Grignoux Justine, Loddé Brice, Dewitte Jean-Dominique, Larabi Lynda, Durand-Moreau Quentin
CHRU Morvan, service de santé au travail et maladies liées à l'environnement, 2, avenue Foch, 29609 Brest cedex 2, France.
CHRU Morvan, service de santé au travail et maladies liées à l'environnement, 2, avenue Foch, 29609 Brest cedex 2, France; Université de Brest, ORPHY EA 4324, avenue Le-Gorgeu - CS 93837, 29238 Brest cedex 3, France.
Bull Cancer. 2020 Apr;107(4):428-437. doi: 10.1016/j.bulcan.2020.01.013. Epub 2020 Mar 20.
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.
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.
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).
. 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.
2016年3月，法国布雷斯特大学医院职业病中心设立了一项住院临床服务，以探寻肿瘤学和血液学科室住院患者疾病与工作的相关性。我们在此展示该服务开展两年后的相关数据。
确定了2016年3月1日至2018年3月1日期间所见的所有癌症或恶性血液病病例（ICD - 10编码C00至C97以及D37至D48）。我们展示了社会人口统计学数据、职业暴露、职业、商业领域和烟草消费情况。职业病中心的职业医学专家将疾病与每种职业暴露之间的因果关系程度评定为强、中、弱或无。
在遇到的196名患者中，有127例与工作相关的疾病，其中82例有一项职业暴露被评定为强或中。最常见的职业危害是石棉（48例）和电离辐射（23例）。最常见的商业领域是冶金、机械工程和农业。肺癌是报告最多的疾病（49例）。
我们确定了职业暴露与疾病的常见关联，如石棉与肺癌。我们还确定了农药与白血病之间的联系。这项住院临床服务有助于识别与工作相关的暴露，并帮助患者获得赔偿。
