[Better screening for work-related cancers: The experience of Brest University Hospital Occupational Disease Center inpatient service]

Bull Cancer. 2020 Apr;107(4):428-437. doi: 10.1016/j.bulcan.2020.01.013. Epub 2020 Mar 20.
[Article in French]

Abstract

Introduction: An in-patient clinical service has been set up in March 2016 in the Occupational Diseases Center of Brest University Hospital, France, to seek for work-relatedness of diseases in patients hospitalized into the oncology and hematology departments. We present here data after two years of existence.

Methods: All cases of cancers or malignant hematological diseases (ICD-10 codes C00 to C97 and D37 to D48) seen between March 1, 2016, and March 1, 2018, have been identified. We present sociodemographic data, occupational exposures, occupation, business sector, and tobacco consumption. The causation level between the disease and each of the occupational exposures has been rated as strong, intermediate, weak or null by the occupational medicine specialist of the Occupational Diseases Center.

Results: Among the 196 patients encountered, there are 127 work-related diseases and 82 of these had one occupational exposure rated as strong or intermediate. The most frequent occupational hazards were asbestos (48 cases) and ionizing radiation (23 cases). The most frequent business sectors were metallurgy, mechanical engineering, and agriculture. Lung cancer was the most frequently reported disease (49 cases).

Discussion: . We identified well-known couples with occupational exposures and diseases, such as asbestos and lung cancer. We also identified a link between pesticides and leukemias. This in-patient clinical service is helpful to identify work-related exposures and in helping patients to get compensated.

Keywords: Cancer; Exposition professionnelle; Occupational exposure; Population surveillance; Surveillance de la population.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Asbestos / toxicity
  • Carcinogens / toxicity
  • Female
  • France
  • Hospitals, University
  • Humans
  • Leukemia / chemically induced
  • Lung Neoplasms / etiology
  • Lymphoma / etiology
  • Male
  • Middle Aged
  • Multiple Myeloma / etiology
  • Neoplasms / etiology*
  • Occupational Diseases / etiology*
  • Occupational Exposure / adverse effects*
  • Occupational Exposure / classification
  • Occupational Health Services / organization & administration
  • Occupations
  • Pesticides / toxicity
  • Radiation Exposure / adverse effects
  • Radiation, Ionizing
  • Urinary Bladder Neoplasms / etiology
  • Young Adult

Substances

  • Carcinogens
  • Pesticides
  • Asbestos