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What are the benefits of medical screening and surveillance?

Dennis Wilken, Xaver Baur, Lioubov Barbinova, Alexandra Preisser, Evert Meijer, Jos Rooyackers, Dick Heederik on behalf of the ERS Task Force on the Management of Work-related Asthma
European Respiratory Review 2012 21: 105-111; DOI: 10.1183/09059180.00005011
Dennis Wilken
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Xaver Baur
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  • For correspondence: baur@uke.de
Lioubov Barbinova
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Alexandra Preisser
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Evert Meijer
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Jos Rooyackers
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Dick Heederik
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Abstract

Pre-employment examination is considered to be an important practice and is commonly performed in several countries within the European Union. The benefits of medical surveillance programmes are not generally accepted and their structure is often inconsistent.

The aim of this review was to evaluate, on the basis of the available literature, the usefulness of medical screening and surveillance. MEDLINE was searched from its inception up to March 2010. Retrieved literature was evaluated in a peer-review process and relevant data was collected following a systematic extraction schema.

Pre-placement screening identifies subjects who are at an increased risk for developing work-related allergic disease, but pre-employment screening is too low to be used as exclusion criteria. Medical surveillance programmes can identify workers who have, or who are developing, work-related asthma. These programmes can also be used to avoid worsening of symptoms by implementing preventive measures. A combination of different tools within the surveillance programme, adjusted for the risk of the individual worker, improves the predictive value.

Medical surveillance programmes provide medical as well as socioeconomic benefits. However, pre-employment screening cannot be used to exclude workers. They may act as a starting point for surveillance strategies. A stratified approach can increase the effectiveness and reduce the costs for such programmes.

  • Nonspecific bronchial hyperresponsiveness
  • pre-employment examination
  • sensitisation
  • skin-prick test
  • work-related asthma

Footnotes

  • Support Statement

    The work of the Task Force on the Management of Work-related Asthma was funded by the European Respiratory Society.

  • Statement of Interest

    None declared.

  • Provenance

    Submitted article, peer reviewed.

  • Received June 7, 2011.
  • Accepted June 27, 2011.
  • ©ERS 2012
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What are the benefits of medical screening and surveillance?
Dennis Wilken, Xaver Baur, Lioubov Barbinova, Alexandra Preisser, Evert Meijer, Jos Rooyackers, Dick Heederik
European Respiratory Review Jun 2012, 21 (124) 105-111; DOI: 10.1183/09059180.00005011

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What are the benefits of medical screening and surveillance?
Dennis Wilken, Xaver Baur, Lioubov Barbinova, Alexandra Preisser, Evert Meijer, Jos Rooyackers, Dick Heederik
European Respiratory Review Jun 2012, 21 (124) 105-111; DOI: 10.1183/09059180.00005011
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