Achievements, Problems, and Future Direction of the Quality Control Program for Special Periodic Health Examination Agencies in Republic of Korea

Won, Yong Lim; Ko, Kyung Sun; Park, Jae Oh; Lee, Hyeji; Sung, Jung-Min; Lee, Mi-Young

doi:10.1016/j.shaw.2018.11.003

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…These results have been compiled as a nationwide electronic database since 2000, known as the Special Health Examination Database (SHED). The SHED includes symptom questionnaires, clinical test results, biological monitoring, standard industrial codes, and the number of total employees of the company ( Koh et al , 2018 ; Won et al , 2019 ).…”

Section: Methodsmentioning

confidence: 99%

Development of Korean CARcinogen EXposure: An Initiative of the Occupational Carcinogen Surveillance System in Korea

Koh

Park

Lee

et al. 2021

Annals of Work Exposures and Health

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Objective To prevent occupational cancers, carcinogen exposure surveillance systems have been developed in many countries. This study aimed to develop a carcinogen exposure database specific to South Korea. Methods Twenty known human carcinogens were selected for this study. The International Standard Classification of Industry was used for a classification scheme of industries. Three nationwide occupational exposure databases, the Work Environment Measurement Database, the Special Health Examination Database, and the Work Environment Condition Survey, were used to calculate reference exposure prevalence estimates by carcinogen and industry. Then, 37 professional industrial hygienists with at least 19 years of field experience provided their own exposure prevalence estimates, after reviewing the abovementioned reference estimates derived from three data sources. The median value of the experts’ estimates was used as the final exposure prevalence. Finally, the number of exposed workers was computed by multiplying the final exposure prevalence by the number of workers extracted from the 2010 national census data by carcinogen and industry. Results The exposure prevalence and the number of exposed workers were calculated according to 20 carcinogen and 228 minor industrial groups, assuming year 2010 circumstances. The largest population was exposed to welding fumes (326 822 workers), followed by ultraviolet radiation (238 937 workers), ionizing radiation (168 712 workers), and mineral oil mist (146 798 workers). Conclusions Our results provide critical data on carcinogen exposure for the prevention of occupational cancers.

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Section: Methodsmentioning

confidence: 99%

Development of Korean CARcinogen EXposure: An Initiative of the Occupational Carcinogen Surveillance System in Korea

Koh

Park

Lee

et al. 2021

Annals of Work Exposures and Health

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show abstract

“…The majority of the analytical institutions used high‐performance liquid chromatography. All urinary HA measurement laboratories underwent biennial KOSHA‐mandated quality control testing using a reference sample 15 . All participants underwent at least one urinary HA measurement during 2000–2004, and we employed the median urinary HA level for each individual in the analysis.…”

Section: Methodsmentioning

confidence: 99%

Rheumatoid arthritis in low‐level toluene‐exposed workers based on nationwide medical surveillance data in Korea

Min

Lee

Kim

et al. 2021

American J Industrial Med

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Background There is growing evidence that exposure to organic solvents can play a role in the etiology of rheumatoid arthritis (RA). This prospective cohort study aimed to investigate the association between RA and toluene exposure. Methods The study cohort consisted of Korea Occupational Safety and Health Agency data from male workers exposed to toluene who had undergone a toluene‐associated special medical examination at least once between January 1, 2000 and December 31, 2004 (n = 148,870). The morbidity from RA based on hospital admission records was estimated from 2000 to 2005 using National Health Insurance Claim Data. The standardized admission ratio (SAR) for RA was calculated with reference to the general population. Levels of urinary hippuric acid (HA), a metabolite of toluene, were measured and used for exposure assessment. Results Toluene‐exposed workers were at an elevated risk of seropositive rheumatoid arthritis (ICD‐10 code M05) with an SAR of 2.38 (95% confidence interval [CI]: 1.14–4.37) and other rheumatoid arthritis (M06) with an SAR of 1.22 (95% CI: 0.91–1.59). When data were stratified according to the duration of toluene exposure and by tertiles of urinary HA level, no significant difference was apparent. Conclusion SARs of the toluene‐exposed workers are higher than that of the general reference population, indicating that exposure to toluene may contribute to an increased risk of RA. Further studies of toluene‐exposed workers with longer follow‐up are needed.

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Achievements, Problems, and Future Direction of the Quality Control Program for Special Periodic Health Examination Agencies in Republic of Korea

Cited by 2 publications

References 8 publications

Development of Korean CARcinogen EXposure: An Initiative of the Occupational Carcinogen Surveillance System in Korea

Development of Korean CARcinogen EXposure: An Initiative of the Occupational Carcinogen Surveillance System in Korea

Rheumatoid arthritis in low‐level toluene‐exposed workers based on nationwide medical surveillance data in Korea

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