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Work-Related Asthma

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1. Asthma self-management education in persons with work-related asthma - United States, 2012-2014. (Abstract)

Asthma self-management education in persons with work-related asthma - United States, 2012-2014. According to the National Asthma Education and Prevention Program (NAEPP), self-management education is an integral component of effective asthma care and should be offered to every patient with asthma. To estimate the proportion of persons with work-related asthma (WRA) who received asthma self-management education.A cross-sectional analysis of 2012-2014 Behavioral Risk Factor Surveillance System (...) Asthma Call-back Survey data was conducted among ever-employed adults (≥18 years) with current asthma from 31 states and the District of Columbia.Adults with WRA were significantly more likely than those with non-WRA to have ever taken a course to manage their asthma (15.7% versus 6.5%; PR = 2.1), been given an asthma action plan (43.5% versus 26.1%; PR = 1.7), shown how to use an inhaler (97.2% versus 95.8%; PR = 1.0), taught how to recognize early symptoms of an asthma episode (79.4% versus 64.1

2019 Journal of Asthma

2. Asthma medication use among adults with current asthma by work-related asthma status, Asthma Call-back Survey, 29 states, 2012-2013. Full Text available with Trip Pro

Asthma medication use among adults with current asthma by work-related asthma status, Asthma Call-back Survey, 29 states, 2012-2013. Asthma severity is defined as the intensity of treatment required to achieve good control of asthma symptoms. Studies have shown that work-related asthma (WRA) can be associated with poorer asthma control and more severe symptoms than non-WRA. Associations between asthma medications and WRA status were assessed using data from the 2012-2013 Asthma Call-back Survey (...) among ever-employed adults (≥18 years) with current asthma from 29 states.Persons with WRA had been told by a physician that their asthma was work-related. Persons with possible WRA had asthma caused or made worse by their current or previous job, but did not have physician-diagnosed WRA. Asthma medications were classified as controller (i.e., long-acting β-agonist, inhaled corticosteroid, oral corticosteroid, cromolyn/nedocromil, leukotriene pathway inhibitor, methylxanthine, anti-cholinergics

2017 Journal of Asthma

3. Prevalence of COPD among workers with work-related asthma. (Abstract)

Prevalence of COPD among workers with work-related asthma. Objective: Concurrent asthma and chronic obstructive pulmonary disease (COPD) diagnoses occur in 15%-20% of patients, and have been associated with worse health outcomes than asthma or COPD alone. Work-related asthma (WRA), asthma that is caused or made worse by exposures in the workplace, is characterized by poorly controlled asthma. The objective of this study was to assess the proportion of ever-employed adults (≥18 years (...) ) with current asthma who have been diagnosed with COPD, by WRA status. Methods: Data from 23 137 respondents to the 2012-2014 Behavioral Risk Factor Surveillance System Asthma Call-back Survey from 31 states and the District of Columbia were examined. Logistic regression was used to calculate adjusted prevalence ratios (PRs), examining six disjoint categories of WRA-COPD overlap with non-WRA/no COPD as the referent category. Results: An estimated 51.9% of adults with WRA and 25.6% of adults with non-WRA had

2019 Journal of Asthma

4. Work-related asthma surveillance in Washington State: time trends, industry rates, and workers' compensation costs, 2002-2016. (Abstract)

Work-related asthma surveillance in Washington State: time trends, industry rates, and workers' compensation costs, 2002-2016. Washington State's work-related asthma (WRA) surveillance program utilizes workers' compensation (WC) data as its primary data source and has spanned a 15-year time period. This study analyses trends for WRA claim incidence rates compared to all WC claim incidence rates. WRA claim incidence rates and WC costs are analyzed by industry.Potential WRA cases were identified

2019 Journal of Asthma

5. Work-related asthma in a sample of subjects with established asthma. Full Text available with Trip Pro

Work-related asthma in a sample of subjects with established asthma. To assess the impact of occupational exposure to irritants or sensitizers on the occurrence, recrudescence and worsening of asthma and to identify unrecognized cases of work related asthma (WRA) including Work-Exacerbated Asthma (WEA) and Occupational Asthma (OA), in a general asthma clinic population sample.The study was a population-based cross sectional survey. 1289 asthmatic subjects (from 15 to 46 yrs old) living (...) titles at risk for exposure to airway irritants and/or sensitizers, 48.6% reported an occupational exposure to gases, dust and fumes, more males than females. Prevalence of WEA and OA was higher in subjects who worked at higher risk exposure; these subjects reported a higher prevalence of markers of asthma severity (asthma control, level of treatment, FEV1) than subjects without WRA. Risk of WEA was significantly associated to female gender, older age, and self-reported exposure, while risk of OA

2017 Respiratory medicine

6. Can the ceramic industry be a new and hazardous sector for work-related asthma? (Abstract)

Can the ceramic industry be a new and hazardous sector for work-related asthma? Work-related asthma (WRA) constitutes a significant proportion of all asthma cases and continues to be reported from different industries. The aim of the study was to identify the occupations that can be related to WRA and diagnostic steps used in suspected WRA patients.We retrospectively reviewed the clinical records of WRA suspected patients who were referred to Ankara Occupational and Environmental Diseases (...) Hospital, Turkey from January 2015 to January 2017. Detailed occupational history, the diagnostic steps such as pulmonary function testing (PFT), peak expiratory flow (PEF) monitoring and nonspecific bronchial provocation tests (NSBPT) were recorded.Among 160 patients, 148 were male and 12 were female. Only 2 of them were diagnosed as work-exacerbated asthma (WEA). Diagnosis of asthma was based on using reversible airflow limitation 28.8% (n = 46) or NSBPT 31.9% (n = 51). Toxicological analysis showed

2018 Respiratory medicine

7. Nasal protein profiles in work-related asthma caused by different exposures. (Abstract)

Nasal protein profiles in work-related asthma caused by different exposures. The mechanisms of work-related asthma (WRA) are incompletely delineated. Nasal cell samples may be informative about processes in the lower airways. Our aim was to determine the nasal protein expression profiles of WRA caused by different kind of exposures.We collected nasal brush samples from 82 nonsmoking participants, including healthy controls and WRA patients exposed to (i) protein allergens, (ii) isocyanates (...) the largest effects on the proteome. Hierarchical clustering revealed that protein allergen- and isocyanate-related asthma had similar profiles, whereas asthma related to welding fumes differed. The highly overrepresented functional categories in the asthma groups were defence response, protease inhibitor activity, inflammatory and calcium signalling, complement activation and cellular response to oxidative stress. Immunological analysis confirmed the found abundance differences in galectin 10 and protein

2017 Allergy

8. Pneumococcal Vaccination Among Adults With Work-related Asthma. Full Text available with Trip Pro

Pneumococcal Vaccination Among Adults With Work-related Asthma. Pneumococcal vaccination is recommended for all adults with asthma and a Healthy People 2020 goal aims to achieve 60% coverage among high-risk adults, including those with asthma. Adults with work-related asthma have more severe asthma symptoms than those with non-work-related asthma and are particularly vulnerable to pneumococcal pneumonia.To assess pneumococcal vaccination coverage by work-related asthma status among ever (...) -employed adults aged 18-64 years with current asthma, data from the 2012-2013 Behavioral Risk Factor Surveillance System Asthma Call-back Survey for ever-employed adults (18-64 years) with current asthma from 29 states were examined in 2016. Adults with work-related asthma had ever been told by a physician their asthma was work-related. Pneumococcal vaccine recipients self-reported having ever received a pneumococcal vaccine. Multivariate logistic regression was used to calculate adjusted prevalence

2017 American journal of preventive medicine

9. Fragrances and work-related asthma-California surveillance data, 1993-2012. (Abstract)

Fragrances and work-related asthma-California surveillance data, 1993-2012. Fragrance chemicals are used in a large array of products. Workers may be exposed to these chemicals in the workplace directly when used as air fresheners, or indirectly in personal care products used by coworkers or others. This study characterizes work-related asthma (WRA) cases associated with fragrance exposures in California workplaces from 1993 through 2012.We used the California Work-Related Asthma Prevention (...) included 242 associated with perfume or cologne, 32 associated with air freshener, and 4 associated with both. Similar to non-fragrance cases, nearly a quarter of fragrance-associated cases were classified as new-onset asthma. Fragrance-associated cases were significantly more likely to be in office, health, and education jobs than non-fragrance-associated cases. When compared to non-fragrance cases, fragrance cases were significantly more likely to be female (94% vs 62%) and be classified as having

2017 Journal of Asthma

10. A systematic review of the health-related outcomes in subjects with work-related asthma

A systematic review of the health-related outcomes in subjects with work-related asthma Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing

2018 PROSPERO

11. Work-Related Asthma

Work-Related Asthma Work-Related Asthma Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Work-Related Asthma Work-Related Asthma Aka (...) : Work-Related Asthma , Occupational Asthma , Work-Aggravated Asthma , Asthma in the Workplace , Occupational Lung Disease II. Epidemiology Occupational Asthma accounts for 15% of new cases in adults Estimated 1.9 million new cases/year (2012) III. Types: Occupational Lung Disease Work-Aggravated Asthma Preexisting worsened by workplace exposure See Occupational Asthma (90% of cases) Caused by sensitizers (immune-mediated response) High molecular weight sensitizers induce IgE response and are most

2018 FP Notebook

12. Effect of Asthma Call-back Survey methodology changes on work-related asthma estimates, 19 states, 2007-2012. Full Text available with Trip Pro

Effect of Asthma Call-back Survey methodology changes on work-related asthma estimates, 19 states, 2007-2012. Asthma Call-back Survey methodology has been changed recently, as a new sampling design, weights calculation (2011-2012), and revised work-related asthma (WRA) section (2012) were implemented. To assess the effect of these changes on the WRA and possible WRA estimates among ever-employed adults with current asthma, we analyzed 2007-2012 data for 37 505 ever-employed adults (≥18 years (...) WRA estimates ranged from 35.1% to 38.1% during 2007-2010, was 38.1% in 2011 and 39.8% in 2012. Using the 2012 LLP/CP household data, the WRA and possible WRA estimates were 15.4% and 38.9%, respectively.Implementation of "raking" weights did not substantially change the WRA or possible WRA estimates among ever-employed adults with current asthma. The WRA and possible WRA estimates based on LLP and LLP/CP samples in 2012 were comparable, as CP users are younger and less likely to have WRA

2016 Journal of Asthma

13. Asthma control and productivity loss in those with work-related asthma: a population-based study. (Abstract)

Asthma control and productivity loss in those with work-related asthma: a population-based study. In Canada, asthma is the third leading cause of work loss, yet little is known about the associated productivity loss. The goal of this study was to look at the relationship between asthma control and productivity loss, particularly contrasting those with work-related asthma (WRA) and non-work-related asthma (NWRA).A population-based random sample of adults with asthma in British Columbia, Canada (...) , was prospectively recruited. Asthma control was graded according to Global Initiative for Asthma classification, while productivity loss and presence of WRA was assessed using questionnaires. Ordinal regression models were then used to associate WRA with asthma control. Generalized linear models were applied to estimate the average productivity loss associated with different levels of asthma control among those with WRA and NWRA.The study included 300 employed adults. Sixty (20%) had WRA. The odds of being

2016 Journal of Asthma

14. The use of a work-related asthma screening questionnaire in a primary care asthma program: an intervention trial. (Abstract)

The use of a work-related asthma screening questionnaire in a primary care asthma program: an intervention trial. The work-related asthma screening questionnaire (long-version) (WRASQ(L)) is a 14-item tool designed to increase the recognition of work-related asthma (WRA) in primary care. The purpose of this study was to assess whether the WRASQ(L) provided additional information about a patient's likelihood of WRA, beyond what was collected in standard care, and to assess the use of the WRASQ(L (...) Board.The study sample (N = 37) was predominantly female (73.0%), with a mean age of 46.3 years (SD, 10.9). The use of WRASQ(L) identified additional work-related symptoms in 38% and exposures in 60% of participants over and above those identified by the ACM. Two participants were newly suspected of WRA during the study period.The WRASQ(L) provided added information about possible WRA over standard care. The use of the questionnaire's results by care providers was limited due to barriers encountered

2015 Journal of Asthma

15. Adult asthma care: promoting control of asthma, second edition.

of this guideline. These include: Assessment and management recommendations specific to children Asthma – chronic obstructive pulmonary disease (COPD) overlap syndrome Assessment and management recommendations specific to asthma in pregnancy Pharmacological management of asthma Work-related asthma Evaluation Identifying adults with an asthma diagnosis Assessment of level of asthma Determining presence of an asthma exacerbation and risk of future exacerbations Identifying factors affecting the complexity (...) Rehabilitation and Adult Asthma Clinic, Medical Student, Class of 2020, Northern Ontario School of Medicine/École de médecine du Nord de l'Ontario (September 2016–present), Sudbury, Ontario; Meeran Manji, RN, CRE, Nurse Coordinator, Pulmonary Rehabilitation Clinic, Toronto Western Hospital, University Health Network, Toronto, Ontario; Elizabeth McGroarty, RN, COHN, CHRM, Work-Related Asthma Project Coordinator, The Lung Association—Ontario, Toronto, Ontario; Christine Miller, MPH, BEd, NP-PHC, CRE, Nurse

2017 National Guideline Clearinghouse (partial archive)

16. Adult Asthma Care: Promoting Control of Asthma

. Pharmacological management is comprehensively addressed in the CTS 2012 Guideline Update (Lougheed et al., 2012). ? Work-related asthma. While it is acknowledged that work-related asthma G (WRA) affects many adults with asthma, recommendation statements specific to WRA have not been developed. However, many of the recommendations are relevant for health-care providers, including occupational health nurses, who practise with individuals in this population. This Guideline is designed to apply to all domains (...) Adult Asthma Care: Promoting Control of Asthma Clinical Best Practice Guidelines Adult Asthma Care: Promoting Control of Asthma Second Edition MAY 2017Disclaimer These guidelines are not binding on nurses or the organizations that employ them. The use of these guidelines should be flexible, and based on individual needs and local circumstances. They neither constitute a liability nor discharge from liability. While every effort has been made to ensure the accuracy of the contents at the time

2017 Registered Nurses' Association of Ontario

17. Trends in Occupations and Work Sectors among Work-Related Asthma Patients at a Canadian Tertiary Care Clinic. Full Text available with Trip Pro

Trends in Occupations and Work Sectors among Work-Related Asthma Patients at a Canadian Tertiary Care Clinic. Work-related asthma (WRA) is the most common chronic occupational lung disease in the developed world. Several factors including sociodemographic status and occupation/industry increase the risks of developing WRA. In this study, we sought to identify changes in patterns and characteristics among patients with WRA over a 15-year period in an occupational lung disease clinic.We performed (...) in work sectors in the patients with WRA in this clinic in Toronto are consistent with reductions reported in Ontario workers' compensation claims for occupational asthma and may relate to preventive measures. Cleaners and teachers should be a focus of further intervention measures for work-related asthma.Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

2016 Chest

18. Evaluation of the Efficacy of a Web-Based Work-Related Asthma Educational Tool. (Abstract)

Evaluation of the Efficacy of a Web-Based Work-Related Asthma Educational Tool. Work-related asthma (WRA) has been estimated to account for 15-20% of adult asthma cases. Studies have indicated that a substantial number of asthma patients have inadequate knowledge of work-related effects on their disease, which may contribute to suboptimal asthma control. A Canadian web-based educational tool on WRA was developed to address this knowledge gap in the population.To evaluate the effectiveness (...) of this web-based tool.Participants were recruited prior to a routine visit at a tertiary care asthma clinic in Toronto. A brief WRA knowledge questionnaire was developed and administered immediately before and after using of the web-based educational tool, and one year later.The study sample (N = 34) was mostly female (68%) with a mean age of 50.7 (SD, 17.2). Participants demonstrated significant improvement in questionnaire scores following interaction with the tool. The mean score increased from 76

2016 Journal of Asthma

19. Assessment of work-related asthma prevalence, control and severity: protocol of a field study. Full Text available with Trip Pro

therapeutical and preventive measures. Moreover, there is a lack of knowledge concerning their actual costs.This project aims at comparing 3 groups of asthmatic subjects at work: subjects with OA, with WEA, and with non-work-related asthma (NWRA) in terms of control, severity and quality of life on the one hand, and estimating the prevalence of OA, WEA and NWRA in active workers and the economic costs of OA and WEA, on the other hand. Control will be assessed using the Asthma Control Test questionnaire (...) Assessment of work-related asthma prevalence, control and severity: protocol of a field study. There are still uncertainties regarding the respective prevalence, diagnosis and management of occupational asthma (OA) and work-exacerbated asthma (WEA). There is as yet no standardized methodology to differentiate their diagnosis. A proper management of both OA and WEA requires tools for a good phenotyping in terms of control, severity and quality of life in order to propose case-specific

2016 BMC Public Health

20. British guideline on the management of asthma

British guideline on the management of asthma SIGN158 British guideline on the management of asthma A national clinical guideline First published 2003 Revised edition published July 2019Key to evidence statements and recommendations Levels of evidence 1 ++ High-quality meta-analyses, systematic reviews of RCTs, or RCTs with a very low risk of bias 1 + Well-conducted meta-analyses, systematic reviews, or RCTs with a low risk of bias 1 – Meta-analyses, systematic reviews, or RCTs with a high risk (...) (www.sign.ac.uk/sign-50). More information on accreditation can be viewed at www.evidence.nhs.ukBritish guideline on the management of asthma A national clinical guideline First published 2003 Revised edition published July 2019 Scottish Intercollegiate Guidelines Network British Thoracic Society 978-1-909103-70-2 First published 2003 Revised edition published July 2019 Scottish Intercollegiate Guidelines Network Gyle Square, 1 South Gyle Crescent Edinburgh EH12 9EB www.sign.ac.uk British Thoracic Society 17

2019 SIGN

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