[Compensation of occupational diseases during monitoring of the ARDCO cohort].

Autor:	Gislard A; UNIROUEN, UNICAEN, ABTE, Normandie université, 76000 Rouen, France; Centre de consultations de pathologie professionnelle et environnemental, CHU de Rouen, 37, boulevard Gambetta, 76000 Rouen cedex, France. Electronic address: antoine.gislard@chu-rouen.fr., Gramond C; Inserm U1219, équipe EPICENE, université de Bordeaux, Aquitaine, Bordeaux cedex, France., Clin B; Service de santé au travail et pathologie professionnelle, CHU de Caen, Caen, France; Inserm U1086 « ANTICIPE », Caen, France., Paris C; Service de santé au travail et pathologie professionnelle, CHU de Rennes, Rennes, France; Institut de recherche en santé, environnement et travail, Inserm U1085, Rennes, France., Delva F; Inserm U1219, équipe EPICENE, université de Bordeaux, Aquitaine, Bordeaux cedex, France; Service de médecine du travail et de pathologies professionnelles, CHU de Bordeaux, Bordeaux, France., Brochard P; Service de médecine du travail et de pathologies professionnelles, CHU de Bordeaux, Bordeaux, France., Laurent F; Centre de recherche cardiothoracique de Bordeaux, U-1045, Université de Bordeaux, 33600 Pessac, France., Benoist J; Institut interuniversitaire de médecine du travail de Paris - Île-de-France, Créteil, France., Andujar P; Équipe GEIC20, Inserm, U955, Créteil, France; Service de pathologies professionnelles et de l'environnement, institut santé-travail Paris-Est, centre hospitalier intercommunal de Créteil, Créteil, France., Chouaïd C; Département de pneumologie, Inserm U955, UPEC, IMRB, CHI de Créteil, Créteil, France., Thaon I; INGRES, EA 7298, université de Lorraine, Vandœuvre-Lès-Nancy, France; Centre de consultations de pathologie professionnelle, CHU de Nancy, Vandœuvre-Lès-Nancy, France., Boudet L; Service de pathologies professionnelles et de l'environnement, institut santé-travail Paris-Est, centre hospitalier intercommunal de Créteil, Créteil, France; Faculté de santé, université Paris-Est Créteil, Créteil, France., Pairon JC; Équipe GEIC20, Inserm, U955, Créteil, France; Service de pathologies professionnelles et de l'environnement, institut santé-travail Paris-Est, centre hospitalier intercommunal de Créteil, Créteil, France.
Jazyk:	francouzština
Zdroj:	Revue des maladies respiratoires [Rev Mal Respir] 2024 Sep; Vol. 41 (7), pp. 472-487. Date of Electronic Publication: 2024 Jul 25.
DOI:	10.1016/j.rmr.2024.06.010
Abstrakt:	Introduction: Questions concerning under-reporting of occupational diseases (OD) linked to asbestos exposure are regularly voiced in France. Monitoring of the French multicenter Asbestos-Related Disease Cohort (ARDCO), which ensures post-occupational medical surveillance of subjects having been exposed to asbestos, provides information on (1) the medico-legal steps taken following screening by computed tomography (CT) for benign thoracic diseases, and (2) recognition of OD as a causal factor in malignant diseases. Methods: OD recognition - and possible compensation - was analyzed in July 2021 among 13,289 volunteers in the cohort recruited between 2003 and 2005. Results: Fifteen percent of the subjects in the cohort were found to have at least one recognized asbestos-related OD (78.2% benign pleural disease, 10.3% asbestosis, 14.2% lung cancer, and 6.0% mesothelioma). Only 58% of pleural plaques reported by the radiologist who performed the CT resulted in their recognition as ODs. On a parallel track, 88.7% of the mesotheliomas identified based on French National health insurance data and 46.9% of lung cancers were recognized as ODs. Conclusions: This study confirms the feasibility of a system designed to facilitate recognition, leading to possible compensation, of asbestos-related occupational diseases. The system could be improved by better training of the medical actors involved. (Copyright © 2024 SPLF. Published by Elsevier Masson SAS. All rights reserved.)
Databáze:	MEDLINE
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