| Use of imaging in the follow-up of workers exposed to lung carcinogens: practices in occupational medicine and its determinants. | |
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MedLine Citation:
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PMID: 21344822 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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We studied occupational physicians' (OPs) practices of referrals for imaging of workers occupationally exposed to lung/pleural carcinogens and the factors associated with them. This cross-sectional telephone survey of 379 OPs practicing in Southeastern France showed that 81% of them referred exposed patients for chest radiographs, 33.5% for computed tomography (CT), and 16.1% for neither. Making no referral was positively associated with believing cancer risks are lower in one's own geographic sector than elsewhere and negatively associated with keeping employee risk records up-to-date. Referrals for CT were positively associated with work at in-house occupational health services (OHS), and completing employee exposure histories often/always. Both the OHS type and factors that may shape OPs' awareness of cancer risks in their sector appear to influence imaging referral practices. Occupational physicians would benefit from guidelines clarifying benefits and risks associated with imaging in such patients. An effort to harmonize regulatory provisions and guidelines also appears necessary. |
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Authors:
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Pierre Verger; Sandrine Cabut; Alain Viau; Marc Souville; Claire Pardon; Danielle Charrier; Benoît De Labrusse; Marie-Pascale Lehucher-Michel; Sandrine Arnaud |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of occupational and environmental health Volume: 17 ISSN: 1077-3525 ISO Abbreviation: Int J Occup Environ Health Publication Date: 2011 Jan-Mar |
Date Detail:
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Created Date: 2011-02-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9505217 Medline TA: Int J Occup Environ Health Country: United States |
Other Details:
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Languages: eng Pagination: 71-9 Citation Subset: IM |
Affiliation:
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ORS PACA, Observatoire Regional de la Santé Provence Alpes Côte d'Azur, Southeastern Regional Health Observatory Marseille, France. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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