title: The European Status Quo in legal recognition and patient-care services of occupational skin cancer.
abstract: BACKGROUND
  Skin cancer is the most common malignancy in Caucasian populations worldwide and ultraviolet radiation (UVR) is known for being the number one carcinogen. As, especially in outdoor workers, UVR is an inevitable carcinogen, the prevention and management of UVR-related skin cancers in these at-risk populations represent a collective challenge for dermatologists and healthcare policymakers likewise.
  
  
  OBJECTIVE
  To provide an overview on the current regulations on the acknowledgement and management of work-related skin cancer in 11 European countries.
  
  
  METHODS
  Dermatologists from 11 countries networking within the EU Horizon 2020 COST Action TD1206 'StanDerm' contributed to a standardized survey regarding current national regulations, implemented for the recognition, prevention and management as well as possible compensation regulations in their individual country of residence.
  
  
  RESULTS
  Ten of 11 participating countries in this survey reported the existence of an established programme available on certain occupational diseases; work-related skin diseases were only specifically recognized in eight countries. Seven of 11 countries recognize cutaneous squamous cell carcinoma in outdoor workers as 'occupational skin cancer'. Basal cell carcinoma (6 of 11), actinic keratosis (5 of 11), Bowen's disease (5 of 11) and malignant melanoma (5 of 11) are not as regularly approved as potentially 'work-induced'. Only a few of the countries included into this survey established a general documentation system (national registry) on occupational skin diseases. So far, representatives of only three countries of this survey referred to a specific established national programme for the prevention, management or compensation of occupational skin cancers acquired during work-related UVR exposure.
  
  
  CONCLUSIONS
  This survey highlights the need for mandatory regulations on the prevention, management and potential compensation of work-related UV-induced skin cancer across Europe. Against the background of a joint European domestic market, equal standards of occupational safety across Europe should include binding regulations for the protection and management of work-related skin cancer. The design of a common regulation to meet the increasing incidence of skin cancers in outdoor workers should become part of the European agenda, ensuring equal working and living conditions in the member states.
authors.affiliation: Department of Dermatology, Skin Cancer Centre, Charité Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Ulrich
authors.affiliation: Dermato-oncology Research Unit, Colentina Clinical Hospital, and Dermato-oncology Research Unit, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: C
authors.initials: C
authors.lastname: Salavastru
authors.affiliation: Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
authors.forename: T
authors.initials: T
authors.lastname: Agner
authors.affiliation: Department of Dermatology, University Hospital Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Bauer
authors.affiliation: Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), University of Osnabrueck, Osnabrueck, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Brans
authors.affiliation: Department of Dermatology, Cochin Broca Hotel-Dieu Hospital, Paris, France.
authors.forename: M N
authors.initials: MN
authors.lastname: Crepy
authors.affiliation: Faculty Hospital, Department of Dermatology, Charles University Prague, Prague, Czech Republic.
authors.forename: K
authors.initials: K
authors.lastname: Ettler
authors.affiliation: Department of Occupational Medicine, University of Modena and Reggio Emilia, Modena, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Gobba
authors.affiliation: Hospital and Faculty of Medicine, Department of Dermatology, University of Coimbra, Coimbra, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Goncalo
authors.affiliation: Department of Dermatology, Hospital M. Kopernika, Gdansk, Poland.
authors.forename: B
authors.initials: B
authors.lastname: Imko-Walczuk
authors.affiliation: Manchester Royal Infirmary (RMI), Central Manchester University Hospitals, Manchester, UK.
authors.forename: J
authors.initials: J
authors.lastname: Lear
authors.affiliation: Institute for Medical Research and Occupational Health, Zagreb, Croatia.
authors.forename: J
authors.initials: J
authors.lastname: Macan
authors.affiliation: Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Modenese
authors.affiliation: Department of Dermatology and Venereology, University of Gothenburg, Gothenburg, Sweden.
authors.forename: J
authors.initials: J
authors.lastname: Paoli
authors.affiliation: Unit of Occupational Medicine, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Sartorelli
authors.affiliation: Department of Dermatology, University of Stavanger, Stavanger, Norway.
authors.forename: K
authors.initials: K
authors.lastname: Stageland
authors.affiliation: Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), University of Osnabrueck, Osnabrueck, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Weinert
authors.affiliation: Department of Dermatology, Skin Cancer Centre, Charité Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: N
authors.initials: N
authors.lastname: Wroblewski
authors.affiliation: Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
authors.forename: H C
authors.initials: HC
authors.lastname: Wulf
authors.affiliation: Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm), University of Osnabrueck, Osnabrueck, Germany.|Chair of EADV Media & PR Committee, and EU Horizon2020 COST Action StanDerm, Department of Dermatology and Environmental Medicine, University of Osnabrueck, Osnabrueck, Germany.
authors.forename: S M
authors.initials: SM
authors.lastname: John
mesh_terms: D005060:Europe; D006801:Humans; D009784:Occupational Diseases / Q000628:therapy*; D012878:Skin Neoplasms / Q000628:therapy*