Analyse du dépistage post-professionnel et post-exposition à l’amiante. Étude dans deux Centres de Consultations de Pathologies Professionnelles d’Ile-de-France entre 2011 et 2013

Abstract : Background : New recommendations (2010) have changed the post-occupational medical follow-up for asbestos exposed workers. Main objective : To estimate the prevalence of lung asbestos related diseases in a medically followed- up population. Methods : A bicentric descriptive retrospective study, in two CCPP of Ile-de-France, over followed-up patients between 2011 and 2013. Results : 624 patients got followed-up. They were mostly men (93,9%), active (85,7%), with an average of age of 54,7 years +/-7,9. They were mostly classified in the intermediary cumulated exposure level (78,2%). 433 initial computed tomography (CT) scans were analyzed. The asbestos related diseases prevalence among followed-up patients is 8% (n=51) (mostly pleural plaques, n=46). Nodules were found on 46,4% of realized CT scans. Only one lung cancer was diagnosed (0,8% of followed-up patients), with a mean for the nodules follow-up of 12,7 months+/-7,3 and the average of 1,72 extra CT scan per patient. Conclusion : These results need caution due to the limited size of the sample and the recruitment way. However, this work provides elements about the concrete realization and the limits of the actual follow-up.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01347470
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Submitted on : Thursday, July 21, 2016 - 10:08:56 AM
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Cécile l'Honoré. Analyse du dépistage post-professionnel et post-exposition à l’amiante. Étude dans deux Centres de Consultations de Pathologies Professionnelles d’Ile-de-France entre 2011 et 2013. Médecine humaine et pathologie. 2016. ⟨dumas-01347470⟩

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