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Nys E, Pauwels S, Ádám B, Amaro J, Athanasiou A, Bashkin O, Bric TK, Bulat P, Caglayan C, Guseva Canu I, Cebanu S, Charbotel B, Cirule J, Curti S, Davidovitch N, Dopelt K, Fikfak MD, Frilander H, Gustavsson P, Höper AC, Kiran S, Kogevinas M, Kudász F, Kolstad HA, Lazarevic SB, Macan J, Majery N, Marinaccio A, Mates D, Mattioli S, McElvenny DM, Mediouni Z, Mehlum IS, Merisalu E, Mijakoski D, Nena E, Noone P, Otelea MR, Pelclova D, Pranjic N, Rosso M, Serra C, Rushton L, Sandal A, Schernhammer ES, Stoleski S, Turner MC, van der Molen HF, Varga M, Walusiak-Skorupa J, Straif K, Godderis L. Recognition of COVID-19 with occupational origin: a comparison between European countries. Occup Environ Med 2023; 80:694-701. [PMID: 37984917 DOI: 10.1136/oemed-2022-108726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 10/03/2023] [Indexed: 11/22/2023]
Abstract
OBJECTIVES This study aims to present an overview of the formal recognition of COVID-19 as occupational disease (OD) or injury (OI) across Europe. METHODS A COVID-19 questionnaire was designed by a task group within COST-funded OMEGA-NET and sent to occupational health experts of 37 countries in WHO European region, with a last update in April 2022. RESULTS The questionnaire was filled out by experts from 35 countries. There are large differences between national systems regarding the recognition of OD and OI: 40% of countries have a list system, 57% a mixed system and one country an open system. In most countries, COVID-19 can be recognised as an OD (57%). In four countries, COVID-19 can be recognised as OI (11%) and in seven countries as either OD or OI (20%). In two countries, there is no recognition possible to date. Thirty-two countries (91%) recognise COVID-19 as OD/OI among healthcare workers. Working in certain jobs is considered proof of occupational exposure in 25 countries, contact with a colleague with confirmed infection in 19 countries, and contact with clients with confirmed infection in 21 countries. In most countries (57%), a positive PCR test is considered proof of disease. The three most common compensation benefits for COVID-19 as OI/OD are disability pension, treatment and rehabilitation. Long COVID is included in 26 countries. CONCLUSIONS COVID-19 can be recognised as OD or OI in 94% of the European countries completing this survey, across different social security and embedded occupational health systems.
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Affiliation(s)
- Evelien Nys
- External Service for Prevention and Protection at Work, IDEWE vzw, Leuven, Belgium
| | - Sara Pauwels
- Centre Environment & Health, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
| | - Balázs Ádám
- Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, UAE
| | - João Amaro
- Epidemiology Research Unit (EPIUnit), Institute of Public Health, University of Porto, Porto, Portugal
| | - Athanasios Athanasiou
- Department of Labour Inspection, Ministry of Labour and Social Insurance, Nicosia, Cyprus
| | - Osnat Bashkin
- Department of Public Health, Ashkelon Academic College, Ashkelon, Israel
| | | | - Petar Bulat
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Serbian Institute of Occupational Health, Belgrade, Serbia
| | - Cigdem Caglayan
- Department of Public Health, Kocaeli University, Kocaeli, Turkey
| | - Irina Guseva Canu
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (unisanté), Lausanne, Switzerland
| | - Serghei Cebanu
- Department of Preventive Medicine, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Moldova
| | | | - Jolanta Cirule
- Occupational and Radiation Medicine Center, Paul Stradins Clinical University Hospital, Riga, Latvia
| | - Stefania Curti
- Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - Nadav Davidovitch
- Department of Health Policy and Management, Ben-Gurion University of the Negev, Beer-Sheva, Southern, Israel
| | - Keren Dopelt
- Department of Public Health, Ashkelon Academic College, Ashkelon, Israel
| | - Metoda Dodic Fikfak
- Institute of Occupational Traffic and Sports Medicine, Ljubljana University Medical Center, Ljubljana, Slovenia
| | - Heikki Frilander
- Occupational Medicine Team, Finnish Institute of Occupational Health, Helsinki, Finland
| | - Per Gustavsson
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Anje Christina Höper
- Department of Community Medicine, UiT Norges arktiske universitet, Tromso, Norway
- Department of Occupational and Environmental Medicine, University Hospital of North Norway, Tromso, Norway
| | - Sibel Kiran
- School of Medicine, Department of Public Health, Koc Universitesi, Istanbul, Turkey
| | | | - Ferenc Kudász
- National Center for Public Health, Budapest, Hungary
| | - Henrik A Kolstad
- Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark
| | - Sanja Brekalo Lazarevic
- Faculty of Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina
- Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Jelena Macan
- Occupational and Environmental Health Unit, Institute for Medical Research and Occupational Health, Zagreb, Croatia
| | - Nicole Majery
- Service de Santé au travail Multisectoriel, Luxembourg City, Luxembourg
| | - Alessandro Marinaccio
- Epidemiology Unit, Occupational and Environmental Medicine, Epidemiology and Hygiene Department, Italian Workers' Compensation Authority (INAIL), Rome, Italy
| | - Dana Mates
- National Institute of Public Health, Bucharest, Romania
| | - Stefano Mattioli
- Department of Environmental and Prevention Sciences, University of Ferrara, Ferrara, Italy
| | - Damien Martin McElvenny
- Insitute of Occupational Medicine, Edinburgh, UK
- Centre for Occupational and Environmental Health, University of Manchester, Manchester, UK
| | - Zakia Mediouni
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (unisanté), Lausanne, Switzerland
| | - Ingrid Sivesind Mehlum
- Department of Occupational Medicine and Epidemiology, National Institute of Occupational Health, Oslo, Norway
- Institute of Health and Society, University of Oslo, Oslo, Norway
| | - Eda Merisalu
- Institute of Forestry and Engineering, Estonian University of Life Sciences, Tartu, Estonia
| | - Dragan Mijakoski
- Institute of Occupational Health of RNM-Skopje, Skopje, North Macedonia
- Faculty of Medicine, Ss. Cyril and Methodius, University in Skopje, Skopje, North Macedonia
| | - Evangelia Nena
- Medical School, Democritus University of Thrace, Komotini, Greece
| | - Peter Noone
- Occupational Health Department, HSE Dublin North East, Lourdes Hospital, Dublin, Ireland
| | | | - Daniela Pelclova
- Department of Occupational Medicine, Charles University, Prague, Czech Republic
| | - Nurka Pranjic
- Department of Occupational Medicine, University of Tuzla, Tuzla, Bosnia and Herzegovina
- Clinic of Occupational Pathology and Toxicology, University Institute of Primary Health, Tuzla, Bosnia and Herzegovina
| | - Mark Rosso
- Occupational Health and Safety Authority, Pieta, Malta
| | - Consol Serra
- Centre of Research in Occupational Health, University Pompeu Fabra, Barcelona, Spain
- Center for Biomedical Research in Epidemiology and Public Health Network (CIBERESP), Madrid, Spain
| | - Lesley Rushton
- Epidemiology and Public Health, Imperial College, London, UK
| | - Abdulsamet Sandal
- Occupational Diseases Clinic, Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey
| | - Eva S Schernhammer
- Department of Epidemiology, Center for Public Health, Medical University of Vienna, Vienna, Austria
| | - Sasho Stoleski
- Institute of Occupational Health of RNM-Skopje, Skopje, North Macedonia
- Faculty of Medicine, Ss. Cyril and Methodius, University in Skopje, Skopje, North Macedonia
| | - Michelle C Turner
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Centre of Research in Occupational Health, University Pompeu Fabra, Barcelona, Spain
- Center for Biomedical Research in Epidemiology and Public Health Network (CIBERESP), Madrid, Spain
| | - Henk F van der Molen
- Department of Public and Occupational Health, Amsterdam University Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Marek Varga
- Department of Occupational Medicine and Clinical Toxicology, Medical Faculty of P. J. Šafarik University and University Hospital of Louis Pasteur, Kosice, Slovakia
| | | | - Kurt Straif
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Boston College, Chestnut Hill, Massachusetts, USA
| | - Lode Godderis
- External Service for Prevention and Protection at Work, IDEWE vzw, Leuven, Belgium
- Centre Environment & Health, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
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Prisse Z, Mediouni Z, Krief P, Desrosiers J. [Patients experiencing burnout : medico-social needs and resources]. Rev Med Suisse 2023; 19:1950-1953. [PMID: 37850808 DOI: 10.53738/revmed.2023.19.846.1950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2023]
Abstract
There is a gap between the current service offer and the needs of people suffering from burnout. Actors in the field, from employers to prescribers, have a role to play in addressing the health needs of the target population, promoting existing services and facilitating their integrative collaboration. This is what a study evaluating the adequacy between the health needs of people experiencing burnout and the services offered to these patients from the point of view of key informants in the canton of Vaud has shown. The first part identified, through empirical research on the Internet, services focused on work organization, therapeutic, social and professional reintegration services. The second part, based on a qualitative focus group method, identified 21 unmet needs.
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Affiliation(s)
- Zoé Prisse
- Ergothérapeute, Haute école de travail social et de la santé (HETSL), Chemin des Abeilles 14, 1010 Lausanne
| | - Zakia Mediouni
- Médecins du travail, Unisanté, Université de Lausanne, Département Santé, Travail, Environnement, Centre universitaire de médecine générale et santé publique, Route de la Corniche 2, 1066 Epalinges-Lausanne
| | - Peggy Krief
- Médecins du travail, Unisanté, Université de Lausanne, Département Santé, Travail, Environnement, Centre universitaire de médecine générale et santé publique, Route de la Corniche 2, 1066 Epalinges-Lausanne
| | - Julie Desrosiers
- Ergothérapeute et professeure associée, Haute école de travail social et de la santé (HETSL), Chemin des Abeilles 4, 1010 Lausanne
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3
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Oltramare C, Mediouni Z, Shoman Y, Hopf NB, Graczyk H, Berthet A. Determinants of Pesticide Exposure in Occupational Studies: A Meta-Analysis. Toxics 2023; 11:623. [PMID: 37505588 PMCID: PMC10386710 DOI: 10.3390/toxics11070623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 07/13/2023] [Accepted: 07/15/2023] [Indexed: 07/29/2023]
Abstract
Few epidemiological studies use exposure determinants specifically tailored to assess pesticide or plant protection product (PPP) exposures when assessing presumed association between occupational exposure and health outcomes among agricultural workers. This lack of exposure specificity could lead to results that fail to detect an association. It could be related to the lack of consensus on exposure assessment methods and the choice of exposure determinants. We conducted a meta-analysis following the PRISMA checklist to identify PPP exposure determinants used in occupational studies and identified exposure determinants that best characterized agricultural exposures to PPPs. Out of 1436 studies identified, 71 were included. The exposure determinants identified were active ingredients, chemical classes, types of PPP, crops, tasks, frequencies, duration, lifetime exposure days, and intensity-weighted exposure days. Only six over 17 associations between exposure determinants and health outcomes were found with moderate quality of evidence. Overall, epidemiological studies had difficulty defining relevant determinants to characterize PPP exposures for agricultural workers. We recommend that a standardized list of determinants for PPP exposures in occupational exposure studies should include information on formulations, intensity, duration, and frequency of PPP exposure. Harmonized data collection on exposure and health outcomes are required as well as standard units for each exposure determinant.
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Affiliation(s)
- Christelle Oltramare
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health (DSTE), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland
| | - Zakia Mediouni
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health (DSTE), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland
| | - Yara Shoman
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health (DSTE), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland
| | - Nancy B Hopf
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health (DSTE), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland
| | - Halshka Graczyk
- International Labour Organization (ILO), 1211 Geneva, Switzerland
| | - Aurélie Berthet
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health (DSTE), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland
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4
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Mediouni Z, Chiarini B, Zenoni M, Martins-Ribeiro J, Rochat L, Tzartzas K. [Primary care and suffering at work situations]. Rev Med Suisse 2022; 18:1303-1305. [PMID: 35770433 DOI: 10.53738/revmed.2022.18.788.1303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Work is a social determinant of health. When it is adapted to the worker, its effects on health are beneficial. Unhealthy working conditions, with inadequate or absent management of psychosocial risk factors, can have negative consequences on workers' health. General practitioners are often on the front line in diagnosing these disorders and coordinating their treatment. In this article, we outline the key elements of an initial consultation with the general practitioner for situations of suffering and work and propose a draft structure for a care chain.
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Affiliation(s)
- Zakia Mediouni
- Département de santé, travail et environnement, Unisanté, Université de Lausanne, 1011 Lausanne
| | - Bastien Chiarini
- Département de santé, travail et environnement, Unisanté, Université de Lausanne, 1011 Lausanne
| | - Michela Zenoni
- Département de santé, travail et environnement, Unisanté, Université de Lausanne, 1011 Lausanne
| | - Joana Martins-Ribeiro
- Département vulnérabilités et médecine sociale, Unisanté, Université de Lausanne, 1011 Lausanne
| | - Lysiane Rochat
- Département de santé, travail et environnement, Unisanté, Université de Lausanne, 1011 Lausanne
| | - Kostantinos Tzartzas
- Département des policliniques, Policlinique de médecine générale, Unisanté, Université de Lausanne, 1011 Lausanne
- Unité d'expertises médicales, Département vulnérabilités et médecine sociale, Université de Lausanne, 1011 Lausanne
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5
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Turcu V, Gabellon I, Mediouni Z. [Management of musculoskeletal disorders in primary care medicine]. Rev Med Suisse 2022; 18:1300-1302. [PMID: 35770432 DOI: 10.53738/revmed.2022.18.788.1300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Musculoskeletal disorders (MSDs) are very common among the general and working Swiss population. The attending physician is often called upon to take care of patients with MSDs. To do this, it is necessary to take into account the contribution of professional and extra-professional factors in the etiology and/or the aggravation of these pathologies. At the same time, multidisciplinary collaboration provides help in treatment, prevention and issues of return and maintaining one's employment.
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Affiliation(s)
- Veronica Turcu
- Département de santé au travail et environnement, Unisanté, Route de la corniche 2, 1066 Epalinges-Lausanne
| | | | - Zakia Mediouni
- Département de santé au travail et environnement, Unisanté, Route de la corniche 2, 1066 Epalinges-Lausanne
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Krief P, Mediouni Z, Abderhalden-Zellweger A, Kerr D, Nesi S, Renteria SC, Vonlanthen J, Danuser B. Evaluation of a pilot consultation for maternity protection at work in Switzerland. Swiss Med Wkly 2022; 152:w30160. [PMID: 35704946 DOI: 10.4414/smw.2022.w30160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
STUDY AIMS Switzerland's Labour Law and its Ordonnance on Maternity Protection aim to protect the health of pregnant employees and their unborn children while enabling them to continue to pursue their professional activities. Some companies encounter difficulties implementing the law's provisions. The Department of Occupational and Environmental Health, part of the Center for Primary Care and Public Health (Unisanté), has provided specialist occupational medicine consultations for pregnant employees since 2015. This study aimed to evaluate how well Swiss' maternity protection legislation is implemented by examining a list of relevant indicators measured during the occupational health consultation. The study also sought to investigate the consultation support provided to the relevant stakeholders and the adjustments made to pregnant employees' working conditions. METHODS Descriptive variables and indicators relative to the application of the Swiss maternity protection legislation for 83 pregnant employees were collected during the consultation's pilot phase (between 2015 and 2016). Descriptive statistics and cross-analyses of these indicators were made. RESULTS Most pregnant employees faced multiple exposures to occupational risks. Preventive risk analyses were rare. Few adjustments to workstations were proposed. We found a tendency for employees to leave their workstations early on in their pregnancies due to sick leave certificate prescriptions. Specialist consultation and collaboration with occupational health physicians to recommend interventions for pregnant employees can provide significant benefits and help some pregnant women to continue at their workstations with appropriate adjustments. DISCUSSION A specialised occupational health consultation is a useful instrument for identifying occupational hazards for both the pregnant woman and her unborn child. It is also an opportunity to explain employers' legal responsibilities and obligations to safeguard the health of their pregnant employees and to give specific advice for their company's situation. This consultation also enables employers to maintain their employees' valuable professional competencies in the workplace for as long as possible. Finally, occupational health consultation helps and supports healthcare providers who must, according to the law, make decisions about whether pregnant employees can continue working safely or not.
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Affiliation(s)
- Peggy Krief
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne (Unil), Epalinges-Lausanne, Switzerland
| | - Zakia Mediouni
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne (Unil), Epalinges-Lausanne, Switzerland
| | - Alessia Abderhalden-Zellweger
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne (Unil), Epalinges-Lausanne, Switzerland.,School of Health Sciences (HESAV,) University of Applied Sciences and Arts of Western Switzerland (HES-SO), Lausanne, Switzerland
| | - Dominique Kerr
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne (Unil), Epalinges-Lausanne, Switzerland
| | | | - Saira-Christine Renteria
- Psychosocial Unit, Department of Women's, Mothers' and Children's Health, Lausanne University Hospital, Lausanne, Switzerland
| | - Julien Vonlanthen
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne (Unil), Epalinges-Lausanne, Switzerland
| | - Brigitta Danuser
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne (Unil), Epalinges-Lausanne, Switzerland
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Mijakoski D, Cheptea D, Marca SC, Shoman Y, Caglayan C, Bugge MD, Gnesi M, Godderis L, Kiran S, McElvenny DM, Mediouni Z, Mesot O, Minov J, Nena E, Otelea M, Pranjic N, Mehlum IS, van der Molen HF, Canu IG. Determinants of Burnout among Teachers: A Systematic Review of Longitudinal Studies. Int J Environ Res Public Health 2022; 19:ijerph19095776. [PMID: 35565168 PMCID: PMC9104901 DOI: 10.3390/ijerph19095776] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 05/02/2022] [Accepted: 05/04/2022] [Indexed: 12/03/2022]
Abstract
We aimed to review the determinants of burnout onset in teachers. The study was conducted according to the PROSPERO protocol CRD42018105901, with a focus on teachers. We performed a literature search from 1990 to 2021 in three databases: MEDLINE, PsycINFO, and Embase. We included longitudinal studies assessing burnout as a dependent variable, with a sample of at least 50 teachers. We summarized studies by the types of determinant and used the MEVORECH tool for a risk of bias assessment (RBA). The quantitative synthesis focused on emotional exhaustion. We standardized the reported regression coefficients and their standard errors and plotted them using R software to distinguish between detrimental and protective determinants. A qualitative analysis of the included studies (n = 33) identified 61 burnout determinants. The RBA showed that most studies had external and internal validity issues. Most studies implemented two waves (W) of data collection with 6–12 months between W1 and W2. Four types of determinants were summarized quantitatively, namely support, conflict, organizational context, and individual characteristics, based on six studies. This systematic review identified detrimental determinants of teacher exhaustion, including job satisfaction, work climate or pressure, teacher self-efficacy, neuroticism, perceived collective exhaustion, and classroom disruption. We recommend that authors consider using harmonized methods and protocols such as those developed in OMEGA-NET and other research consortia.
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Affiliation(s)
- Dragan Mijakoski
- Institute of Occupational Health of RNM, WHO Collaborating Center, 1000 Skopje, North Macedonia;
- Faculty of Medicine, Ss. Cyril and Methodius, University in Skopje, 1000 Skopje, North Macedonia
- Correspondence:
| | - Dumitru Cheptea
- Faculty of Medicine and Pharmacy, Nicolae Testemitanu State University of Medicine and Pharmacy, 2004 Chisinau, Moldova;
| | - Sandy Carla Marca
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
| | - Yara Shoman
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
| | - Cigdem Caglayan
- Department of Public Health, Faculty of Medicine, Kocaeli University, İzmit 41001, Turkey;
| | - Merete Drevvatne Bugge
- National Institute of Occupational Health (STAMI), 0363 Oslo, Norway; (M.D.B.); (I.S.M.)
| | - Marco Gnesi
- Department of Public Health, Experimental and Forensic Medicine, University of Pavia, 27100 Pavia, Italy;
| | - Lode Godderis
- Department of Primary Care and Public Health, University of Leuven, 3000 Leuven, Belgium;
| | - Sibel Kiran
- Department of Occupational Health and Safety, Institute of Public Health, Hacettepe University, Ankara 06100, Turkey;
| | - Damien M. McElvenny
- Research Group, Institute of Occupational Medicine, Edinburgh EH14 4AP, UK;
- Centre for Occupational and Environmental Health, University of Manchester, Manchester M13 9PL, UK
| | - Zakia Mediouni
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
| | - Olivia Mesot
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
| | - Jordan Minov
- Institute of Occupational Health of RNM, WHO Collaborating Center, 1000 Skopje, North Macedonia;
- Faculty of Medicine, Ss. Cyril and Methodius, University in Skopje, 1000 Skopje, North Macedonia
| | - Evangelia Nena
- Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece;
| | - Marina Otelea
- Clinical Department 5, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania;
| | - Nurka Pranjic
- Department of Occupational Medicine, School of Medicine, University of Tuzla, 75000 Tuzla, Bosnia and Herzegovina;
- Clinic of Occupational Pathology and Toxicology, University Institute of Primary Health, 75000 Tuzla, Bosnia and Herzegovina
| | - Ingrid Sivesind Mehlum
- National Institute of Occupational Health (STAMI), 0363 Oslo, Norway; (M.D.B.); (I.S.M.)
- Institute of Health and Society, University of Oslo, 0373 Oslo, Norway
| | - Henk F. van der Molen
- Amsterdam UMC Location University of Amsterdam, Public and Occupational Health, Netherlands Center for Occupational Diseases, Meibergdreef 9, 1100 DD Amsterdam, The Netherlands;
- Amsterdam Public Health Research Institute, Societal Participation & Health, 1105 BP Amsterdam, The Netherlands
| | - Irina Guseva Canu
- Center of Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland; (S.C.M.); (Y.S.); (Z.M.); (O.M.); (I.G.C.)
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Nguyen Huynh A, Besse C, Mediouni Z, El May E, Shoman Y, Hansez I, Guseva Canu I. Diagnostic Performances of an Occupational Burnout Detection Method Designed for Healthcare Professionals. Int J Environ Res Public Health 2021; 18:ijerph182312300. [PMID: 34886022 PMCID: PMC8657176 DOI: 10.3390/ijerph182312300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 11/09/2021] [Accepted: 11/19/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND We aimed to assess the validity (criterion and cross-cultural validity) and reliability of the first occupational burnout (OB) detection tool designed for healthcare professionals in Belgium in the context of Swiss medical practice. METHODS First, we assessed the sensitivity and specificity of the Tool. We developed this tool based on the consultation reports of 42 patients and compared its detection to the results of the Oldenburg Burnout Inventory (OLBI), filled-in by patients before a consultation. Second, we performed an inter-rater reliability (IRR) assessment on the OB symptoms and detection reached by the Tool between a psychiatrist, two psychologists, and an occupational physician. RESULTS The Tool correctly identified over 80% of patients with OB, regardless of the cutoff value used for OLBI scores, reflecting its high sensitivity. Conversely, its specificity strongly varied depending on the OLBI cutoff. There was a slight to fair overall agreement between the four raters on the detection of OB and the number of OB symptoms. Around 41% of symptoms showed a substantial to an almost perfect agreement, and 36% showed a slight to a moderate agreement. CONCLUSIONS The Tool seems useful for identifying OB of moderate and strong severity in both the Belgian and Swiss contexts.
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Affiliation(s)
- Agathe Nguyen Huynh
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health, University of Lausanne, 1066 Lausanne, Switzerland; (A.N.H.); (Z.M.); (E.E.M.); (I.G.C.)
| | - Christine Besse
- Medical Direction of the Department of Psychiatry, CHUV, Les Cèdres (Cery), 1008 Prilly, Switzerland;
| | - Zakia Mediouni
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health, University of Lausanne, 1066 Lausanne, Switzerland; (A.N.H.); (Z.M.); (E.E.M.); (I.G.C.)
| | - Emna El May
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health, University of Lausanne, 1066 Lausanne, Switzerland; (A.N.H.); (Z.M.); (E.E.M.); (I.G.C.)
- Faculty of Psychology and Educational Sciences, University of Geneva, 1205 Geneva, Switzerland
| | - Yara Shoman
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health, University of Lausanne, 1066 Lausanne, Switzerland; (A.N.H.); (Z.M.); (E.E.M.); (I.G.C.)
- Correspondence: ; Tel.: +41-21-314-7413
| | - Isabelle Hansez
- Unit of Promotion of Human Resources, Faculty of Psychology, Speech Therapy and Educational Sciences, University of Liège, 4000 Liège, Belgium;
| | - Irina Guseva Canu
- Center for Primary Care and Public Health (Unisanté), Department of Occupational and Environmental Health, University of Lausanne, 1066 Lausanne, Switzerland; (A.N.H.); (Z.M.); (E.E.M.); (I.G.C.)
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Abderhalden-Zellweger A, Mediouni Z, Probst I, Politis Mercier MP, Danuser B, Wild P, Chiarini B, Hale ML, Krief P. Evolution of gynaecologists' practices regarding the implementation of Swiss legislation on maternity protection at work between 2008 and 2017. Swiss Med Wkly 2021; 151:w20537. [PMID: 34318910 DOI: 10.4414/smw.2021.20537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND In accordance with the International Labour Organization’s Maternity Protection Convention (No. 183) and European Union Directive 92/857CEE (1992), Switzerland’s Labour Law and its Maternity Protection Ordinance (OProMa) aim to protect the health of pregnant employees and their future children while enabling them to pursue their working activities. Gynaecologists-obstetricians have a key role in this legislation, particularly through the prescription of preventive leave for patients who would otherwise face dangerous or arduous tasks in the absence of an adequate risk analysis or suitable protective measures. However, international and national literature suggests that gynaecologists-obstetricians may encounter difficulties in fulfilling their role. AIMS This study aimed to: (1) describe the practices and difficulties encountered by gynaecologists-obstetricians in the practical implementation of the OProMa; and (2) compare the evolution of these practices and difficulties between 2008 and 2017. METHODS A survey by questionnaire was conducted in 2008 and repeated in 2017. Both surveys focused on gynaecologists-obstetricians working in the French-speaking part of Switzerland (in private practices, hospitals or both). Descriptive and comparative analyses were carried out. RESULTS 83 gynaecologists-obstetricians responded in 2008 and 93 in 2017: response rates of 47% and 32%, respectively. In 2017, gynaecologists-obstetricians were more likely to ask questions about occupational risks faced by their patients when consulted by working mothers about their pregnancies. The estimated percentage of patients exposed to an occupational risk remained constant (20% in 2008 and 22% in 2017). Communication and collaboration with employers were reported to be difficult in both surveys, even though these are key elements in the implementation of the OProMa. Collaboration with occupational physicians, however, was more frequent in 2017. CONCLUSION In 2017, gynaecologists-obstetricians showed a greater awareness of occupational risks and collaborated more frequently with occupational health specialists. However, the application of the OProMa remained limited over the studied time period. Improving training of gynaecologists-obstetricians in this field could be a significant factor in encouraging better implementation of the current legislation. Moreover, gynaecologists-obstetricians need to be given the necessary support to enable their clinical practice to evolve towards a more preventive type of medicine. Collaboration with relevant stakeholders, including occupational physicians, midwives and workers, should be encouraged.
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Affiliation(s)
- Alessia Abderhalden-Zellweger
- School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Switzerland / Center for Primary Care and Public Health (Unisanté), Occupational Health and Environment Department (DSTE), University of Lausanne (UNIL), Switzerland
| | - Zakia Mediouni
- Center for Primary Care and Public Health (Unisanté), Occupational Health and Environment Department (DSTE), University of Lausanne (UNIL), Switzerland
| | - Isabelle Probst
- School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Switzerland
| | - Maria-Pia Politis Mercier
- School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Switzerland
| | - Brigitta Danuser
- Center for Primary Care and Public Health (Unisanté), Occupational Health and Environment Department (DSTE), University of Lausanne (UNIL), Switzerland
| | - Pascal Wild
- Center for Primary Care and Public Health (Unisanté), Occupational Health and Environment Department (DSTE), University of Lausanne (UNIL), Switzerland / INRS Research and Studies Management, Vandoeuvre les Nancy, France Center for Primary Care and Public Health (Unisanté), Occupational Health and Environment Department (DSTE), University of Lausanne (UNIL), Switzerland
| | - Bastien Chiarini
- Center for Primary Care and Public Health (Unisanté), Occupational Health and Environment Department (DSTE), University of Lausanne (UNIL), Switzerland
| | - Marie-Louise Hale
- Occupational health physician and general practitioner in private practice, 1162 St-Prex, Switzerland
| | - Peggy Krief
- Center for Primary Care and Public Health (Unisanté), Occupational Health and Environment Department (DSTE), University of Lausanne (UNIL), Switzerland
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Nguyen Huynh A, Béguelin A, Krief P, Marion-Veyron R, Mediouni Z, Regamey F, Staeger P, Guseva Canu I. [Detection and treatment of burnout by physicians of Unisanté]. Rev Med Suisse 2021; 17:221-224. [PMID: 33507665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Lacking diagnostic standards, the prevalence of Occupational Burnout (OB) remains uncertain. Unisanté aimed to evaluate its magnitude in its patients and to evaluate the medical practices related to OB in two of its departments, the Department of the Policlinics (DDP) and the Department of Occupational and Environmental Health (DSTE). An online survey has shown that 43/55 of the physicians participating in the survey have already diagnosed patients with OB in their practice. Two focus groups allowed to evaluate the interest and usefulness of a standardized diagnostic tool for physicians of the DDP and the DSTE. The tool turned out not to be appropriate in its present form, but this work allowed to sensitize physicians to OB and to clarify the recommendations for the screening and treatment of OB patients at Unisanté.
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Affiliation(s)
- Agathe Nguyen Huynh
- Secteur académique, Département santé, travail et environnement, Centre universitaire de médecine générale et santé publique, Unisanté, 1066 Epalinges
| | - Alexandre Béguelin
- Policlinique de médecine générale, Département des policliniques, Centre universitaire de médecine générale et santé publique, Unisanté, 1005 Lausanne
| | - Peggy Krief
- Secteur santé en entreprise, Département santé, travail et environnement, Centre universitaire de médecine générale et santé publique, Unisanté, 1066 Epalinges
| | - Régis Marion-Veyron
- Policlinique de médecine générale, Département des policliniques, Centre universitaire de médecine générale et santé publique, Unisanté, 1005 Lausanne
| | - Zakia Mediouni
- Secteur santé en entreprise, Département santé, travail et environnement, Centre universitaire de médecine générale et santé publique, Unisanté, 1066 Epalinges
| | - Frédéric Regamey
- Secteur santé en entreprise, Département santé, travail et environnement, Centre universitaire de médecine générale et santé publique, Unisanté, 1066 Epalinges
| | - Philippe Staeger
- Policlinique de médecine générale, Département des policliniques, Centre universitaire de médecine générale et santé publique, Unisanté, 1005 Lausanne
| | - Irina Guseva Canu
- Secteur académique, Département santé, travail et environnement, Centre universitaire de médecine générale et santé publique, Unisanté, 1066 Epalinges
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11
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Barlet-Ghaleb C, Mediouni Z, Besse C, Grolimund Berset D, Rinaldo M, Danuser B, Krief P. [Not Available]. Rev Med Suisse 2020; 16:1830-1833. [PMID: 32997456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
| | - Zakia Mediouni
- Département de santé au travail et environnement, Unisanté, 1011 Lausanne
| | - Christine Besse
- Département de santé au travail et environnement, Unisanté, 1011 Lausanne
- Unité de réhabilitation, Service de psychiatrie communautaire, CHUV, 1011 Lausanne
| | | | - Mickael Rinaldo
- Département de santé au travail et environnement, Unisanté, 1011 Lausanne
| | - Brigitta Danuser
- Département de santé au travail et environnement, Unisanté, 1011 Lausanne
| | - Peggy Krief
- Département de santé au travail et environnement, Unisanté, 1011 Lausanne
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12
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Guseva Canu I, Bovio N, Mediouni Z, Bochud M, Wild P. Suicide mortality follow-up of the Swiss National Cohort (1990-2014): sex-specific risk estimates by occupational socio-economic group in working-age population. Soc Psychiatry Psychiatr Epidemiol 2019; 54:1483-1495. [PMID: 31127347 DOI: 10.1007/s00127-019-01728-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2018] [Accepted: 05/13/2019] [Indexed: 11/30/2022]
Abstract
PURPOSE To identify occupations and socio-economic groups with detrimental or protective effect on suicide mortality. METHODS For every occupation and economic activity/industry, we computed directly age-standardized mortality rates (DSRs) using the age structure of the European population (2010) and standardized mortality ratios (SMRs) for suicide using national cause-specific mortality rates. We further stratified analyses by socio-economic variables, job-skill level, and by three calendar periods (1990-1998/1999-2006/2007-2014). RESULTS The study sample comprised 5,834,618 participants (94,918,456 person-years). The highest DSRs were observed among unemployed/job-seeking group, in agricultural, fishery and related male workers, and in health and social activities female workers. The lowest DSRs were observed in real estate and renting, research and development, IT and other business activities in men and in agriculture, hunting and forestry industry in women. A consistent reduction in DSRs across three calendar periods was observed in men. In female corporate managers, DSRs increased over the 2007-2014 period compared with 1999-2006. Compared to general working-age population, unemployed/job-seeking people, manufacturing labourers, personal care and related workers, and motor vehicle drivers of both sexes were identified at risk of suicide. Moreover, an excess of suicide was observed among male material recording and transport clerks; nursing and midwife-associated professionals; and agricultural workers as well as among female writers and performing artists. CONCLUSIONS The findings suggest the detrimental effect of low socioeconomic positions, including unemployment, with respect to suicide mortality and a relationship between suicide and poor psychosocial working conditions in elementary occupations. Sex-specific results need further investigation.
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Affiliation(s)
- Irina Guseva Canu
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (unisanté), University of Lausanne, Lausanne, Switzerland.
| | - Nicolas Bovio
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (unisanté), University of Lausanne, Lausanne, Switzerland
| | - Zakia Mediouni
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (unisanté), University of Lausanne, Lausanne, Switzerland
| | - Murielle Bochud
- Department of Epidemiology and Health Systems, Center for Primary Care and Public Health (unisanté), University of Lausanne, Lausanne, Switzerland
| | - Pascal Wild
- Department of Occupational and Environmental Health, Center for Primary Care and Public Health (unisanté), University of Lausanne, Lausanne, Switzerland.,INRS, Rue du Morvan, CS 60027, 54519, Vandoeuvre Les Nancy Cedex, France
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13
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Guseva Canu I, Mesot O, Györkös C, Mediouni Z, Mehlum IS, Bugge MD. Burnout syndrome in Europe: towards a harmonized approach in occupational health practice and research. Ind Health 2019; 57:745-752. [PMID: 30814391 PMCID: PMC6885602 DOI: 10.2486/indhealth.2018-0159] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Accepted: 01/29/2019] [Indexed: 06/09/2023]
Abstract
Health practitioners and decision makers in the medical and insurance systems need knowledge on the work-relatedness of burnout. To gather the most reliable information regarding burnout diagnosis and recognition in Europe, we used an 8-item standard questionnaire sent by e-mail to occupational health specialists identified via the Network on the Coordination and Harmonization of European Occupational Cohorts (OMEGA-NET) within the European Cooperation in Science and Technology (COST) Action. Participation rate was 100%, and the questionnaire was completed for 37 countries. In 14 (38%) countries burnout syndrome can be acknowledged as an occupational disease. However, only one country included burnout on the list of occupational diseases. The results showed a high variability in burnout diagnosis, in assessment of its work-relatedness, and in conditions allowing compensation of patients. These results reflect a lack of graded evidence on burnout and its determinants. The ongoing research on burnout conducted in the frame of the OMEGA-NET COST Action should be helpful through facilitating standardization of both existing and new data on burnout, a priority outcome requiring harmonization.
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Affiliation(s)
- Irina Guseva Canu
- Center for primary care and public health (Unisanté), University of Lausanne, Switzerland
| | - Olivia Mesot
- Center for primary care and public health (Unisanté), University of Lausanne, Switzerland
| | - Christina Györkös
- Center for primary care and public health (Unisanté), University of Lausanne, Switzerland
| | - Zakia Mediouni
- Center for primary care and public health (Unisanté), University of Lausanne, Switzerland
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14
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Mediouni Z, Barlet-Ghaleb C, Zenoni M, Rinaldo M, Grolimund Berset D, Eich S, Danuser B, Krief P. Protocol for evaluating a workplace intervention within the framework of consultations for suffering at work in French-speaking Switzerland. Contemp Clin Trials Commun 2019; 15:100400. [PMID: 31312747 PMCID: PMC6609781 DOI: 10.1016/j.conctc.2019.100400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Revised: 06/07/2019] [Accepted: 06/19/2019] [Indexed: 10/26/2022] Open
Abstract
Introduction Psychosocial suffering involves diverse human, social and economic costs. Some 34.4% of workers in Switzerland report chronic stress related to their jobs. Medical consultations for suffering at work aim to maintain-or renew-patients' abilities to make decisions and act following a diagnosis of psychological suffering related to their work; they also aim to help workers return to their workstations or remain there. Workplace interventions by consulting occupational physicians can go beyond the subjective issues: they can be offered to employees, in anticipation of a return to work when this appears feasible from the outset. Objective To qualitatively evaluate perceptions of workplace interventions and identify their effects by collecting the verbatim statements of employees and their employers. Materials and methods Qualitative single-centre study of workplace interventions conducted by the Consultation Service for Suffering at Work's occupational physicians for patients seen between January 2015 to December 2017. Nineteen workplace interventions took place, out of 184 different consultations. The verbatim statements of employees and their employers will be collected over a variable timeframe, using semi-structured face-to-face interviews. These will then be recorded, transcribed and analysed. Fourteen patients refused the workplace intervention. Their professional path will be collected for comparison and exploratory purposes. Conclusion This exploratory research project will provide a better understanding of the issues surrounding work-related psychological suffering and of which strategies support patients most effectively.
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Affiliation(s)
- Z Mediouni
- Department Health Work Environment, Center for Primary Care and Public Health (Unisanté), University of Lausanne, 2 Route de la Corniche, CH-1066, Epalinges-Lausanne, Switzerland
| | - C Barlet-Ghaleb
- Department Health Work Environment, Center for Primary Care and Public Health (Unisanté), University of Lausanne, 2 Route de la Corniche, CH-1066, Epalinges-Lausanne, Switzerland
| | - M Zenoni
- Department Health Work Environment, Center for Primary Care and Public Health (Unisanté), University of Lausanne, 2 Route de la Corniche, CH-1066, Epalinges-Lausanne, Switzerland
| | - M Rinaldo
- Department Health Work Environment, Center for Primary Care and Public Health (Unisanté), University of Lausanne, 2 Route de la Corniche, CH-1066, Epalinges-Lausanne, Switzerland
| | - D Grolimund Berset
- Department Health Work Environment, Center for Primary Care and Public Health (Unisanté), University of Lausanne, 2 Route de la Corniche, CH-1066, Epalinges-Lausanne, Switzerland
| | - S Eich
- Department Health Work Environment, Center for Primary Care and Public Health (Unisanté), University of Lausanne, 2 Route de la Corniche, CH-1066, Epalinges-Lausanne, Switzerland
| | - B Danuser
- Department Health Work Environment, Center for Primary Care and Public Health (Unisanté), University of Lausanne, 2 Route de la Corniche, CH-1066, Epalinges-Lausanne, Switzerland
| | - P Krief
- Department Health Work Environment, Center for Primary Care and Public Health (Unisanté), University of Lausanne, 2 Route de la Corniche, CH-1066, Epalinges-Lausanne, Switzerland
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15
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Vieux L, Simcox AA, Mediouni Z, Wild P, Koller M, Studer RK, Danuser B. Predictors of Return to Work 12 Months After Solid Organ Transplantation: Results from the Swiss Transplant Cohort Study. J Occup Rehabil 2019; 29:462-471. [PMID: 30145704 DOI: 10.1007/s10926-018-9804-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Background Return to work with or after a chronic disease is not a very well understood process, influenced by a variety of personal, professional, societal and medical factors. The aim of this study is to identify predictors for return to work 12 months after a solid organ transplant applying a bio-psycho-social model. Methods This study is based on patients included in the Swiss Transplant Cohort Study, a national prospective multicentre cohort, who underwent a first solid organ transplant (kidney, liver, heart, lung). Bio-psycho-social factors were tested and predictors of return to work identified using logistic regression models. Results Among the 636 patients included in the study, 49.8% (317) were employed 12 months post-transplant. The major predictor for returning to work 12 months posttransplant was pre-transplant employment status (OR 10.8). Accordingly, the population was stratified in employed and not employed pre-transplant groups. Age, self-perceived health (6 months post-transplant) and the transplanted organ were significantly associated with post-transplant employment status in both groups. Return to work was influenced by education, depression (6 month post-transplant) and waiting time in the employed pre-transplant group and by invalidity pension in the not employed pre-transplant group. Conclusion Employment status pre-transplant being highly associated with employment status post-transplant, the process promoting return to work should be started well before surgery. Biomedical, psychological and social factors must be taken into account to promote return to work in transplanted patients.
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Affiliation(s)
- Laure Vieux
- Institut universitaire romand de Santé au Travail, Rte de la Corniche 2, 1066, Epalinges, Switzerland
| | - Amira A Simcox
- Institut universitaire romand de Santé au Travail, Rte de la Corniche 2, 1066, Epalinges, Switzerland
| | - Zakia Mediouni
- Institut universitaire romand de Santé au Travail, Rte de la Corniche 2, 1066, Epalinges, Switzerland.
| | - Pascal Wild
- Institut universitaire romand de Santé au Travail, Rte de la Corniche 2, 1066, Epalinges, Switzerland
| | - Michael Koller
- Basel Institute for Clinical Epidemiology and Biostatistics, University Hospital Basel, Hebelstrasse 10, 4031, Basel, Switzerland
| | - Regina K Studer
- Institut universitaire romand de Santé au Travail, Rte de la Corniche 2, 1066, Epalinges, Switzerland
| | - Brigitta Danuser
- Institut universitaire romand de Santé au Travail, Rte de la Corniche 2, 1066, Epalinges, Switzerland
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Bontemps S, Barlet-Ghaleb C, Mediouni Z, Besse C, Bonsack C, Wild P, Danuser B. Long title: Protocol for evaluating a Consultation for Suffering at work in French-speaking Switzerland. Contemp Clin Trials Commun 2018; 9:71-76. [PMID: 29696227 PMCID: PMC5898518 DOI: 10.1016/j.conctc.2017.12.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 10/23/2017] [Accepted: 12/07/2017] [Indexed: 11/08/2022] Open
Abstract
Introduction Psychosocial suffering entails human, social and economic costs. In Switzerland, 34.4% of workers report chronic work-related stress. Our medical Consultation for Suffering at Work aims to preserve—or restore—the patient's capacity to act and make decisions after a diagnosis of work-related psychological suffering; it also aims to help employees get back to or remain at work. Our hypothesis is that the dynamic of the consultation itself and adherence to its medical advice are active factors of these results. Objectives Understand changes in patients' work and health status 12 months after a Consultation for Suffering at Work. Determine the effects of the consultation on health and working status via identified active factors: the consultation dynamic and the ability to adhere to the consultation's advice. Evaluate the consultation's effects qualitatively. Materials and Methods This longitudinal, monocentric study with a quasi-experimental design will include patients consulting between 1 January and 31 December 2018. Changes in patients' work and health status will be analysed using data collected via questionnaires at 0, 3 and 12 months. Qualitative data will be collected via a semi-structured telephone interview 3 months after the consultation. The quantitative part will include 150–170 patients; the qualitative part will include 30. Conclusion This exploratory research project will provide a better understanding of issues of work-related psychological suffering and effective strategies to support patients. The absence of a control group and the impossibility of applying a randomised controlled design are constraints on this study.
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Affiliation(s)
- Sophie Bontemps
- Occupational Medicine Unit, Institute for Work and Health, 2 Route de La Corniche, CH-1066, Epalinges, Lausanne, Switzerland
| | - Catherine Barlet-Ghaleb
- Occupational Medicine Unit, Institute for Work and Health, 2 Route de La Corniche, CH-1066, Epalinges, Lausanne, Switzerland
| | - Zakia Mediouni
- Occupational Medicine Unit, Institute for Work and Health, 2 Route de La Corniche, CH-1066, Epalinges, Lausanne, Switzerland
| | - Christine Besse
- Community Psychiatric Service, Lausanne University Hospital (CHUV), 18 Place Chauderon, CH-1011, Lausanne, Switzerland
| | - Charles Bonsack
- Community Psychiatric Service, Lausanne University Hospital (CHUV), 18 Place Chauderon, CH-1011, Lausanne, Switzerland
| | - Pascal Wild
- Occupational Medicine Unit, Institute for Work and Health, 2 Route de La Corniche, CH-1066, Epalinges, Lausanne, Switzerland.,INRS, 60027 54519 Cedex, Rue du Morvan, F-54500, Vandœuvre-lès-Nancy, France
| | - Brigitta Danuser
- Occupational Medicine Unit, Institute for Work and Health, 2 Route de La Corniche, CH-1066, Epalinges, Lausanne, Switzerland
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Graczyk H, Hopf NB, Mediouni Z, Guseva-Canu I, Sanvido O, Schmid K, Berthet A. Occupational exposure to plant protection products and health effects in Switzerland: what do we know and what do we need to do? Swiss Med Wkly 2018; 148:w14610. [PMID: 29698541 DOI: 10.4414/smw.2018.14610] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
AIMS There is currently no centralised database on workers' exposures to plant protection products (PPPs) in Switzerland, nor a national register for negative health effects linking them to occupational PPP exposure. This lack of basic data makes it difficult to implement either epidemiological research or prevention campaigns for the agricultural sector. The first objective was to understand the level of information and flow of data on occupational PPP exposures and health effects in the Canton of Vaud, Switzerland. Then, to apply this information to develop recommendations for improving a vigilance system for occupational health effects related to PPP exposure. METHODS A mapping study and semistructured stakeholder interviews were conducted to better understand the flow of data on occupational PPP exposures and health effects. A clinical records investigation of workers occupationally exposed to PPPs was undertaken to understand the magnitude of this potential problem. Finally, a workshop brought together relevant stakeholders to discuss recommendations for the way forwards. RESULTS A lack of data on PPP exposures and associated health effects was revealed. This highlighted important knowledge gaps at different levels of the current institutional information flow system. We found that although there were numerous stakeholders that worked efficiently in their own mandate, there was a clear need for increased collaboration and coordination in order to make use of existing data to promote safer PPP use among agricultural workers in Switzerland. CONCLUSIONS Due to increasing evidence of an association between PPP exposure and health effects, increased collaboration between stakeholders is necessary to develop links between the data sources that already exist. Our study was the first to investigate the health effects linked to PPP exposure among the Swiss agricultural population. The recommendations presented in this paper would help promote a safer and healthier agricultural workforce in Switzerland, as well as the population at large.
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Affiliation(s)
- Halshka Graczyk
- Institute for Work and Health, University of Lausanne, Epalinges-Lausanne, Switzerland
| | - Nancy B Hopf
- Institute for Work and Health, University of Lausanne, Epalinges-Lausanne, Switzerland
| | - Zakia Mediouni
- Institute for Work and Health, University of Lausanne, Epalinges-Lausanne, Switzerland
| | - Irina Guseva-Canu
- Institute for Work and Health, University of Lausanne, Epalinges-Lausanne, Switzerland
| | - Olivier Sanvido
- State Secretariat for Economic Affairs (SECO), Bern, Switzerland
| | - Kaspar Schmid
- State Secretariat for Economic Affairs (SECO), Bern, Switzerland
| | - Aurelie Berthet
- Institute for Work and Health, University of Lausanne, Epalinges-Lausanne, Switzerland
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Bontemps S, Barlet-Ghaleb C, Wild P, Chouanière D, Besse C, Bonsack C, Mediouni Z, Danuser B. Protocole d’évaluation d’une consultation de travail et souffrance en Suisse romande. ARCH MAL PROF ENVIRO 2016. [DOI: 10.1016/j.admp.2016.10.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mediouni Z, Bodin J, Dale AM, Herquelot E, Carton M, Leclerc A, Fouquet N, Dumontier C, Roquelaure Y, Evanoff BA, Descatha A. Syndrome du canal carpien et travail sur ordinateur dans deux grandes cohortes complémentaires. ARCH MAL PROF ENVIRO 2016. [DOI: 10.1016/j.admp.2016.03.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mediouni Z, Bodin J, Dale AM, Herquelot E, Carton M, Leclerc A, Fouquet N, Dumontier C, Roquelaure Y, Evanoff BA, Descatha A. Carpal tunnel syndrome and computer exposure at work in two large complementary cohorts. BMJ Open 2015; 5:e008156. [PMID: 26353869 PMCID: PMC4567686 DOI: 10.1136/bmjopen-2015-008156] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
OBJECTIVES The boom in computer use and concurrent high rates in musculoskeletal complaints and carpal tunnel syndrome (CTS) among users have led to a controversy about a possible link. Most studies have used cross-sectional designs and shown no association. The present study used longitudinal data from two large complementary cohorts to evaluate a possible relationship between CTS and the performance of computer work. SETTINGS AND PARTICIPANTS The Cosali cohort is a representative sample of a French working population that evaluated CTS using standardised clinical examinations and assessed self-reported computer use. The PrediCTS cohort study enrolled newly hired clerical, service and construction workers in several industries in the USA, evaluated CTS using symptoms and nerve conduction studies (NCS), and estimated exposures to computer work using a job exposure matrix. PRIMARY AND SECONDARY OUTCOME MEASURES During a follow-up of 3-5 years, the association between new cases of CTS and computer work was calculated using logistic regression models adjusting for sex, age, obesity and relevant associated disorders. RESULTS In the Cosali study, 1551 workers (41.8%) completed follow-up physical examinations; 36 (2.3%) participants were diagnosed with CTS. In the PrediCTS study, 711 workers (64.2%) completed follow-up evaluations, whereas 31 (4.3%) had new cases of CTS. The adjusted OR for the group with the highest exposure to computer use was 0.39 (0.17; 0.89) in the Cosali cohort and 0.16 (0.05; 0.59) in the PrediCTS cohort. CONCLUSIONS Data from two large cohorts in two different countries showed no association between computer work and new cases of CTS among workers in diverse jobs with varying job exposures. CTS is far more common among workers in non-computer related jobs; prevention efforts and work-related compensation programmes should focus on workers performing forceful hand exertion.
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Affiliation(s)
- Z Mediouni
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
- AP-HP, Occupational Health Unit/EMS (Samu92), University hospital of West suburb of Paris, Poincaré site, Garches, France
| | - J Bodin
- Laboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), LUNAM University, University of Angers, Angers, France
| | - A M Dale
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri, USA
| | - E Herquelot
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
| | - M Carton
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
| | - A Leclerc
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
- Inserm, UMR-S VIMA, Villejuif, France
| | - N Fouquet
- Laboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), LUNAM University, University of Angers, Angers, France
- Department of Occupational Health, French Institute for Public Health Surveillance, Saint-Maurice, France
| | - C Dumontier
- Hand Center, Clinique les eaux claires, ZAC Moudong Sud, Baie Mahault, France
| | - Y Roquelaure
- Laboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), LUNAM University, University of Angers, Angers, France
- CHU Angers, Angers, France
| | - B A Evanoff
- Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri, USA
| | - A Descatha
- Inserm, Population-Based Epidemiological Cohorts Unit, UMS 011, Villejuif, France
- Versailles St-Quentin University, UMS 011, Villejuif, France
- AP-HP, Occupational Health Unit/EMS (Samu92), University hospital of West suburb of Paris, Poincaré site, Garches, France
- Inserm, UMR-S VIMA, Villejuif, France
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Descatha A, Herquelot E, Carton M, Mediouni Z, Zins M, Goldberg M, Sabbath E, Leclerc A. Le travail physiquement fatiguant est-il associé à des limitations après la retraite ? ARCH MAL PROF ENVIRO 2015. [DOI: 10.1016/j.admp.2015.04.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Leclerc A, Chastang JF, Pascal P, Plouvier S, Mediouni Z. Conséquences des troubles musculo-squelettiques sur l’itinéraire professionnel, résultats d’une enquête nationale. ARCH MAL PROF ENVIRO 2015. [DOI: 10.1016/j.admp.2014.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Saint-Lary O, Rébois A, Mediouni Z, Descatha A. Carpal tunnel syndrome: primary care and occupational factors. Front Med (Lausanne) 2015; 2:28. [PMID: 26000277 PMCID: PMC4419845 DOI: 10.3389/fmed.2015.00028] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2015] [Accepted: 04/17/2015] [Indexed: 12/04/2022] Open
Abstract
Carpal tunnel syndrome (CTS) affects about 1% of working-aged people and is the commonest cause of hand pain in manual workers. CTS is a clinical diagnosis and does not warrant any further investigation in the presence of mild and suggestive CTS. Although the recommended non-surgical management is still a matter of debate, nocturnal splinting or steroid injection are recommended in most countries, with strong to moderate level of evidence for short-term efficacy. Patients with an uncertain diagnosis or severe symptoms, should undergo nerve conduction studies with referral to a hand specialist.
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Affiliation(s)
- Olivier Saint-Lary
- Department of Family Medicine, Faculty of Health Sciences Simone Veil, Université de Versailles Saint-Quentin-en-Yvelines , Montigny le Bretonneux , France ; Centre de Recherche en Épidémiologie et Santé des Populations (CESP) - INSERM U1018 Team 1 , Villejuif , France
| | - Arnaud Rébois
- Medical Home Primary Care of Montcient , Oinville , France
| | - Zakia Mediouni
- Occupational Health Unit/EMS (Samu92), Assistance Publique - Hôpitaux de Paris, Poincaré University Hospital , Garches , France ; Population-Based Epidemiologic Cohorts Unit, UMS 011, INSERM , Villejuif , France ; UMS 011 UMR-S 1168, Université de Versailles Saint-Quentin-en-Yvelines , Versailles , France
| | - Alexis Descatha
- Occupational Health Unit/EMS (Samu92), Assistance Publique - Hôpitaux de Paris, Poincaré University Hospital , Garches , France ; Population-Based Epidemiologic Cohorts Unit, UMS 011, INSERM , Villejuif , France ; UMS 011 UMR-S 1168, Université de Versailles Saint-Quentin-en-Yvelines , Versailles , France ; VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, U1168, INSERM , Villejuif , France
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Mediouni Z, Carton M, Roquelaure Y, Evanoff B, Leclerc A, Descatha A. Le syndrome du canal carpien est-il associé au travail sur ordinateur ? Rev Epidemiol Sante Publique 2014. [DOI: 10.1016/j.respe.2014.06.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Leroyer E, Romieu V, Mediouni Z, Bécour B, Descatha A. Extended-duration hospital shifts, medical errors and patient mortality. Br J Hosp Med (Lond) 2014; 75:96-101. [PMID: 24521805 DOI: 10.12968/hmed.2014.75.2.96] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Zakia Mediouni
- Consultant in the AP-HP, Occupational Health Unit/EMS (Samu92), University Hospital of Paris West Suburb, Garches, France
| | - Bertrand Bécour
- Consultant in the AP-HP, Hôtel-Dieu Hospital, Forensic Unit, Paris, France
| | - Alexis Descatha
- Head of Occupational Health Unit and Consultant in EMS (Samu92), University Hospital of Paris West Suburb, Poincaré Site, 92380 Garches, France
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Descatha A, Carton M, Mediouni Z, Dumontier C, Roquelaure Y, Goldberg M, Zins M, Leclerc A. Association among work exposure, alcohol intake, smoking and Dupuytren's disease in a large cohort study (GAZEL). BMJ Open 2014; 4:e004214. [PMID: 24477316 PMCID: PMC3913034 DOI: 10.1136/bmjopen-2013-004214] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES In view of the debate of factors in Dupuytren's disease, we aimed to describe its relationship with certain occupational factors, alcohol intake and smoking. SETTING The French GAZEL cohort (employees of Electricité de France and Gaz de France). PARTICIPANTS Participants of the cohort who answered a questionnaire in 2012, that is, 13 587 participants (73.7% of the questionnaire sent). In 2007, self-assessed lifetime occupational biomechanical exposure was recorded (carrying loads, manipulating a vibrating tool and climbing stairs), as well as alcohol intake, smoking and diabetes mellitus. Analyses were performed on high alcohol intake, smoking and duration of relevant work exposure, stratified by gender. PRIMARY AND SECONDARY OUTCOME MEASURES From a specific question on Dupuytren's disease assessed in 2012, the outcome measures were self-reported Dupuytren's disease (yes/no) and disabling Dupuytren's disease (including surgery). RESULTS A total of 10 017 men and 3570 women, aged 64-73 years, were included; the mean age for men was 68 years and for women was 65 years. Among men, the following were significantly associated with Dupuytren's disease: age (OR 1.03 (1.00; 1.06)), diabetes (OR 1.31 (1.07; 1.60)), heavy drinking (OR 1.36 (1.10; 1.69)) and over 15 years of manipulating a vibrating tool at work (OR 1.52 (1.15; 2.02)); except for diabetes, the association with these factors was stronger for disabling Dupuytren's disease (or surgery), with OR 1.07 (1.03; 1.11), 1.71 (1.25; 2.33) and 1.98(1.34; 2.91), respectively, for age, heavy drinking and over 15 years of manipulating a vibrating tool at work. Among the 3570 women included, 160 reported Dupuytren's disease (4.5%). The number of cases in the group of women was too low to reach conclusions, although the findings seemed similar for age, diabetes and vibration exposure. CONCLUSIONS In this large French cohort study, Dupuytren's disease in men was associated with high levels of alcohol consumption and exposure to hand-transmitted vibration. It is likely that the same applied to women.
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Affiliation(s)
- Alexis Descatha
- Université de Versailles St-Quentin, Versailles, France
- Centre for Research in Epidemiology and Population Health (CESP), U1018, “Population-Based Epidemiological Cohorts” Research Platform, INSERM, Villejuif, France
- AP-HP, Occupational Health Unit/EMS (Samu92), University Hospital of Paris West Suburb, Garches, France
| | - Matthieu Carton
- Université de Versailles St-Quentin, Versailles, France
- Centre for Research in Epidemiology and Population Health (CESP), U1018, “Population-Based Epidemiological Cohorts” Research Platform, INSERM, Villejuif, France
| | - Zakia Mediouni
- Université de Versailles St-Quentin, Versailles, France
- Centre for Research in Epidemiology and Population Health (CESP), U1018, “Population-Based Epidemiological Cohorts” Research Platform, INSERM, Villejuif, France
- AP-HP, Occupational Health Unit/EMS (Samu92), University Hospital of Paris West Suburb, Garches, France
| | - Christian Dumontier
- Plastic and Hand Department, Nice University, St Roch Hospital, Nice, France
| | - Yves Roquelaure
- Laboratory of Ergonomics and Epidemiology in Occupational Health, LUNAM University, University of Angers, Angers, France
| | - Marcel Goldberg
- Université de Versailles St-Quentin, Versailles, France
- Centre for Research in Epidemiology and Population Health (CESP), U1018, “Population-Based Epidemiological Cohorts” Research Platform, INSERM, Villejuif, France
| | - Marie Zins
- Université de Versailles St-Quentin, Versailles, France
- Centre for Research in Epidemiology and Population Health (CESP), U1018, “Population-Based Epidemiological Cohorts” Research Platform, INSERM, Villejuif, France
| | - Annette Leclerc
- Université de Versailles St-Quentin, Versailles, France
- Centre for Research in Epidemiology and Population Health (CESP), U1018, “Population-Based Epidemiological Cohorts” Research Platform, INSERM, Villejuif, France
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Affiliation(s)
- Alexis Descatha
- Occupational Health Unit, Paris Teaching Hospital, Garches, France
| | - Diane Godeau
- Occupational Health Unit, Paris Teaching Hospital, Garches, France
| | - Zakia Mediouni
- Occupational Health Unit, Paris Teaching Hospital, Garches, France
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Affiliation(s)
- Alexis Descatha
- Univ Versailles St-Quentin, Versailles, France
- ‘Population-Based Epidemiological Cohorts’ Research Platform, Inserm, Centre for research in Epidemiology and Population Health (CESP), U1018, Villejuif, France
- AP-HP, Occupational Health Unit/EMS (Samu92), University hospital of West suburb of Paris, Garches, France
| | - Diane Cyr
- Univ Versailles St-Quentin, Versailles, France
- ‘Population-Based Epidemiological Cohorts’ Research Platform, Inserm, Centre for research in Epidemiology and Population Health (CESP), U1018, Villejuif, France
| | - Zakia Mediouni
- Univ Versailles St-Quentin, Versailles, France
- ‘Population-Based Epidemiological Cohorts’ Research Platform, Inserm, Centre for research in Epidemiology and Population Health (CESP), U1018, Villejuif, France
- AP-HP, Occupational Health Unit/EMS (Samu92), University hospital of West suburb of Paris, Garches, France
| | - Marcel Goldberg
- Univ Versailles St-Quentin, Versailles, France
- ‘Population-Based Epidemiological Cohorts’ Research Platform, Inserm, Centre for research in Epidemiology and Population Health (CESP), U1018, Villejuif, France
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Mediouni Z, Descatha A, Becour B, Word W, Mahi Z, Ameille J. Évolution de la responsabilité du médecin du travail suite à la nouvelle organisation de la médecine du travail prévue par la loi no2011-867 du 20 juillet 2011. ARCH MAL PROF ENVIRO 2012. [DOI: 10.1016/j.admp.2012.03.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Mediouni Z, Potherat G, Barrere X, Debure A, Descatha A. Renal failure and occupational exposure to organic solvents: what work-up should be performed? Arch Environ Occup Health 2011; 66:51-53. [PMID: 21337187 PMCID: PMC3320581 DOI: 10.1080/19338244.2010.506501] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The etiological work-up of a disease with an occupational component, such as renal failure associated with exposure to organic solvents, may include several complementary investigations. The authors discussed certain elements of the etiological work-up in the light of a clinical case, particularly the individual and collective advantages and disadvantages of this work-up. Further investigations would not have provided the patient with any individual or collective benefit and were therefore not performed, whereas other investigations (environmental studies, screening of fellow workers) may provide collective rather than individual benefits, but must be decided by a multidisciplinary approach. A multidisciplinary study (general practitioner, nephrologist, occupational health physician, and specialist in toxicology) is necessary to discuss the appropriate etiological work-up, taking into account the individual and collective benefit-risk balance.
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Affiliation(s)
- Zakia Mediouni
- CESP, Centre de recherche en épidémiologie et santé des populations
INSERM : U1018Université Paris XI - Paris SudUniversité de Versailles Saint-Quentin-en-YvelinesINEDFR
| | - Guillaume Potherat
- CESP, Centre de recherche en épidémiologie et santé des populations
INSERM : U1018Université Paris XI - Paris SudUniversité de Versailles Saint-Quentin-en-YvelinesINEDFR
| | - Xavier Barrere
- AMET, Association pour la prévention en Médecine du Travail
AMETSaint Denis,FR
| | - Alain Debure
- Service de néphrologie
Hôpital de la RoseraieAubervilliers,FR
| | - Alexis Descatha
- CESP, Centre de recherche en épidémiologie et santé des populations
INSERM : U1018Université Paris XI - Paris SudUniversité de Versailles Saint-Quentin-en-YvelinesINEDFR
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