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Systematic screening of occupational exposures in patients with prostate or kidney cancer

Alaric Thibaud1, Barbara Charbotel1, Philippe Paparel2

  • 1CRPPE, Hospices Civils de Lyon, Lyon, France.

The French Journal of Urology
|July 7, 2026
PubMed
Abstract

Insights

A screening of kidney and prostate cancer patients identified those with occupational exposures, enabling 10.5% to file claims for work-related illnesses like pesticide-linked prostate cancer and trichloroethylene-linked kidney cancer.

Area of Science:

  • Occupational health
  • Oncology
  • Toxicology

Background:

  • Occupational exposures are known risk factors for kidney and prostate cancers.
  • France offers compensation for trichloroethylene-related kidney cancer and pesticide-related prostate cancer since 2021-2022.
  • Occupational disease underreporting remains a significant issue.

Purpose of the Study:

  • To implement and evaluate a systematic screening for occupational exposures in kidney and prostate cancer patients.
  • To identify patients eligible for occupational disease compensation.
  • To assess the effectiveness of a physician-led occupational exposure assessment.

Main Methods:

  • A self-administered questionnaire collected job history and carcinogen exposure data.
  • Physicians reviewed questionnaires to determine the need for specialized occupational consultations.
  • Medical certificates were issued for patients with potential compensation claims.

Main Results:

  • Out of 208 patients surveyed, 105 completed questionnaires (84 prostate, 25 kidney cancer).
  • 14 patients required a specialized consultation.
  • 11 patients (10.5%) were recommended for compensation claims: 8 for pesticide-linked prostate cancer and 3 for trichloroethylene-linked kidney cancer.

Conclusions:

  • The screening procedure successfully identified patients whose kidney or prostate cancer could be recognized as an occupational disease.
  • A specialized occupational interview is crucial for informing patients of their rights and facilitating claims.
  • Systematic screening can improve the reporting and compensation of occupationally related cancers.
Keywords:
Cancer de la prostateCancer du reinExposition professionnelleKidney cancerMaladie professionnelleOccupational diseaseOccupational exposuresProstate cancerQuestionnaire auto-administréSelf-administered questionnaires

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