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Document ID (ISN)111755
CIS number 11-0358
ISSN - Serial title 0962-7480 - Occupational Medicine
Year 2011
Convention or series no.
Author(s) Carder M., McNamee R., Turner S., Hussey L., Money A., Agius R.
Title Improving estimates of specialist-diagnosed, work-related respiratory and skin disease
Bibliographic information 2011, Vol.61, p.33-39. Illus. 17 ref.
Abstract Work-related skin and respiratory disease still constitute an important part of the work-related ill-health (WRIH) burden in the United Kingdom. It is therefore important to be able to accurately quantify the true incidence of these two groups of disease. The aim of this study was to improve the accuracy of the methodology to estimate clinical specialist incidence rates, with a focus on skin and respiratory disease, and specifically, to estimate the number of additional cases not captured by voluntary surveillance through The Health and Occupation Reporting (THOR) network and provide a better estimation of the true incidence of work-related skin and respiratory disease. Cases not captured by THOR in 2005-2007 due to non-participation of eligible clinical specialists and due to <100% response rates by THOR participants were estimated, and the numerator adjusted accordingly. Adjusted incidence rates were calculated using Labour Force Survey data as the denominator. During 2005-2007, 62% of skin cases and 60% of respiratory cases were likely to have been captured by THOR. After adjustment, dermatologist-derived incidence rates for skin disease were raised from 9 to 14 per 100,000 employed, while those for respiratory disease were raised from 10 to 17 per 100,000 employed. This study has provided a significant improvement in the surveillance-based methodology used to estimate the number of cases of WRIH captured by THOR and hence enabled more accurate estimations of incidence rates for clinical specialist-reported WRIH.
Descriptors (primary) United Kingdom; diagnosis; respiratory diseases; skin diseases; health services; frequency rates
Descriptors (secondary) statistical evaluation; medical supervision; reliability; description of technique
Document type D - Periodical articles
Subject(s) Medicine, hygiene and first aid
Occupational pathology
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Occupational health services
Diseases of the respiratory system (except for pneumoconiosis & similar)
Skin diseases
Pneumoconioses