Pitfalls of using the ILO classification for silicosis compensation claims

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dc.authoridTöreyin, Zehra Nur/0000-0001-9535-5207
dc.authoridÖzmen, İpek/0000-0002-3448-3675
dc.authoridAkgün, Metin/0000-0003-3404-4274
dc.authoridYILDIRIM, ELİF/0000-0001-8724-5331
dc.authoridArbak, Peri/0000-0001-5730-0790
dc.authorwosidTöreyin, Zehra Nur/ADF-0894-2022
dc.authorwosidÖzmen, İpek/I-3449-2018
dc.authorwosidYILDIRIM, ELİF/O-5369-2018
dc.authorwosidAkgün, Metin/A-9993-2008
dc.contributor.authorAkgün, Metin
dc.contributor.authorÖzmen, İpek
dc.contributor.authorYıldırım, Elif Ozari
dc.contributor.authorTüzün, Bahar
dc.contributor.authorToreyin, Zehra Nur
dc.contributor.authorKayinova, Atinc
dc.contributor.authorArbak, Peri
dc.date.accessioned2023-07-26T11:50:30Z
dc.date.available2023-07-26T11:50:30Z
dc.date.issued2022
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Göğüs Hastalıkları Ana Bilim Dalıen_US
dc.description.abstractBackground The International Labour Organization (ILO) Classification of Radiographs of Pneumoconioses is used as the primary tool to determine compensation for pneumoconiosis in Turkey. Aims We aimed to evaluate how the ILO classification applied, but obtaining chest radiographs in the workplace for screening until the completion of compensation claim files by the referral centres, based on the ILO reading. Methods The study included 320 digital chest radiographs previously taken for screening from eight different ceramic factories and having finalised claim files by referral centres. We used an expert reference panel consisting of five ILO readers to re-evaluate all the radiographs independently using ILO standard films and reached a conclusion based on the agreement among at least three readers. The evaluation primarily included technical quality and silicosis diagnosis with an ILO 1/0 or above small profusion. The results were compared with previous findings. Results Sixty-three (20%) chest radiographs were unacceptable for classification purposes according to the ILO technical quality grades. Among the remaining 257 chest radiographs, we diagnosed 103 with silicosis (40%), while the referral centres diagnosed 182 (71%). A discrepancy was found between our results and previous evaluations. We diagnosed silicosis in 50% and 17% of the previous silicosis and normal evaluations, respectively. Conclusions Our findings suggest that the use of the ILO classification for compensation claims may be problematic due to the way of its implementation in Turkey in addition to its subjectivity.en_US
dc.description.sponsorshipTurkish Thoracic Society (TTS)en_US
dc.description.sponsorshipThe study was funded by Turkish Thoracic Society (TTS). The opinions, findings and conclusion expressed in this publication are those of authors and not necessarily those of TTS.en_US
dc.identifier.doi10.1093/occmed/kqac010
dc.identifier.endpage377en_US
dc.identifier.issn0962-7480
dc.identifier.issn1471-8405
dc.identifier.issue6en_US
dc.identifier.pmid35304606en_US
dc.identifier.scopus2-s2.0-85136909899en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage372en_US
dc.identifier.urihttps://doi.org/10.1093/occmed/kqac010
dc.identifier.urihttps://hdl.handle.net/20.500.12684/12363
dc.identifier.volume72en_US
dc.identifier.wosWOS:000770710000001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorArbak, Peri
dc.language.isoenen_US
dc.publisherOxford Univ Pressen_US
dc.relation.ispartofOccupational Medicine-Oxforden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz$2023V1Guncelleme$en_US
dc.subjectCompensation; Ilo; Pneumoconiosis; Silicosisen_US
dc.subjectPneumoconiosis; Radiographs; Workersen_US
dc.titlePitfalls of using the ILO classification for silicosis compensation claimsen_US
dc.typeArticleen_US

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