Are we failing workers with symptoms suggestive of occupational asthma?

  • David Fishwick
  • , Lisa Bradshaw
  • , Jo Davies
  • , Mandy Henson
  • , Chris Stenton
  • , Sherwood Burge
  • , Rob Niven
  • , Chris J Warburton
  • , David Hendrick
  • , Trevor Rogers
  • , Roger Rawbone
  • , Andrew D Curran

Research output: Contribution to journalArticlepeer-review

Abstract

AIMS: To assess the route to secondary care for patients with possible occupational asthma, and to document the duration of workrelated symptoms and referral times.

METHODS: Consecutive patients with suspected occupational asthma were recruited to a case series from six secondary care clinics with an interest in occupational asthma. Semi-structured interviews were performed and hospital case notes were reviewed to summarise relevant investigations and diagnosis.

RESULTS: 97 patients were recruited, with a mean age of 44.2 years (range 24-64), 51 of whom (53%) had occupational asthma confirmed as a diagnosis. Most (96%) had consulted their general practitioner (GP) at least once with work-related respiratory symptoms, although these had been present for a mean of 44.6 months (range 0-320 months) on presentation to secondary care. Patients experienced a mean delay for assessment in secondary care of 4 years (range 1-27 years) following presentation in primary care.

CONCLUSIONS: Significant diagnostic delay currently occurs for patients with occupational asthma in the UK.

Original languageEnglish
Pages (from-to)304-10
Number of pages7
JournalPrimary Care Respiratory Journal
Volume16
Issue number5
DOIs
Publication statusPublished - Oct 2007

Keywords

  • Adult
  • Asthma/diagnosis
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Diseases/diagnosis
  • Referral and Consultation/statistics & numerical data
  • Time Factors

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