Occupational skin diseases: actual state analysis of patient management pathways in 28 European countries

Mahler V, Aalto-Korte K, Alfonso JH, Bakker JG, Bauer A, Bensefa-Colas L, Boman A, Bourke J, Bubas M, Bulat P, Chaloupka J, Constandt L, Danielsen TE, Darlenski R, Dugonik A, Ettler K, Gimenez-Arnau A, Goncalo M, Johansen JD, John SM, Kiec-Swierczynska M, Koch P, Kohanka V, Krecisz B, Filon FL, Ljubojevic S, Macan J, Marinovic B, Matura M, Mihatsch PW, Mijakoski D, Minov J, Pace J, Pesonen M, Rodilla JMR, Rast H, Reljic V, Salavastru C, Schuster C, Schuttelaar ML, Simon D, Spiewak R, Toncic RJ, Urbancek S, Valiukeviciene S, Weinert P, Wilkinson M, Uter W (2017)

Publication Type: Journal article

Publication year: 2017

Journal

Book Volume: 31 Suppl 4

Pages Range: 12-30

DOI: 10.1111/jdv.14316

Abstract

BACKGROUND: Work-related skin diseases (WSD) are caused or worsened by a professional activity. Occupational skin diseases (OSD) need to fulfil additional legal criteria which differ from country to country. OSD range amongst the five most frequently notified occupational diseases (musculoskeletal diseases, neurologic diseases, lung diseases, diseases of the sensory organs, skin diseases) in Europe. OBJECTIVE: To retrieve information and compare the current state of national frameworks and pathways to manage patients with occupational skin disease with regard to prevention, diagnosis, treatment and rehabilitation in different European countries. METHODS: A questionnaire-based survey of the current situation regarding OSD patient management pathways was carried out with experts on occupational dermatology and/or occupational medicine from 28 European countries contributing to the European Cooperation in Science and Technology (COST) Action TD 1206 (StanDerm) (www.standerm.eu). RESULTS: Besides a national health service or a statutory health insurance, most European member states implemented a second insurance scheme specifically geared at occupational diseases [insurance against occupational risks (synonyms: insurance against work accidents and occupational injuries; statutory social accident insurance)]. Legal standards for the assessment of occupationally triggered diseases with a genetic background differ between different countries, however, in most European member states recognition as OSD is possible. In one-third of the countries UV light-induced tumours can be recognized as OSD under specific conditions. CONCLUSION: OSD definitions vary between European countries and are not directly comparable, which hampers comparisons between statistics collected in different countries. Awareness of this fact and further efforts for standardization are necessary.

Authors with CRIS profile

Involved external institutions

National Institute of Occupational Health / Statens arbeidsmiljøinstitutt Norway (NO) Karolinska Institute Sweden (SE) Finnish Institute of Occupational Health (FIOH) / Työterveyslaitos (TTL) Finland (FI) WHO Collaborating Center for Occupational Health Republic of North Macedonia (MK) University of Groningen / Rijksuniversiteit Groningen Netherlands (NL) Jagiellonian University / Uniwersytet Jagielloński (UJ) Poland (PL) University of Zagreb / Sveučilište u Zagrebu Croatia (HR) Universität Bern Switzerland (CH) Universitätsklinikum Heidelberg Germany (DE) Stockholm County Hospital Sweden (SE) Jan Kochanowski University in Kielce / Uniwersytet Jana Kochanowskiego w Kielcach Poland (PL) Norwegian Labour Inspection Authority / Arbeidstilsynet Norway (NO) Trakia University Bulgaria (BG) Chapel Allerton Hospital United Kingdom (GB) Technische Universität Dresden Germany (DE) University of Copenhagen Denmark (DK) Hôpital Kirchberg Luxembourg (LU) Institute for Medical Research and Occupational Health Croatia (HR) Univerzita Karlova v Praze / Charles University in Prague Czech Republic (CZ) Carol Davila University of Medicine and Pharmacy / Universitatea de Medicină și Farmacie „Carol Davila” (UMF București) Romania (RO) Universität Osnabrück Germany (DE) Schweizerische Unfallversicherungsanstalt (SUVA) Switzerland (CH) Universidade de Coimbra Portugal (PT) Università degli Studi di Trieste Italy (IT) F.D. Roosevelt Teaching Hospital with Policlinic Banská Bystrica Slovakia (SK) Universitat Pompeu Fabra (UPF) Spain (ES) University of Malta Malta (MT) Lithuanian University of Health Sciences / Lietuvos sveikatos mokslų universitetas (LSMU) Lithuania (LT) Hôpital Hôtel-Dieu, APHP France (FR) Clinical Center of Serbia Serbia (RS) Federal agency for occupational risks / Agence fédérale des risques professionnels (FEDRIS) Belgium (BE) Croatian Institute of Public Health (HZJZ) Croatia (HR) Academic Medical Centre / Academisch Medisch Centrum (AMC) Netherlands (NL) Nofer Institute of Occupational Medicine (NIOM) Poland (PL) Autonomous University of Barcelona (UAB) / Universitat Autònoma de Barcelona Spain (ES) South Infirmary Victoria University Hospital Ireland (IE) University of Belgrade / Универзитет у Београду Serbia (RS)

How to cite

APA:

Mahler, V., Aalto-Korte, K., Alfonso, J.H., Bakker, J.G., Bauer, A., Bensefa-Colas, L.,... Uter, W. (2017). Occupational skin diseases: actual state analysis of patient management pathways in 28 European countries. Journal of the European Academy of Dermatology and Venereology, 31 Suppl 4, 12-30. https://doi.org/10.1111/jdv.14316

MLA:

Mahler, Vera, et al. "Occupational skin diseases: actual state analysis of patient management pathways in 28 European countries." Journal of the European Academy of Dermatology and Venereology 31 Suppl 4 (2017): 12-30.

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