Spirometric and hygienic criteria in recognition of occupational COPD in Poland - A retrospective analysis of medical records.
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AbstractChronic obstructive pulmonary disease (COPD) may be work-related. It has been estimated that 15% of the population burden of COPD is attributable to occupational exposure. However, in Poland COPD is rarely recognized as an occupational disease. The aim of the study has been to analyze the causes of the low prevalence of work-related COPD in the context of the existing criteria as well as to analyze which part of the assessment - clinical or hygienic one - is responsible for such a low rate of occupational COPD recognitions.
The study group included 150 patients hospitalized with a suspicion of occupational COPD. Each patient underwent a clinical examination, spirometry and reversibility test using bronchodilator. Moreover, hygienic evaluation of work conditions was performed in all the considered cases.
In the case of the patients who fulfilled the criteria for COPD diagnosis in accordance with the Global Initiative for Chronic Obstructive Lung Disease (GOLD) occupational origins of the disease, the disease was not recognized because 24.1% of the individuals did not meet spirometric criteria included in a definition of COPD in the Polish list of occupational diseases, while 27.8% of the individuals did not fulfill the criterion of a documented exposure to dusts and irritant gases. None of these criteria was fulfilled by 42.6% of the patients.
In our country, both clinical and hygienic criteria result in limitations in recognition of occupational COPD. There is the need to establish new guidelines for the recognition of COPD as a compensable disease in Poland. Int J Occup Med Environ Health 2018;31(2):139-150.
CitationInt J Occup Med Environ Health 2017, 31 (2):139-150
SponsorsFunding: the study was conducted in 2011 and 2013 as part of a statutory project of the Nofer Institute of Occupational Medicine, i.e., project IMP 12.3, entitled “Occupational chronic obstructive pulmonary disease – determinants, diagnostics, evaluation of usefulness of the new diagnostic methods,” funded with the resources granted by the Ministry of Science and Higher Education. Project manager: Marta Wiszniewska, M.D., Ph.D. Received: February 8, 2016. Accepted: December 4, 2016.
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Except where otherwise noted, this item's license is described as Archived with thanks to International journal of occupational medicine and environmental health