Cosentino F, Arena L, Banchini L, Benvenuti L, Calabretta V M, Carnevali C, Cristaudo A, Farina G, Foddis R, Iaia T E, Lemmi M, Ottenga F, Parrini L, Piccini G, Serretti N, Talini D
Azienda Ospedaliera Universitaria Pisana, Sezione di Medicina Preventiva del Lavoro, Via Santa Maria 110, 56126, Pisa.
G Ital Med Lav Ergon. 2007 Jul-Sep;29(3 Suppl):313-5.
The percentage of bladder cancer as occupational disease in West-Europe is of 5/10%, but only a few amount of them are recognized as occupational disease from INAIL. The above mentioned research project is realized in order to decrease the gap between expected and claimed cases of occupational disease and it is conducted with the collaboration of ASL of Pisa, ASL of Empoli, Azienda Ospedaliera Universitaria Pisana and INAIL. 677 patients with bladder cancer were interviewed by phone, among them 64 subjects had a working experience compatible with neoplastic risks because had a previous occupational exposure to aromatic amines and metal working fluids. These cases were discussed into a Medical Staff and 40 cases were considered "probable" for occupational disease, 18 "possible", 3 cases are suspended for more research, 3 cases are considered "no professional disease". The research allows finding out a great number of bladder cancer, increasing the total amount of workers with occupational disease. The integrated approach with the collaboration among different institutions is surely the best way to allow and guarantee a suitable and right protection of workers with occupational disease.
在西欧，膀胱癌作为职业病的比例为5/10%，但其中只有少数被意大利国家工伤事故保险协会（INAIL）认定为职业病。上述研究项目旨在缩小职业病预期病例与申报病例之间的差距，该项目是在比萨地方卫生机构（ASL）、恩波利地方卫生机构、比萨大学医院和意大利国家工伤事故保险协会的合作下开展的。通过电话采访了677名膀胱癌患者，其中64名患者的工作经历与肿瘤风险相符，因为他们以前曾接触过芳香胺和金属加工液。这些病例由医务人员进行了讨论，40例被认为“可能”是职业病，18例“有可能”，3例因需要更多研究而暂停，3例被认为“不是职业病”。该研究发现了大量膀胱癌病例，增加了职业病患者的总数。不同机构之间合作的综合方法无疑是允许和保证对职业病工人进行适当和正确保护的最佳方式。
