Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Occupational Diseases and Environmental Health).
Public Health Committee of the Polish Academy of Sciences, Warsaw, Poland.
Int J Occup Med Environ Health. 2021 Sep 3;34(5):581-589. doi: 10.13075/ijomeh.1896.01708. Epub 2021 Mar 22.
High prevalence of hyperlipidemia and hyperglycemia requires searching for efficient and cost-effective methods of an early detection of these disorders. In Poland, obligatory employee medical check-ups could be a solution.
The study included a group of university employees who underwent obligatory occupational examinations in 2018. Each employee had an additional lipid (unit cost: EUR 2.56) and blood glucose profile (EUR 0.93) done. The number of respondents involved in the study was 850 (340 males and 510 females), and their average age was 47 years (SD = 11 years). The education distribution was as follows: employees with secondary vocational and general education (physical, frontline and administrative workers): 176 (age: M±SD 50.3±10.3); employees with a university degree (academics with an M.Sc. or/and Ph.D. title and administrative staff): 535 (age: M±SD 43.6±9.8); and academics with a university title (Ass. Prof. and/or Prof.): 139 (age: M±SD 56.2±10.2).
Dyslipidemia (elevated total cholesterol ≥190 mg/dl and/or low-density lipoprotein cholesterol ≥115 mg/dl) was reported in 560 workers (65.9%). Hyperglycemia (fasting glucose ≥100 mg/dl) was observed in 256 workers (31%). The total cost of detecting a single case of dyslipidemia and hyperglycemia was EUR 3.88 and EUR 3.09, respectively. Divided by age groups, the costs were as follows: EUR 4.34 and EUR 4.53 in the age group <45 years; EUR 3.56 and EUR 2.42 in the age group ≥45 years. The costs of detecting a single case of dyslipidemia and hyperglycemia in employees aged ≥45 with regard to education were as follows: EUR 3.20 and EUR 2.07 in persons with secondary vocational and general education; EUR 3.40 and EUR 2.80 in persons with a university degree; and EUR 4.38 and EUR 2.28 in persons with a university title.
Due to the fact that the reporting rate for screening tests in the framework of occupational medicine is high, the cost of occupational screening tests for dyslipidemia and hyperglycemia can be lower than the cost of screening tests in the general population. Int J Occup Med Environ Health. 2021;34(5):581-9.
高血脂和高血糖的高患病率需要寻找有效的和具有成本效益的方法来早期发现这些疾病。在波兰，强制性的员工体检可能是一种解决方案。
该研究包括一组在 2018 年接受强制性职业检查的大学员工。每位员工都进行了额外的血脂（单位成本：2.56 欧元）和血糖检查（0.93 欧元）。参与研究的受访者人数为 850 人（340 名男性和 510 名女性），平均年龄为 47 岁（SD=11 岁）。教育分布如下：具有中等职业和普通教育（体力、一线和行政人员）的员工：176 人（年龄：M±SD 50.3±10.3）；具有大学学位的员工（具有理学硕士或/和博士学位的学者和行政人员）：535 人（年龄：M±SD 43.6±9.8）；具有大学学历的学者（副教授和/或教授）：139 人（年龄：M±SD 56.2±10.2）。
报告有 560 名员工（65.9%）存在血脂异常（总胆固醇≥190mg/dl 和/或低密度脂蛋白胆固醇≥115mg/dl）。256 名员工（31%）存在高血糖症（空腹血糖≥100mg/dl）。检测单个血脂异常和高血糖症的总费用分别为 3.88 欧元和 3.09 欧元。按年龄组划分，费用如下：<45 岁年龄组为 4.34 欧元和 4.53 欧元；≥45 岁年龄组为 3.56 欧元和 2.42 欧元。在≥45 岁的员工中，根据教育程度检测单个血脂异常和高血糖症的费用如下：中等职业和普通教育者为 3.20 欧元和 2.07 欧元；具有大学学位者为 3.40 欧元和 2.80 欧元；具有大学学历者为 4.38 欧元和 2.28 欧元。
由于职业医学框架中的筛查检测报告率较高，因此血脂和高血糖症的职业筛查检测成本可能低于一般人群的筛查检测成本。国际职业医学与环境卫生杂志。2021;34(5):581-9.
