Healthcare for obstructive lung disease in an industrial spirometry surveillance program.
OBJECTIVE
The efficacy of workplace spirometry surveillance programs is unclear. We examine whether aluminum industry workers with airflow obstruction (AO) received health care for obstructive lung disease.


METHODS
We performed a cross sectional analysis over 7 years of 6821 aluminum production workers. The primary outcome was the association between obstructive lung disease insurance claims and the presence of AO. We also examined whether the presence of claims was associated with increasing AO severity.


RESULTS
Although workers with AO more frequently had claims, 60% of workers with AO, most frequently those with mild and borderline obstruction, had no claim.


CONCLUSIONS
Workers with AO, particularly borderline and mild obstruction, frequently do not receive health care despite respiratory surveillance. Further investigation is needed to determine if workers with undiagnosed AO are symptomatic or have accelerated losses in lung function over time.
Gulati
Mridu
M
Yale University School of Medicine, New Haven, Conn., USA. mridu.gulati@yale.edu
Slade
Martin D
MD
Fiellin
Martha G
MG
Cullen
Mark R
MR
D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007221:Industry; D008173:Lung Diseases, Obstructive / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D011159:Population Surveillance; D012720:Severity of Illness Index; D013147:Spirometry