The Primary Care Practitioner and the diagnosis of occupational diseases

Cegolon﻿﻿, Luca; Lange, John H.; Mastrangelo, Giuseppe

doi:10.1186/1471-2458-10-405

Cited by 18 publications

(9 citation statements)

References 19 publications

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“…The main limitation of the study is the lack of information about the subjects' workplace, since this variable is not systematically collected in the records of primary care services (Benavides et al, ; Cegolon, Lange, & Mastrangelo, ; Ditolvi Vera, Benavides, Armengol, & Barrionuevo‐Rosas, ). Therefore, if we do not know the occupation, it is impossible to establish links between episodes of disability and work relations.…”

Section: Discussionmentioning

confidence: 99%

Occupational and work‐related disease underestimated and linked to temporary disability through Primary Health Care Services

et al. 2019

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Aim:To estimate the occupational disease linked to temporary incapacity (not workrelated illness). Background:The under-reporting of occupational disease is a recognized problem in Europe. Methods:Cross-sectional study conducted in Spanish adult population using periods of temporary incapacity recorded in primary care during 2015. Rates of occupational disease were estimated using the García & Gadea study. Results:A total of 130,771 episodes of temporary incapacity were studied from 91,448 people, and 56,092 were women (61.3%). The overall prevalence rate was 2,096 and was higher in women (2,504) than in men (1,665) (p < 0.001). It was estimated that 6,580 (7.2%) could be suffering from an occupational disease.Musculoskeletal complaints were the commonest, affecting 75,165 people (82.2%).For the binary logistic regression, the dependent variable was the existence or lack of incapacity due to a musculoskeletal pathology. Age acts as a protective factor (adjusted OR = 0.978). The periods off work due to musculoskeletal complaints are lower in the first quarter of the year [OR > 1; p < 0.001]. Conclusions: 7.2% of the population was estimated to be off work due to an occupational disease. This estimate reflects the well-known under-reporting of occupational diseases which are dealt with by the Public Health System instead of specialized clinics. Implications for Nursing Management: The interdisciplinary role of the occupational health nurse makes it an adequate professional to detect the cases of occupational diseases in primary care settings. Occupational Health Nursing has been recognized by the managers as the most suitable professionals to carry out the screening of occupational diseases in Primary Care. K E Y W O R D S musculoskeletal pathology, occupational disease, occupational health, primary care, temporary incapacity | 1141 HERNÁNDEZ MARTÍN ET Al.

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Section: Discussionmentioning

confidence: 99%

Occupational and work‐related disease underestimated and linked to temporary disability through Primary Health Care Services

et al. 2019

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“…We recognise that primary care doctors are constantly overburdened but, given the huge costs of OC, any investment would soon be repaid. Something as simple as including a section in clinical records concerning occupations and possible exposures to carcinogens would be a big improvement on the existing knowledge, allowing better monitoring for regulatory action and designing interventions [26][27][28].…”

Section: The Training Of Primary Care Doctors and Other Medical Specimentioning

confidence: 99%

Improving Education and Training to Reduce the Burden of Occupational Cancer. The Riga-European Association of Schools of Occupational Medicine (EASOM) Statement on Work-Related Cancer

Martı́nez-Jarreta

Majéry

Bulat

et al. 2020

IJERPH

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Reducing the burden of occupational cancers (OCs) is currently one of the most challenging Occupational Health (OH) issues. The European Union (EU) has made efforts to improve the existing legal framework and developed specific legislation aimed at reducing the burden of OC. However, available data suggest that OC are underreported. In August 2019, the European Association of Schools of Occupational Medicine (EASOM) adopted a statement that highlighted the importance of improving the education and training of Medical Doctors (MDs) to facilitate improvements in recognizing and reporting OC. To achieve this, EASOM proposes to promote OH education and training of MDs at undergraduate and postgraduate levels, foster harmonization of OH education and teaching standards and programs across EU countries, and enhance cooperation between universities and international scientific associations. Finally, we suggest that occupational data should be recorded in cancer and medical registers. By engaging MDs more fully in the debate about OCs, they will become more aware of the Occupational Physician’s role in reducing the burden of OCs and, furthermore, embed consideration of occupation as a potential cause of cancer into their own practice. These interventions will help promote the implementation of policies and interventions aimed to reduce OC in the workplace.

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“…In environmental and occupational medicine the critical point is not a clinical diagnosis of the disease, but rather the etiological diagnosis (e.g. agent of causation) [Cegolon 2010b As environmental pollution and the number of chemicals/agents in the occupational environment increase, it can be hard to establish a relationship between a disease and a specific agent. This can be magnified when interactions among different exposure agents are considered.…”

Section: Environmental and Occupational Medicinementioning

confidence: 99%