Choice of rating method for assessing occupational asbestos exposure: study for compensation purposes in France.: Method for occupational exposure assessmentReportar como inadecuado




Choice of rating method for assessing occupational asbestos exposure: study for compensation purposes in France.: Method for occupational exposure assessment - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

* Corresponding author 1 Epidémiologie et Biostatistique Bordeaux 2 DST-InVS - Département santé travail 3 Institut Interuniversitaire de Médecine du Travail de Paris Ile de France 4 Laboratoire de chimie 5 INRS Vandoeuvre lès Nancy - Institut national de recherche et de sécurité Vandoeuvre lès Nancy 6 Caisse Régionale d-Assurance Maladie Ile de France 7 Association de Médecine et de Santé au travail 8 NGERE - Nutrition-Génétique et Exposition aux Risques Environnementaux 9 IMRB - Institut Mondor de Recherche Biomédicale 10 LSTE - Service de médecine du travail

Abstract : BACKGROUND: In the course of setting up the National Mesothelioma Surveillance Program PNSM, established in France in 1998, the question arose as to the most suitable method of assessing occupational exposure. The aim of this study was to define the most suitable rating method for assessing occupational asbestos exposure in order to assess medico-social care. METHOD: The study included 100 subjects-50 cases of mesothelioma and 50 controls-randomly selected and representing 457 jobs held. Job asbestos exposure was assessed by a six-expert panel using two methods: -by job- rating, where all the jobs in were assessed regardless of the subjects; and -by subject- rating, where all the jobs of a subject were assessed at the same time. Consensus was obtained and subjects- exposure was calculated for each rating. Then, two internal experts assessed job asbestos exposure with the -by subject- rating. Kappa coefficients were used to measure agreement between the ratings. RESULTS: Agreement between -by job- and -by subject- ratings was very good for subject probability of exposure kappa = 0.84 and cumulative exposure index kappa = 0.80. Agreement between the six-expert panel and the two internal experts was good for subject exposure kappa for probability = 0.71; kappa for cumulative exposure index= 0.68. CONCLUSION: This study shows that the two rating systems have good or very good agreement. These results validate the routine use in the PNSM of the -by subject- rating, with the advantage of being convenient and quick to provide feedback on occupational asbestos exposure to mesothelioma cases for compensation.

Keywords : rating method occupational exposure asbestos experts kappa coefficient





Autor: Céline Gramond - Patrick Rolland - Aude Lacourt - Stéphane Ducamp - Soizick Chamming-S - Yvon Creau - Michel Héry - Jacques La

Fuente: https://hal.archives-ouvertes.fr/



DESCARGAR PDF




Documentos relacionados