title: Multicentre cohort study 'Rehabilitation of Occupational Skin Diseases - Optimization and Quality Assurance of Inpatient Management (ROQ)': results from a 3-year follow-up.
abstract: BACKGROUND
  A tertiary individual prevention programme (TIP) is offered to patients with severe occupational skin disease (OSD) in Germany. Previously, it was shown that the burden of OSDs is considerably reduced in patients up to 1 year after the TIP.
  
  
  OBJECTIVE
  To evaluate the long-term effects of the TIP.
  
  
  METHODS
  In a prospective multicentre cohort study, the clinical and patient-reported outcome data 3 years after the TIP were evaluated.
  
  
  RESULTS
  Of the 1788 patients initially included in the study, 1410 were available for the 3-year follow-up analysis. The severity of OSD, the use of topical corticosteroids and days of absence from work were significantly reduced 3 years after the TIP, and the quality of life and skin protective behaviour were significantly improved. Of the patients, 96.9% were able to resume work. One thousand one hundred and sixty-six patients (82.7%) were still working 3 years after the TIP, 874 of them (75.0%) in the same occupational field. Hairdressers had the lowest rate of remaining in their original profession (41.3%).
  
  
  CONCLUSIONS
  The follow-up during 3 years of this unique cohort of patients with OSDs shows that the TIP is associated with sustained improvements in terms of disease severity, ability to work, quality of life, and prognosis.
authors.affiliation: Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, 49090 Osnabrück, Germany. rbrans@uos.de.|Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) at the University of Osnabrück and Dermatologic Centre, Trauma Hospital, 21033 Hamburg, Germany. rbrans@uos.de.
authors.forename: Richard
authors.initials: R
authors.lastname: Brans
authors.affiliation: Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, 49090 Osnabrück, Germany.|Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) at the University of Osnabrück and Dermatologic Centre, Trauma Hospital, 21033 Hamburg, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Skudlik
authors.affiliation: Department of Clinical Social Medicine, Occupational and Environmental Dermatology, University of Heidelberg, 69115 Heidelberg, Germany.
authors.forename: Elke
authors.initials: E
authors.lastname: Weisshaar
authors.affiliation: Department of Clinical Social Medicine, Occupational and Environmental Dermatology, University of Heidelberg, 69115 Heidelberg, Germany.
authors.forename: Reginald
authors.initials: R
authors.lastname: Scheidt
authors.affiliation: Department of Clinical Social Medicine, Occupational and Environmental Dermatology, University of Heidelberg, 69115 Heidelberg, Germany.
authors.forename: Robert
authors.initials: R
authors.lastname: Ofenloch
authors.affiliation: Department of Dermatology, University Hospital Jena, 07743 Jena, Germany.|Statutory Accident Insurance Clinic of Occupational Diseases, 08233 Falkenstein, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Elsner
authors.affiliation: Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, 49090 Osnabrück, Germany.|Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) at the University of Osnabrück and Dermatologic Centre, Trauma Hospital, 21033 Hamburg, Germany.
authors.forename: Britta
authors.initials: B
authors.lastname: Wulfhorst
authors.affiliation: Clinic for Occupational Diseases of the VBG (Statutory Accident Insurance), 83435 Bad Reichenhall, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Schönfeld
authors.affiliation: Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, 49090 Osnabrück, Germany.|Institute for Interdisciplinary Dermatologic Prevention and Rehabilitation (iDerm) at the University of Osnabrück and Dermatologic Centre, Trauma Hospital, 21033 Hamburg, Germany.
authors.forename: Swen M
authors.initials: SM
authors.lastname: John
authors.affiliation: Department of Clinical Social Medicine, Occupational and Environmental Dermatology, University of Heidelberg, 69115 Heidelberg, Germany.
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Diepgen
mesh_terms: D000279:Administration, Cutaneous; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D015331:Cohort Studies; D060389:Construction Industry; D017449:Dermatitis, Allergic Contact / Q000188:drug therapy / Q000534:rehabilitation*; D017453:Dermatitis, Irritant / Q000188:drug therapy / Q000534:rehabilitation*; D009783:Dermatitis, Occupational / Q000188:drug therapy / Q000534:rehabilitation*; D005260:Female; D005511:Food Handling; D005858:Germany; D006229:Hand Dermatoses / Q000188:drug therapy / Q000534:rehabilitation*; D019981:Health Care Sector; D006760:Hospitalization; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008670:Metals; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D011788:Quality of Life; D062707:Return to Work; D018582:Sick Leave / Q000706:statistics & numerical data; D055512:Tertiary Prevention / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D008670:Metals
keywords: contact dermatitis; evaluation; follow-up; hand eczema; intervention; occupational skin diseases; prevention