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A Novel Questionnaire and Algorithm for Work-Related Asthma Screening and Surveillance: An EAACI Task Force Report
Mohamed F Jeebhay1, Hille Suojalehto2, Susan M Tarlo3
1Occupational Medicine Division and Centre for Environmental & Occupational Health Research, University of Cape Town, Cape Town, South Africa.
A new questionnaire and algorithm were developed to identify work-related asthma (WRA). This standardized instrument aids in workplace surveillance and epidemiological studies for occupational lung diseases.
Area of Science:
- Occupational Medicine
- Epidemiology
- Pulmonology
Background:
- Work-related exposures cause significant asthma cases and exacerbations, termed work-related asthma (WRA).
- A validated, standardized WRA questionnaire is crucial for workplace surveillance and epidemiological research.
Purpose of the Study:
- To review existing evidence on WRA questionnaires and algorithms.
- To propose a standardized instrument for detecting suspected work-related asthma.
Main Methods:
- A comprehensive scoping review of PubMed, Embase, and Cochrane databases up to March 2021.
- Identification of high-quality studies focusing on asthma, occupational diseases, questionnaires, and algorithms.
- Data extraction on instrument development, validation, and performance to inform a new WRA tool.
Main Results:
- Six studies were included in the review.
- A novel WRA questionnaire comprising 14 questions on asthma and work-related symptoms was developed.
- An algorithm was created to calculate a Work-Related Asthma Total Score (WRATS), with a score ≥1 indicating potential WRA requiring further evaluation.
Conclusions:
- This study presents the first WRA questionnaire derived from validated instruments.
- Further validation and performance evaluation in diverse settings are necessary for refinement and broader application.
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