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Compensation for Patients with Work-Related Lung Cancers: Value of Specialised Occupational Disease Consultations to Reduce Under-Recognition

Author

Listed:
  • Clémence Roux

    (Occupational Health Department, Caen University Hospital, 14000 Caen, France)

  • Mélanie Fafin-Lefevre

    (UFR Santé, Caen Normandie University, 14000 Caen, France)

  • Rémy Morello

    (UFR Santé, Caen Normandie University, 14000 Caen, France
    Biostatistics and Clinical Research Unit, Caen University Hospital, 14000 Caen, France)

  • Laurent Boullard

    (PST14, 14000 Caen, France)

  • Bénédicte Clin

    (Occupational Health Department, Caen University Hospital, 14000 Caen, France
    UFR Santé, Caen Normandie University, 14000 Caen, France
    INSERM U1086 «ANTICIPE», 14000 Caen, France)

Abstract

Purpose: The aim of this retrospective study was to analyse the compensation procedures concerning patients presenting with work-related lung cancer (LC), hospitalised in a French university hospital, and to assess the benefit of systematic specialised occupational disease (OD) consultations in improving procedures for reporting and recognising OD. Methods: Patient exposure to occupational lung carcinogens was assessed via an analysis of a standardised questionnaire, completed between 1 January 2009 and 24 April 2023. Among the 2024 patients who completed the questionnaire, 621 patients with probable exposure to occupational lung carcinogens were included. Among these patients, two groups were compiled: group 1, consisting of the 392 subjects who did not benefit from specialised OD consultations, and group 2, consisting of the 229 subjects who benefited from such consultations since 2014 and to whom a medical certificate to claim for compensation was issued by a physician. During the second phase of our study, we determined the outcome of the compensation procedure for OD. Uni- and multivariate logistic regressions were performed according to descending logistic regression methods. Results: Multivariate analyses, including smoking status, sex, age and claim for compensation, confirm the significant relationship between specialised OD consultation and claim for compensation (OR 18.13, 95% CI [11.47–28.64]). Furthermore, the rate of occupational disease recognition has multiplied by 1.5 since 2014. Conclusion: This study confirms the importance of specialised OD consultations in helping patients with LC to obtain compensation and to reduce under-recognition.

Suggested Citation

  • Clémence Roux & Mélanie Fafin-Lefevre & Rémy Morello & Laurent Boullard & Bénédicte Clin, 2025. "Compensation for Patients with Work-Related Lung Cancers: Value of Specialised Occupational Disease Consultations to Reduce Under-Recognition," IJERPH, MDPI, vol. 22(6), pages 1-19, June.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:6:p:927-:d:1677102
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    References listed on IDEAS

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    1. Olivia Pérol & Barbara Charbotel & Lionel Perrier & Sandrine Bonnand & Elodie Belladame & Virginie Avrillon & Paul Rebattu & Frédéric Gomez & Géraldine Lauridant & Maurice Pérol & Béatrice Fervers, 2018. "Systematic Screening for Occupational Exposures in Lung Cancer Patients: A Prospective French Cohort," Post-Print halshs-01704517, HAL.
    2. Olivia Pérol & Nadège Lepage & Hugo Noelle & Pierre Lebailly & Benoit de Labrusse & Bénédicte Clin & Mathilde Boulanger & Delphine Praud & Françoise Fournié & Géraud Galvaing & Frédéric Dutheil & Brig, 2023. "A Multicenter Study to Assess a Systematic Screening of Occupational Exposures in Lung Cancer Patients," IJERPH, MDPI, vol. 20(6), pages 1-15, March.
    3. Mélanie Varin & Barbara Charbotel & Olivia Pérol & Lionel Perrier & Amélie Massardier-Pilonchéry & Sandrine Bonnand & Elodie Belladame & Emmanuel Fort & Virginie Avrillon & Paul Rebattu & Maurice Péro, 2017. "Assessment of a self-administered questionnaire identifying occupational exposures among lung cancer patients [Évaluation d’un auto-questionnaire de repérage des expositions professionnelles chez l," Post-Print halshs-01526744, HAL.
    4. Olivia Pérol & Barbara Charbotel & Lionel Perrier & Sandrine Bonnand & Elodie Belladame & Virginie Avrillon & Paul Rebattu & Frédéric Gomez & Géraldine Lauridant & Maurice Pérol & Beatrice Fervers, 2018. "Systematic Screening for Occupational Exposures in Lung Cancer Patients: A Prospective French Cohort," IJERPH, MDPI, vol. 15(1), pages 1-13, January.
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