Magazine Risco Zero Nº13

Professor Doutor António Jorge Ferreira × Professor Auxiliar de Epidemiologia e Medicina Preventiva da Fa- culdade de Medicina da Universidade de Coimbra. × Especialista em Medicina do Trabalho. Especialista em Pneumo- logia. Assistente hospitalar graduado de Pneumologia do Centro Hospitalar Universitário de Coimbra (Hospitais da Universidade de Coimbra), onde é responsável pela consulta de Doenças Respirató- rias Profissionais desde 2004. × Mestre em Saúde Ocupacional e Doutorado em Medicina Preven- tiva e Comunitária pela Faculdade de Medicina da Universidade de Coimbra, onde é atualmente coordenador do Curso de Pós-gradua- ção em Medicina do Trabalho e do Mestrado em Saúde Ocupacio- nal.” Contrariamente ao que se verifica com a asma ocupacional, não há atualmente quaisquer recomendações específicas ou guidelines referentes à orientação de doentes com DPOC ocupacional. Assim, a terapêutica destes quadros em nada difere dos casos de DPOC por outras etiologias. Tal como se observa em outras situações ocupacionais respiratórias, a prevenção (nos seus diversos níveis) assume um papel fundamental, bem como o rastreio ocupacional de situações clínicas mais precoces, em que ainda não se presenciou uma evolução para as formas mais graves da doença, com fenómenos mais notáveis de irreversibilidade e, como tal, com piores resultados terapêuticos. 1. GOLD. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease / Global Initiative for Chronic Obstructive Lung Disease (GOLD). Updated 2014 ed2014. xvi, 84 pages p. 2. Sunyer J, Zock JP, Kromhout H, Garcia-Esteban R, Radon K, Jarvis D, et al. Lung function decline, chronic bronchitis, and occupational expo- sures in young adults. American journal of respiratory and critical care medicine. 2005;172(9):1139-45. 3. Zock JP, Sunyer J, Kogevinas M, Kromhout H, Burney P, Anto JM. Occupation, chronic bronchitis, and lung function in young adults. An international study. American journal of respiratory and critical care me- dicine. 2001;163(7):1572-7. 4. Korn RJ, Dockery DW, Speizer FE, Ware JH, Ferris BG, Jr. Occupa- tional exposures and chronic respiratory symptoms. A population-based study. Am Rev Respir Dis. 1987;136(2):298-304. 5. Bakke PS, Baste V, Hanoa R, Gulsvik A. Prevalence of obstructive lung disease in a general population: relation to occupational title and expo- sure to some airborne agents. Thorax. 1991;46(12):863-70. 6. Buist AS, McBurnie MA, Vollmer WM, Gillespie S, Burney P, Man- nino DM, et al. International variation in the prevalence of COPD (the BOLD Study): a population-based prevalence study. Lancet. 2007;370(9589):741-50. 7. Barbara C, Rodrigues F, Dias H, Cardoso J, Almeida J, Matos MJ, et al. Chronic obstructive pulmonary disease prevalence in Lisbon, Por- tugal: the burden of obstructive lung disease study. Rev Port Pneumol. 2013;19(3):96-105. 8. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442. 9. Lopez AD, Shibuya K, Rao C, Mathers CD, Hansell AL, Held LS, et al. Chronic obstructive pulmonary disease: current burden and future pro- jections. The European respiratory journal. 2006;27(2):397-412. 10. Hnizdo E, Sullivan PA, Bang KM, Wagner G. Association between chronic obstructive pulmonary disease and employment by industry and occupation in the US population: a study of data from the Third National Health and Nutrition Examination Survey. Am J Epidemiol. 2002;156(8):738-46. 11. Balmes J, Becklake M, Blanc P, Henneberger P, Kreiss K, Mapp C, et al. American Thoracic Society Statement: Occupational contribution to the burden of airway disease. American journal of respiratory and critical care medicine. 2003;167(5):787-97. 12. Blanc PD, Toren K. Occupation in chronic obstructive pulmona- ry disease and chronic bronchitis: an update. Int J Tuberc Lung Dis. 2007;11(3):251-7. 13. Blanc PD. Occupation and COPD: a brief review. The Journal of asthma : official journal of the Association for the Care of Asthma. 2012;49(1):2-4. 14. Mehta AJ, Miedinger D, Keidel D, Bettschart R, Bircher A, Bridevaux PO, et al. Occupational exposure to dusts, gases, and fumes and inciden- ce of chronic obstructive pulmonary disease in the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults. American jour- nal of respiratory and critical care medicine. 2012;185(12):1292-300. 15. Burge PS. Occupational Chronic Obstructive Pulmonary Disease. In: Mapp CE, editor. Occupational lung disorders. [Sheffield]: European Respiratory Society Journals; 1999. p. 242-54. 16. Diaz-Guzman E, Aryal S, Mannino DM. Occupational chronic obstruc- tive pulmonary disease: an update. Clin Chest Med. 2012;33(4):625-36. 17. Salvi S. Tobacco smoking and environmental risk factors for chronic obstructive pulmonary disease. Clin Chest Med. 2014;35(1):17-27. 18. Trupin L, Earnest G, San Pedro M, Balmes JR, Eisner MD, Yelin E, et al. The occupational burden of chronic obstructive pulmonary disease. The European respiratory journal. 2003;22(3):462-9. 19. Meldrum M, Rawbone R, Curran AD, Fishwick D. The role of occu- pation in the development of chronic obstructive pulmonary disease (COPD). Occupational and environmental medicine. 2005;62(4):212-4. 20. Fishwick D, Naylor S. COPD and the workplace. Is it really possible to detect early cases? Occup Med (Lond). 2007;57(2):82-4. 21. Hnizdo E, Yan T, Hakobyan A, Enright P, Beeckman-Wagner LA, Hankinson J, et al. Spirometry Longitudinal Data Analysis Software (SPIROLA) for Analysis of Spirometry Data in Workplace Prevention or COPD Treatment. Open Med Inform J. 2010;4:94-102. Referências bibliográficas: magazine risco zero