{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T01:35:21Z","timestamp":1717896921665},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,6,7]],"date-time":"2017-06-07T00:00:00Z","timestamp":1496793600000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cutaneous squamous cell carcinoma and multiple actinic keratoses can be recognized as occupational diseases if the site affected has been subjected to additional occupational UV exposure of at least 40\u00a0%. An online UV history tool that allows for the quantification of occupational and recreational UV doses was now tested in a field study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>Ninety\u2010nine patients with nonmelanoma skin cancer were examined. Patient history with respect to UV exposure was obtained using the online UV history tool. Initial validation was carried out with data from ten additional patients. In the context of a pilot study, the applicability of the tool was assessed using a questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, patient history revealed a UV exposure between 3,792 and 53,163\u00a0SEDs. Patients with squamous cell carcinoma, actinic keratoses, or Bowen's disease (n\u00a0 = \u00a022) had significantly higher SED values and were significantly older (73 vs. 66 years) than patients with basal cell carcinoma (n\u00a0 = \u00a077). Occupational UV exposure was reported by 19 patients, two of whom showed an additional occupational UV exposure of more than 40\u00a0%, which prompted the filing of a (suspected) occupational disease report. With respect to validation, there was evidence of good inter\u2010investigator reliability. The applicability of the tool was rated as good.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The online UV history tool enables quick retrospective quantification of occupational and recreational UV exposure in case of suspicion of the occupational disease \u201ccutaneous squamous cell carcinoma or multiple actinic keratoses caused by natural UV radiation\u201d.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ddg.13250","type":"journal-article","created":{"date-parts":[[2017,6,7]],"date-time":"2017-06-07T21:11:59Z","timestamp":1496869919000},"page":"610-619","source":"Crossref","is-referenced-by-count":1,"title":["Retrospective evaluation of exposure to natural UV radiation: experiences with the online UV history tool in a field study"],"prefix":"10.1111","volume":"15","author":[{"given":"Wobbeke","family":"Weistenh\u00f6fer","sequence":"first","affiliation":[{"name":"Institute and Outpatient Clinic for Occupational Social and Environmental Medicine at the University of Erlangen\u2010Nuremberg (FAU)  Erlangen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Hiller","sequence":"additional","affiliation":[{"name":"Institute and Outpatient Clinic for Occupational Social and Environmental Medicine at the University of Erlangen\u2010Nuremberg (FAU)  Erlangen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans","family":"Drexler","sequence":"additional","affiliation":[{"name":"Institute and Outpatient Clinic for Occupational Social and Environmental Medicine at the University of Erlangen\u2010Nuremberg (FAU)  Erlangen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Kiesel","sequence":"additional","affiliation":[{"name":"Institute and Outpatient Clinic for Occupational Social and Environmental Medicine at the University of Erlangen\u2010Nuremberg (FAU)  Erlangen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,7]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"120","article-title":"Epidemiology of skin cancer","volume":"810","author":"Leiter U","year":"2014","journal-title":"Adv Exp Med Biol"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1358\/dot.2005.41.1.875777"},{"key":"e_1_2_8_4_1","unstructured":"KnuschkeP UnverrichtI OttG JanssenM. 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Berufskrankheiten\u2010Verordnung (BKV) vom 31. Oktober 1997 zuletzt aktualisiert am 22. Dezember 2014. BGBl. I S. 2623 (1997) und BGBl. I S. 2397 (2014) 2014."},{"key":"e_1_2_8_14_1","unstructured":"BMAS. Wissenschaftliche Begr\u00fcndung f\u00fcr die Berufskrankheit \u201ePlattenepithelkarzinome und multiple aktinische Keratosen der Haut durch nat\u00fcrliche UV\u2010Strahlung\u201c. In: BMAS: Bekanntmachung des BMAS vom 01072013 (IVa4\u201045222\u2010Hautkrebs durch UV\u2010Licht). GMBl. 12.08.2013 2013."},{"key":"e_1_2_8_15_1","first-page":"250","article-title":"UV\u2010Anamneseauxilium zur Expositionsabsch\u00e4tzung der nat\u00fcrlichen UV\u2010Strahlendosis von im Freien Besch\u00e4ftigten","volume":"48","author":"Kiesel J","year":"2013","journal-title":"Arbeitsmed Sozialmed Umweltmed"},{"key":"e_1_2_8_16_1","unstructured":"DGUV SVLFG. 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