The use of a medical information system in the detection of occupational oncological pathology in the Krasnoyarsk Territory

Introduction. The article tells about the consistently low levels of detection of occupational malignant neoplasms (OMN) for many years in the Russian Federation. This creates a picture of imaginary well-being, which does not allow us to objectively characterize the real risks to public health associated with exposure to carcinogens in the workplace.

The study aims to develop and practically test an algorithm for detecting occupational malignant neoplasms using a medical information system.

Materials and methods. On the basis of the medical information system used in the Krasnoyarsk Regional Center of Occupational Pathology («Regional Clinical Hospital»), specialists have developed and put into practice a system for detecting occupational malignant diseases. The combination of information flows from the main institutions providing medical care in the field of Oncology, the selection of patient data using information about the place of work, probable professional contact with carcinogens (according to data provided by the Office of Rospotrebnadzor in the Krasnoyarsk Territory), allowed us to analyze the information received about patients.

Results. In case of a positive decision of the commission on suspicion of the professional nature of the disease, taking into account the professional route, the localization of the OMN and the current list of occupational diseases, the specialists initiated a procedure for examining the connection of the disease with the profession. During the three quarters of 2024, the researchers analyzed 437 cases of diseases with subsequent registration of sanitary and hygienic characteristics in 25 cases. Of the selected cases, the link between the disease and the profession has currently been established in 9 cases, 10 cases are in the works at the time of writing. In other cases, specialists recognized the diseases as common.

Limitations. The study was limited by the time frame and the number of identified cases of neoplasms submitted for detailed consideration.

Conclusion. The implemented system made it possible in less than a year to identify the number of cases of occupational cancer in only one subject of the Federation (Krasnoyarsk Territory), corresponding to almost half of the number of occupational cancers detected in the whole country. The use of a medical information system expands the possibilities of diagnosing occupational diseases.

Ethics. The conducted research did not require the conclusion of the Ethics Committee.

Contribution:
Zakharinskaya O.N. — research concept and design, statistical data processing, text writing, editing;
Korchagin E.E. — concept and design of the study, editing;
Cherkashin O.A. — development and implementation of work software;
Goryaev D.V. — research concept and design, writing, editing;
Fadeev A.G. — writing the text;
Serebryakov P.V. — text writing, statistical data processing, editing;
Strizhakov L.A. — writing, editing.

Funding. The study had no funding.

Conflict of interests. The authors declare no conflict of interests.

Received: 20.10.2024 / Accepted: 19.11.2024 / Published: 10.12.2024

1. Malignant neoplasms in Russia in 2023 (morbidity and mortality). Edited by A.D. Kaprin et al. M.: P.A. Herzen Moscow State Medical Research Institute — branch of the Federal State Budgetary Institution «NMIC Radiology» of the Ministry of Health of Russia; 2024 (in Russian).

2. Ádám B., Modenese A., Loney T. Editorial: Occupation and cancer: new insights into burden, risk factors, and prevention. Front Public Health. 2024; 11: 1343952. https://doi.org/10.3389/fpubh.2023.1343952

3. Krief P., Cohidon C., Turcu V. et al. Occupational cancers: essentials for the general practioners. Rev. Med. Suisse. 2022; 18(788): 1313–1321. https://doi.org/10.53738/REVMED.2022.18.788.1313 (in French).

4. Turner M.C., Straif K., Kogevinas M., Schubauer-Berigan M.K. Five decades of occupational cancer epidemiology. Scand J Work Environ Health. 2024; 50(7): 489–502. https://doi.org/10.5271/sjweh.4190

5. Gorblyansky Yu.Yu., Piktushanskaya T.E., Panova M.A. et al. The burden of occupational diseases of the respiratory system. Med. truda i prom. ekol. 2021; 61(4): 243–252. https://doi.org/10.31089/1026-9428-2021-61-4-243-252 https://elibrary.ru/vcsokf (in Russian).

6. European statistics of occupational diseases. https://clck.ru/3Em7Fb (accessed 10.10.2024).

7. Incidence and detection of occupational cancers in nine European countries. Germany, Austria, Belgium, Denmark, Finland, France, Italy, Sweden and Switzerland. Eurogip. The research report. December 2018. Link. Eurogip — 141/E. https://clck.ru/3EjDi3 (accessed 10.15.2024).

8. Bovio N., Wilde P., Guseva Kanu I. Swiss National Cohort (SNC). Lung Cancer Mortality in the Swiss Working Population: The Effect of Occupational and Non-Occupational Factors. J. Occup. Environ Med. 2021; 63(12): 1029–1036. https://doi.org/10.1097/jom.0000000000002302

9. Olsson E., Schubauer-Berigan M., Schutz J. Strategies of the International Agency for Research on Cancer to reduce the burden of occupational malignancies. Med. truda i prom. ekol. 2021; 61(3): 140–154. https://doi.org/10.31089/1026-9428-2021-61-3-140-154 https://elibrary.ru/jvrawe (in Russian).

10. Carles C., Verdun-Esquer C., Leclerc I., Baldi I. Occupational cancers: Risks and prevention. Bull Cancer. 2019; 106(7–8): 665–677. https://doi.org/10.1016/j.bulcan.2018.10.010 (in French).

11. Delabrusse B., Le Meur B., Vazquez L. et al. Cancers induced by occupational exposure: What progress has been made? Bull. Cancer. 2022; 109(10): 1029–1039. https://doi.org/10.1016/j.bulcan.2022.05.008 (in French).

12. McClure L.A., Koru-Sengul T., Hernandez M.N. et al. Availability and accuracy of occupation in cancer registry data among Florida firefighters. PLoS One. 2019; 14(4): e0215867. https://doi.org/10.1371/journal.pone.0215867

13. On the state of sanitary and epidemiological well-being of the population in the Russian Federation in 2022: State report. Moscow: Federal Service for Supervision of Consumer Rights Protection and Human Well-being; 2023 (in Russian).

14. Ilnitsky A.P., Solenova L.G. Topical issues of occupational cancer in Russia. Med. truda i prom. ekol. 2017; 3: 1–5. https://elibrary.ru/ygbnsh (in Russian).

15. Belitsky G.A., Kirsanov K.I., Lesovaya E.A. et al. Chemical carcinogenesis and primary cancer prevention. Moscow: ABC Press; 2020 (in Russian).

16. Ilnitsky A.P. Primary cancer prevention. M.: ABC-press; 2023 (in Russian).

17. Lezhnev O.K., Chashchin M.V., Laurson N.N. Theoretical, methodological and organizational aspects of the examination to establish a cause-and-effect relationship. Med. truda i prom. ekologiya. 2019; 59(9): 677–678. https://doi.org/10.31089/1026-9428-2019-59-9-677-678 https://elibrary.ru/fuoiwx (in Russian).

18. Milutka E.V., Grebenkov S.V., Retnev V.M. On the issue of low detection of occupational cancer. Med. truda i prom. ekol. 2017; 9: 130 https://elibrary.ru/zfqkud (in Russian).

19. On the state of sanitary and epidemiological welfare of the population in the Krasnoyarsk Territory in 2021: State report. Office of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Krasnoyarsk Territory; 2022 (in Russian).

20. List of classifications for cancer localization with sufficient or limited evidence in humans, volumes 1–136 a of IARC monographs (last updated: July 5, 2024). https://clck.ru/3Em7ME (accessed 10.10.2024).

21. Leung L., Lavue J., Semyatitsky J., Genel P., Kushik A. Occupational environment and risk of ovarian cancer. Occup. Environment Med. 2023; 80(9): 489–497. https://doi.org/10.1136/oemed-2022-108557