; lung cancer; medical supervision
Descriptors (secondary) chest radiography; tomography; questionnaire survey
Document type D - Periodical articles
Subject(s) Medicine, hygiene and first aid
Occupational pathology
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Cancer and carcinogens
Occupational health services
Diseases of the respiratory system (except for pneumoconiosis & similar)
Risk evaluation