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
2007 Primary Care Respiratory Journal  
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
more » ... ed, 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.
doi:10.3132/pcrj.2007.00064 pmid:17934677 fatcat:duzpf32nirdl3eesi4iy47qota