Spirometric and hygienic criteria in recognition of occupational COPD in Poland – A retrospective analysis of medical records
Objectives Chronic 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...
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| Format: | Article |
| Language: | English |
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Nofer Institute of Occupational Medicine
2018-11-01
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| Series: | International Journal of Occupational Medicine and Environmental Health |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/ijomeh/Spirometric-and-hygienic-criteria-in-recognition-of-occupational-COPD-in-Poland-a-retrospective-analysis-of-medical-records,67524,0,2.html |
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| author | Aneta Kleniewska Jolanta Walusiak-Skorupa Agnieszka Lipińska-Ojrzanowska Kamila Szcześniak Marta Wiszniewska |
| author_facet | Aneta Kleniewska Jolanta Walusiak-Skorupa Agnieszka Lipińska-Ojrzanowska Kamila Szcześniak Marta Wiszniewska |
| author_sort | Aneta Kleniewska |
| collection | DOAJ |
| description | Objectives
Chronic 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.
Material and Methods
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.
Results
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.
Conclusions
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 |
| first_indexed | 2024-12-21T22:11:40Z |
| format | Article |
| id | doaj.art-4832672b567a4922b49b0272d76a047e |
| institution | Directory Open Access Journal |
| issn | 1232-1087 1896-494X |
| language | English |
| last_indexed | 2024-12-21T22:11:40Z |
| publishDate | 2018-11-01 |
| publisher | Nofer Institute of Occupational Medicine |
| record_format | Article |
| series | International Journal of Occupational Medicine and Environmental Health |
| spelling | doaj.art-4832672b567a4922b49b0272d76a047e2022-12-21T18:48:34ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2018-11-0131213915010.13075/ijomeh.1896.0092067524Spirometric and hygienic criteria in recognition of occupational COPD in Poland – A retrospective analysis of medical recordsAneta Kleniewska0Jolanta Walusiak-Skorupa1Agnieszka Lipińska-Ojrzanowska2Kamila Szcześniak3Marta Wiszniewska4Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Occupational Diseases and Environmental Health)Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Occupational Diseases and Environmental Health)Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Occupational Diseases and Environmental Health)Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Projects’ Management, Innovation and Implementation)Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Occupational Diseases and Environmental Health)Objectives Chronic 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. Material and Methods 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. Results 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. Conclusions 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):139–150http://www.journalssystem.com/ijomeh/Spirometric-and-hygienic-criteria-in-recognition-of-occupational-COPD-in-Poland-a-retrospective-analysis-of-medical-records,67524,0,2.htmlcompensationacknowledgement of occupational diseaseVGDFoccupationalCOPDchronic obstructive pulmonary disease |
| spellingShingle | Aneta Kleniewska Jolanta Walusiak-Skorupa Agnieszka Lipińska-Ojrzanowska Kamila Szcześniak Marta Wiszniewska Spirometric and hygienic criteria in recognition of occupational COPD in Poland – A retrospective analysis of medical records International Journal of Occupational Medicine and Environmental Health compensation acknowledgement of occupational disease VGDF occupational COPD chronic obstructive pulmonary disease |
| title | Spirometric and hygienic criteria
in recognition of occupational COPD in Poland – A retrospective analysis
of medical records |
| title_full | Spirometric and hygienic criteria
in recognition of occupational COPD in Poland – A retrospective analysis
of medical records |
| title_fullStr | Spirometric and hygienic criteria
in recognition of occupational COPD in Poland – A retrospective analysis
of medical records |
| title_full_unstemmed | Spirometric and hygienic criteria
in recognition of occupational COPD in Poland – A retrospective analysis
of medical records |
| title_short | Spirometric and hygienic criteria
in recognition of occupational COPD in Poland – A retrospective analysis
of medical records |
| title_sort | spirometric and hygienic criteria in recognition of occupational copd in poland a retrospective analysis of medical records |
| topic | compensation acknowledgement of occupational disease VGDF occupational COPD chronic obstructive pulmonary disease |
| url | http://www.journalssystem.com/ijomeh/Spirometric-and-hygienic-criteria-in-recognition-of-occupational-COPD-in-Poland-a-retrospective-analysis-of-medical-records,67524,0,2.html |
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