Assessment of a Systematic Screening of Occupational Exposures in Malignant Hemopathies in the Rhone-Alpes Area: Prolymphome Study.

IF 2.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Medicina Del Lavoro Pub Date : 2025-04-17 DOI:10.23749/mdl.v116i2.16270

Olivia Pérol, Rejane Remion, Barbara Charbotel, Béatrice Fervers

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Abstract

Background: Several studies have highlighted the role of environmental exposures in malignant hemopathies etiology. Some patients with malignant hemopathies can be compensated as occupational diseases. The Prolymphome research aimed to assess a systematic screening of occupational exposures in patients with lymphoma or myeloma treated in three hospitals in the Rhône-Alpes region.

Methods: Patients received a self-administered questionnaire to fill in at home to collect their job history and potential occupational exposures to carcinogens. A physician assessed the questionnaire to determine if a dedicated consultation was required and the possibility of claiming compensation. Patients were systematically assisted by a social worker for administrative procedures.

Results: In 12 months, 754 patients were enrolled in the study, and 361 (48%) returned the questionnaire. A specialized consultation was proposed for 123 patients, and 98 patients attended the consultation. Overall, a compensation claim was proposed to 18 patients: 11 have been occupationally exposed to pesticides and seven to trichloroethylene.

Conclusions: Our results confirmed the feasibility of the systematic screening procedure. Barriers were observed at every step of the process, and it underlined that patients are rarely nformed about occupational exposures. As the prevalence of occupational exposures in malignant hemopathies remains scarce, a systematic targeted screening could be relevant in this population.

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罗纳-阿尔卑斯地区恶性血液病职业暴露系统筛查评估：淋巴瘤前研究。

背景：一些研究强调了环境暴露在恶性血液病病因学中的作用。部分恶性血液病患者可作为职业病进行补偿。prolymphoome研究旨在评估在Rhône-Alpes地区三家医院治疗的淋巴瘤或骨髓瘤患者的系统性职业暴露筛查。方法：患者在家自行填写工作经历和潜在致癌物暴露情况调查问卷。医生评估问卷，以确定是否需要专门的咨询和索赔的可能性。一名社会工作者系统地协助病人办理行政手续。结果：在12个月的时间里，754例患者入组研究，361例（48%）患者回复了问卷。123例患者提出专科会诊，98例患者参加会诊。总体而言，向18名患者提出了赔偿要求：11名患者因职业原因暴露于农药，7名患者暴露于三氯乙烯。结论：我们的结果证实了系统筛选程序的可行性。在过程的每一步都观察到障碍，并强调患者很少被告知职业暴露。由于恶性血液病职业暴露的患病率仍然很少，因此系统的靶向筛查可能与这一人群相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicina Del Lavoro 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.70

自引率

7.40%

发文量

审稿时长

>12 weeks

期刊介绍： La Medicina del Lavoro is a bimonthly magazine founded in 1901 by L. Devoto, and then directed by L. Prieti, E. Vigliani, V. Foà, P.A. Bertazzi (Milan). Now directed by A. Mutti (Parma), the magazine is the official Journal of the Italian Society of Occupational Medicine (SIML), aimed at training and updating all professionals involved in prevention and cure of occupational diseases.