Sammanfattning
BACKGROUND Work-related COPD occurs as a result of exposure to noxious particles and gases in the workplace, including among non-smokers. The objective of this article is to present recent findings on the
relationship between occupational exposure and COPD. In addition, we review diagnostic and prognostic considerations and the potential for prevention.
METHOD We have undertaken literature searches in Medline and EMBASE for the period May 2009-July 2014. Studies that did not include measurements of pulmonary function or refer to occupational exposure
were excluded. We have also included three prospective studies on pulmonary function and occupational exposure that were not indexed with the search terms used for obstructive pulmonary disease.
RESULTS Three population studies and eight studies that described a specific industry or sector were included. Recent studies detect a correlation between occupational exposure and an increased risk of COPD in
the construction, metallurgical smelting, cement production and textile industries. In other respects, the findings from previous review studies are confirmed.
INTERPRETATION Exposure to a number of organic and inorganic particles and gases in the workplace may cause COPD even at prevailing levels of exposure. Doctors should inquire about such exposure in cases
of suspected and established COPD and should have a low threshold for referral to occupational health assessment.