Les reconnaissances en maladie professionnelle lors du suivi de la cohorte ARDCO

GISLARD, A; GRAMOND, Celine; CLIN, B; PARIS, Christophe; DELVA, Fleur; BROCHARD, P; LAURENT, F; BENOIST, J; ANDUJAR, P; CHOUAÏD, C; THAON, Isabelle; BOUDET, L; PAIRON, Jean-Claude

doi:10.1016/j.rmr.2024.06.010

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GISLARD, A
Aliments Bioprocédés Toxicologie Environnements [ABTE]

GRAMOND, Celine
Bordeaux population health [BPH]

CLIN, B
Service Microbiologie, Centre Hospitalier Universitaire de Caen
Unité de recherche interdisciplinaire pour la prévention et le traitement des cancers [ANTICIPE]

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Ce document a été publié dans

Revue des Maladies Respiratoires. 2024-09-01, vol. 41, n° 7, p. 472-487

Résumé en anglais

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.< Réduire

Mots clés

Amiante

Asbestos

Asbestose

Cancer bronchopulmonaire

Dépistage

Maladies professionnelles

Mésothéliome

Plaques pleurales

Mots clés en anglais

Pleural plaques

Asbestosis

Lung cancer

Mesothelioma

Screening

Occupational diseases

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