BACKGROUND: Work-related skin diseases (WSD) are caused or worsened by a professional activity. Occupational skin diseases (OSD) need to fulfil additional legal criteria which differ from country to country. OSD range amongst the five most frequently notified occupational diseases (musculoskeletal diseases, neurologic diseases, lung diseases, diseases of the sensory organs, skin diseases) in Europe. OBJECTIVE: To retrieve information and compare the current state of national frameworks and pathways to manage patients with occupational skin disease with regard to prevention, diagnosis, treatment and rehabilitation in different European countries. METHODS: A questionnaire-based survey of the current situation regarding OSD patient management pathways was carried out with experts on occupational dermatology and/or occupational medicine from 28 European countries contributing to the European Cooperation in Science and Technology (COST) Action TD 1206 (StanDerm) (www.standerm.eu). RESULTS: Besides a national health service or a statutory health insurance, most European member states implemented a second insurance scheme specifically geared at occupational diseases [insurance against occupational risks (synonyms: insurance against work accidents and occupational injuries; statutory social accident insurance)]. Legal standards for the assessment of occupationally triggered diseases with a genetic background differ between different countries, however, in most European member states recognition as OSD is possible. In one-third of the countries UV light-induced tumours can be recognized as OSD under specific conditions. CONCLUSION: OSD definitions vary between European countries and are not directly comparable, which hampers comparisons between statistics collected in different countries. Awareness of this fact and further efforts for standardization are necessary.

2nd Clinic of Dermatology Colentina Clinical Hospital University of Medicine and Pharmacy Bucharest Romania

Clinic of Dermatovenereology Clinical Center of Serbia Belgrade Serbia

Croatian Institute for Health Protection and Safety at Work Zagreb Croatia

Department of Dermato Allergology National Allergy Research Center Gentofte Hospital University of Copenhagen Copenhagen Denmark

Department of Dermatology and Allergology Schuman Hospitals Kirchberg Hospital Luxembourg Luxembourg

Department of Dermatology and Venereology Tokuda Hospital Sofia and Section of Dermatovenereology Trakia University Stara Zagora Bulgaria

Department of Dermatology and Venereology University Hospital Center Zagreb School of Medicine University of Zagreb Zagreb Croatia

Department of Dermatology Chapel Allerton Hospital Leeds England

Department of Dermatology F D Roosevelt Hospital Banská Bystrica Slovakia

Department of Dermatology Faculty Hospital Charles University Prague Prague Czech Republic

Department of Dermatology Inselspital Bern University Hospital University of Bern Bern Switzerland

Department of Dermatology Lower Saxonian Institute of Occupational Dermatology University of Osnabrueck Osnabrück Germany

Department of Dermatology Medical University Graz Graz Austria

Department of Dermatology South Infirmary Victoria University Hospital Cork Ireland

Department of Dermatology University Allergy Centre University Hospital Carl Gustav Carus Technical University Dresden Dresden Germany

Department of Dermatology University Hospital and Faculty of Medicine University of Coimbra Coimbra Portugal

Department of Dermatology University Hospital of Erlangen Friedrich Alexander University Erlangen Nuremberg Erlangen Germany

Department of Dermatology University Medical Center Groningen University of Groningen Groningen The Netherlands

Department of Dermatology University Medical Centre Maribor Slovenia

Department of Experimental Dermatology and Cosmetology Jagiellonian University Medical College Krakow Poland

Department of Medical Informatics Biometry and Epidemiology Friedrich Alexander University Erlangen Nuremberg Erlangen Germany

Department of Occupational Medicine and Epidemiology National Institute of Occupational Health Oslo Norway

Department of Occupational Medicine Charles University Faculty of Medicine Hradec Králové Czech Republic

Department of Public Health Occupational Medicine University of Trieste Trieste Italy

Department of Skin and Venereal Diseases Hospital of LUHS Lithuanian University of Health Sciences Kaunas Lithuania

Dermatological Specialist Consultation of the Medical Department at the National Labour Office Budapest Hungary

Dermatology Unit Nofer Institute of Occupational Medicine Lodz Poland

Descartes University Paris France

Expertise Center of Occupational Dermato Allergology VUmc Amsterdam The Netherlands

Faculty of Medicine and Health Science The Jan Kochanowski University Kielce Poland

Federal Agency for Occupational Risks Brussels Belgium

Finnish Institute of Occupational Health Helsinki Finland

Hospital del Mar Parc de Salut Mar Universitat Autonoma Barcelona Spain

IMIM Instituto Hospital del Mar de Investigaciones Médicas CiSAL Centro de Investigación en Salud Laboral Universidad Pompeu Fabra Barcelona Spain

Institute for Interdisciplinary Dermatological Prevention and Rehabilitation at the University of Osnabrück Berlin Germany

Institute for Medical Research and Occupational Health Zagreb Croatia

Institute of Occupational Health of R Macedonia WHO Collaborating Center for Occupational Health Skopje Macedonia

National Center of Occupational Diseases Coronel Institute AMC Amsterdam The Netherlands

SUVA Luzern Switzerland

The Norwegian Labour Inspection Authority Oslo Norway

Unit of Occupational and Environmental Dermatology Centre for Occupational and Environmental Medicine SLSO Stockholm Sweden

Unit of Occupational and Environmental Dermatology Institute for Environmental Medicine Karolinska Institutet Stockholm Sweden

Unit of Occupational and Environmental Diseases Hôtel Dieu Hospital Group APHP EA 4064 Environmental and Public Health Laboratory Paris France

University of Belgrade Faculty of Medicine Serbian Institute of Occupational Health Belgrade Serbia

University of Malta Medical School Msida Malta

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