Screening for occupational asthma by using a self-administered questionnaire in a clinical setting

J Occup Environ Med. 2013 May;55(5):527-31. doi: 10.1097/JOM.0b013e3182851790.

Abstract

Objective: Because of its high prevalence, early screening for occupational asthma (OA) is crucial. We aimed to evaluate the screening performance of the Occupational Asthma Screening Questionnaire-11 items (OASQ-11) in a clinical setting.

Methods: Between January 2009 and December 2011, 169 workers referred for potential OA to our hospital completed the OASQ-11 and underwent workups to determine the final diagnosis. The discriminative abilities of the OASQ-11 as a whole and in relation to demographic and exposure parameters were determined by the area under the receiving operator characteristic curve (AUC).

Results: Model 1, consisting of the OASQ's items, showed fair discrimination (AUC, 0.69; 95% confidence interval, 0.58 to 0.80). Addition of age and exposure duration to model 1 improved discrimination (AUC, 0.80; confidence interval, 0.72 to 0.88).

Conclusion: A simple model consisting of the OASQ-11's items, age, and exposure duration could well discriminate subjects with OA in a clinical setting.

MeSH terms

  • Adult
  • Age Factors
  • Area Under Curve
  • Asthma, Occupational / diagnosis*
  • Early Diagnosis
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Exposure* / adverse effects
  • Predictive Value of Tests
  • ROC Curve
  • Surveys and Questionnaires*
  • Time Factors