A Multisystem Defense: The Critical Role of Interdisciplinary Teams in the Early Detection and Prevention of Occupational Lung Diseases

Manal Hamdan Mohammed Alharbi (1), Sadun Naif Sadun (2), Manal Basheer Alruwaili (3), Abdullah Essa Ahmed Hakami (4), Hussien Mohsen Ali Saeedy , Ejlal Madany Ayoub (5), Salma Adam Al Omary (6), Layla Hasan Alqasmi (7), Fatimah Mohammed Ahmed Mohammed (8), Huda Mohammed Alsaggaf (9), Mutlaq Mohamad Khalaf Alrougy (9), Abdulaziz Sulaiman Alnumair (10)
(1) Ohud Hospital,Ministry Of Health, Saudi Arabia,
(2) Sabha,Ministry Of Health, Saudi Arabia,
(3) Suwair General Hospital, Ministry Of Health, Saudi Arabia,
(4) Baish General Hospital,Ministry Of Health, Saudi Arabia,
(5) azan Health Cluster - Jazan General Eng., Jazan City, Ministry Of Health, Saudi Arabia,
(6) Eng. Jazan General – Jizan, Ministry Of Health, Saudi Arabia,
(7) Diriyah Hospital Riyadh Third Settlement ,Ministry of Health, Saudi Arabia,
(8) Jazan General Hospital, Ministry Of Health, Saudi Arabia,
(9) Jeddah Eye Hospital Jeddah,Ministry Of Health, Saudi Arabia,
(10) Al Qassim Qassim Health Cluster,Ministry Of Health, Saudi Arabia

Abstract

Background: Occupational lung diseases (OLDs) remain a persistent global health burden, disproportionately affecting workers in high-risk industries like mining, construction, and manufacturing. Despite known causative agents, late diagnosis and fragmented care contribute to progressive, irreversible morbidity. Aim: This narrative review aims to synthesize current evidence on the structure, function, and impact of interdisciplinary teams (IDTs) integrating Occupational Medicine, Radiological Technology, Nursing, Pharmacy, and Preventive Medicine in the early detection and prevention of OLDs. Methods: A comprehensive literature search was conducted in PubMed, Scopus, and CINAHL databases (2010-2024) using keywords related to interdisciplinary care, occupational lung disease, and the specified disciplines. Included literature comprised systematic reviews, cohort studies, clinical guidelines, and policy documents. Results: The review identifies that effective IDTs operate through a coordinated continuum: from primary prevention (exposure control, policies) to secondary prevention (systematic surveillance using spirometry and standardized imaging) and tertiary management (integrated patient care, rehabilitation, and counseling). Key themes include the centrality of standardized radiological classification (ILO/IRSST), the nurse as a care coordinator, the pharmacist’s role in inhaler stewardship, and the use of population-level data to guide policy. Conclusion: Siloed approaches are insufficient against complex OLDs. A proactive, integrated IDT model significantly enhances early detection, improves individual patient outcomes, and informs broader public health prevention strategies. Institutional and policy support for formalized IDT implementation is urgently needed.

Full text article

Generated from XML file

References

Aldajani, F. N., & Aldosari, M. (2023). Pharmacist-led vaccination services in the Middle East. Journal of Pharmaceutical Policy and Practice, 16(1), 171. https://doi.org/10.1186/s40545-023-00664-8

Al-Worafi, Y. (2023). Patient safety in developing countries: Education, research, case studies. CRC Press.

Blanc, P. D. (2012). Occupation and COPD: a brief review. Journal of Asthma, 49(1), 2-4. https://doi.org/10.3109/02770903.2011.611957

Blanc, P. D., Annesi-Maesano, I., Balmes, J. R., Cummings, K. J., Fishwick, D., Miedinger, D., ... & Redlich, C. A. (2019). The occupational burden of nonmalignant respiratory diseases. An official American Thoracic Society and European Respiratory Society statement. American journal of respiratory and critical care medicine, 199(11), 1312-1334. https://doi.org/10.1164/rccm.201904-0717ST

Bosnic-Anticevich, S., Bender, B. G., Shuler, M. T., Hess, M., & Kocks, J. W. (2023). Recognizing and tackling inhaler technique decay in asthma and chronic obstructive pulmonary disesase (COPD) clinical practice. The Journal of Allergy and Clinical Immunology: In Practice, 11(8), 2355-2364. https://doi.org/10.1016/j.jaip.2023.04.031

Chung, E. Y., Shin, Y. H., Kim, Y. W., Son, J. S., Kim, C. W., Park, H. O., ... & Chae, C. H. (2021). Distribution of Lung-RADS categories according to job type in a single shipyard workers. Annals of Occupational and Environmental Medicine, 33, e22. https://doi.org/10.35371/aoem.2021.33.e22

Cullinan, P., Muñoz, X., Suojalehto, H., Agius, R., Jindal, S., Sigsgaard, T., ... & Moitra, S. (2017). Occupational lung diseases: from old and novel exposures to effective preventive strategies. The Lancet Respiratory Medicine, 5(5), 445-455. https://doi.org/10.1016/S2213-2600(16)30424-6

De Matteis, S., Jarvis, D., Darnton, L., Consonni, D., Kromhout, H., Hutchings, S., ... & Cullinan, P. (2022). Lifetime occupational exposures and chronic obstructive pulmonary disease risk in the UK Biobank cohort. Thorax, 77(10), 997-1005. https://doi.org/10.1136/thoraxjnl-2020-216523

Doney, B., Kurth, L., Halldin, C., Hale, J., & Frenk, S. M. (2019). Occupational exposure and airflow obstruction and self‐reported COPD among ever‐employed US adults using a COPD‐job exposure matrix. American journal of industrial medicine, 62(5), 393-403. https://doi.org/10.1002/ajim.22958

Fishwick, D., Barber, C., & Wiggans, R. (2023, June). Chronic obstructive pulmonary disease and work: the continuing narrative. In Seminars in Respiratory and Critical Care Medicine (Vol. 44, No. 03, pp. 378-384). Thieme Medical Publishers, Inc. DOI: 10.1055/s-0043-1764408

Gowda, V., Cheng, G., & Saito, K. (2021). The B reader program, silicosis, and physician workload management: a niche for AI technologies. Journal of Occupational and Environmental Medicine, 63(7), e471-e473. DOI: 10.1097/JOM.0000000000002271

Hall, N. B., Halldin, C. N., Blackley, D. J., & Laney, A. S. (2020). Assessment of pneumoconiosis in surface coal miners after implementation of a national radiographic surveillance program, United States, 2014–2019. American journal of industrial medicine, 63(12), 1104-1108. https://doi.org/10.1002/ajim.23184

Harris-Roxas, B., Viliani, F., Bond, A., Cave, B., Divall, M., Furu, P., ... & Winkler, M. (2012). Health impact assessment: the state of the art. Impact assessment and project appraisal, 30(1), 43-52. https://doi.org/10.1080/14615517.2012.666035

Hessels, A. J., Guo, J., Johnson, C. T., & Larson, E. (2023). Impact of patient safety climate on infection prevention practices and healthcare worker and patient outcomes. American Journal of Infection Control, 51(5), 482-489. https://doi.org/10.1016/j.ajic.2023.01.021

Hoy, R. F., & Brims, F. J. (2022). The National Occupational Respiratory Disease Registry (NORDR): it is time to learn from failure. The Medical Journal of Australia, 216(7), 328. https://doi.org/10.5694/mja2.51465

Hoy, R. F. (2021). Artificial stone silicosis. Current opinion in allergy and clinical immunology, 21(2), 114-120. DOI: 10.1097/ACI.0000000000000715

Jones, C. M., Pasricha, S. S., Heinze, S. B., & MacDonald, S. (2020). Silicosis in artificial stone workers: Spectrum of radiological high‐resolution CT chest findings. Journal of Medical Imaging and Radiation Oncology, 64(2), 241-249. https://doi.org/10.1111/1754-9485.13015

Joosen, M. C., Lugtenberg, M., Arends, I., van Gestel, H. J., Schaapveld, B., Terluin, B., ... & Brouwers, E. P. (2022). Barriers and facilitators for return to work from the perspective of workers with common mental disorders with short, medium and long-term sickness absence: a longitudinal qualitative study. Journal of Occupational Rehabilitation, 32(2), 272-283. https://doi.org/10.1007/s10926-021-10004-9

Körner, M., Dinius, J., Ernstmann, N., Heier, L., Bergelt, C., Hammer, A., ... & Kriston, L. (2023). Effectiveness and feasibility of an interprofessional training program to improve patient safety—A cluster-randomized controlled pilot study. Frontiers in psychology, 14, 1186303. https://doi.org/10.3389/fpsyg.2023.1186303

Kwan, M. L., Lo, J. C., Laurent, C. A., Roh, J. M., Tang, L., Ambrosone, C. B., ... & Yao, S. (2023). A prospective study of lifestyle factors and bone health in breast cancer patients who received aromatase inhibitors in an integrated healthcare setting. Journal of Cancer Survivorship, 17(1), 139-149. https://doi.org/10.1007/s11764-021-00993-0

Madsen, C. M. T., Primdahl, J., Bremander, A., Eggen, L., & Christensen, J. R. (2023). Developing a complex vocational rehabilitation intervention for patients with inflammatory arthritis: the WORK-ON study. BMC Health Services Research, 23(1), 739. https://doi.org/10.1186/s12913-023-09780-2

Matyga, A. W., Chelala, L., & Chung, J. H. (2023). Occupational lung diseases: spectrum of common imaging manifestations. Korean journal of radiology, 24(8), 795. https://doi.org/10.3348/kjr.2023.0274

Mazzei, M. A., Sartorelli, P., Bagnacci, G., Gentili, F., Sisinni, A. G., Fausto, A., ... & Volterrani, L. (2019, February). Occupational lung diseases: underreported diagnosis in radiological practice. In Seminars in Ultrasound, CT and MRI (Vol. 40, No. 1, pp. 36-50). WB Saunders. https://doi.org/10.1053/j.sult.2018.10.019

Merchant, R. M., South, E. C., & Lurie, N. (2021). Public health messaging in an era of social media. Jama, 325(3), 223-224. doi:10.1001/jama.2020.24514

Murphy, G. C. (2018). Occupational Health and Safety, and Occupational Rehabilitation: The Nature of the Prevention—Rehabilitation Continuum. In Occupational Health and Safety (pp. 175-186). Routledge.

Muszynska-Graca, M., Dabkowska, B., & Brewczynski, P. Z. (2016). Guidelines For the Use of the International Classification of Radiographs of Pneumoconioses of The International Labour Office (Ilo): Substantial Changes in the Current Edition/Wytyczne Stosowania Miedzynarodowej Klasyfikacji Radiogramow Pylic Pluc Miedzynarodowego Biura Pracy (Ilo)--Istotne Zmiany W Obecnie Obowiazujacej Edycji. Medycyna pracy, 67(6), 833-838. http://medpr.imp.lodz.pl/en

Oliveira, C. B., Maher, C. G., Pinto, R. Z., Traeger, A. C., Lin, C. W. C., Chenot, J. F., ... & Koes, B. W. (2018). Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. European Spine Journal, 27(11), 2791-2803. https://doi.org/10.1007/s00586-018-5673-2

O’Reilly, P., Lee, S. H., O’Sullivan, M., Cullen, W., Kennedy, C., & MacFarlane, A. (2017). Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: an integrative review. PloS one, 12(5), e0177026. https://doi.org/10.1371/journal.pone.0177026

Reddel, H. K., Bacharier, L. B., Bateman, E. D., Brightling, C. E., Brusselle, G. G., Buhl, R., ... & Boulet, L. P. (2022). Global Initiative for Asthma Strategy 2021: executive summary and rationale for key changes. American journal of respiratory and critical care medicine, 205(1), 17-35. https://doi.org/10.1164/rccm.202109-2205PP

Rey-Brandariz, J., Martínez, C., Candal-Pedreira, C., Pérez-Ríos, M., Varela-Lema, L., & Ruano-Ravina, A. (2023). Occupational exposure to respirable crystalline silica and lung cancer: a systematic review of cut-off points. Environmental Health, 22(1), 82. https://doi.org/10.1186/s12940-023-01036-0

Rinne, J., Leino-Kilpi, H., Saaranen, T., Pasanen, M., & Salminen, L. (2022). Educators’ occupational well-being in health and social care education. Occupational Medicine, 72(5), 289-297. https://doi.org/10.1093/occmed/kqac024

Rohwer, A., Toews, I., Uwimana-Nicol, J., Nyirenda, J. L., Niyibizi, J. B., Akiteng, A. R., ... & Young, T. (2023). Models of integrated care for multi-morbidity assessed in systematic reviews: a scoping review. BMC health services research, 23(1), 894. https://doi.org/10.1186/s12913-023-09894-7

Rupani, M. P. (2023). Challenges and opportunities for silicosis prevention and control: need for a national health program on silicosis in India. Journal of Occupational Medicine and Toxicology, 18(1), 11. https://doi.org/10.1186/s12995-023-00379-1

Saito, S., Alkhatib, A., Kolls, J. K., Kondoh, Y., & Lasky, J. A. (2019). Pharmacotherapy and adjunctive treatment for idiopathic pulmonary fibrosis (IPF). Journal of thoracic disease, 11(Suppl 14), S1740. https://doi.org/10.21037/jtd.2019.04.62

San Ko, F. W., Chan, K. P., & Hui, D. S. C. (2019). Comprehensive care for chronic obstructive pulmonary disease. Journal of thoracic disease, 11(Suppl 17), S2181. https://doi.org/10.21037/jtd.2019.09.81

Shaykhlislamova, E. R., Karimova, L. K., Beigul, N. A., Muldasheva, N. A., Fagamova, A. Z., Shapoval, I. V., ... & Larionova, E. A. (2022). Occupational health risk for workers from basic occupational groups employed at copper and zinc ore mining enterprises: Assessment and management. Health Risk Anal, 2, 107-118. DOI: 10.21668/health.risk/2022.2.10.eng

Sinclair, R. R., Allen, T., Barber, L., Bergman, M., Britt, T., Butler, A., ... & Yuan, Z. (2020). Occupational health science in the time of COVID-19: Now more than ever. Occupational health science, 4(1), 1-22. https://doi.org/10.1007/s41542-020-00064-3

Usmani, O. S., Lavorini, F., Marshall, J., Dunlop, W. C. N., Heron, L., Farrington, E., & Dekhuijzen, R. (2018). Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes. Respiratory research, 19(1), 10. https://doi.org/10.1186/s12931-017-0710-y

Vanka, K. S., Shukla, S., Gomez, H. M., James, C., Palanisami, T., Williams, K., ... & Horvat, J. C. (2022). Understanding the pathogenesis of occupational coal and silica dust-associated lung disease. European Respiratory Review, 31(165). https://doi.org/10.1183/16000617.0250-2021

Webber, E. M., Lin, J. S., & Thomas, R. G. (2022). Screening for chronic obstructive pulmonary disease: updated evidence report and systematic review for the US Preventive Services Task Force. Jama, 327(18), 1812-1816. doi:10.1001/jama.2022.4708

Weir, S., O’Keefe, L., & Sottile, R. (2022). The Role of the Medical Profession in Occupational Lung Disease and Access to Compensation. Journal of Law & Medicine, 29(4).

Whitehead, L., Palamara, P., Allen, J., Boak, J., Quinn, R., & George, C. (2022). Nurses' perceptions and beliefs related to the care of adults living with multimorbidity: A systematic qualitative review. Journal of Clinical Nursing, 31(19-20), 2716-2736. https://doi.org/10.1111/jocn.16146

World Health Organization. (2021). WHO/ILO joint estimates of the work-related burden of disease and injury, 2000–2016: global monitoring report.

Wu, J. K., DeHaas, E., Nadj, R., Cheung, A. B., Dandurand, R. J., Hantos, Z., ... & Chow, C. W. (2020). Development of quality assurance and quality control guidelines for respiratory oscillometry in clinic studies. Respiratory Care, 65(11), 1687-1693. https://doi.org/10.4187/respcare.07412

Yakuwa, M. S., Neill, S., & Mello, D. F. D. (2018). Nursing strategies for child health surveillance. Revista latino-americana de enfermagem, 26, e3007. https://doi.org/10.1590/1518-8345.2434.3007

Zhou, A. Y., Seed, M., Carder, M., Money, A., Van Tongeren, M., & Agius, R. (2020). Sentinel approach to detect emerging causes of work-related respiratory diseases. Occupational Medicine, 70(1), 52-59. https://doi.org/10.1093/occmed/kqz159

Authors

Manal Hamdan Mohammed Alharbi
malharbi152@moh.gov.sa (Primary Contact)
Sadun Naif Sadun
Manal Basheer Alruwaili
Abdullah Essa Ahmed Hakami
Hussien Mohsen Ali Saeedy
Ejlal Madany Ayoub
Salma Adam Al Omary
Layla Hasan Alqasmi
Fatimah Mohammed Ahmed Mohammed
Huda Mohammed Alsaggaf
Mutlaq Mohamad Khalaf Alrougy
Abdulaziz Sulaiman Alnumair
Alharbi, M. H. M., Sadun Naif Sadun, Manal Basheer Alruwaili, Abdullah Essa Ahmed Hakami, Hussien Mohsen Ali Saeedy, Ejlal Madany Ayoub, … Abdulaziz Sulaiman Alnumair. (2024). A Multisystem Defense: The Critical Role of Interdisciplinary Teams in the Early Detection and Prevention of Occupational Lung Diseases. Saudi Journal of Medicine and Public Health, 1(2), 2261–2267. https://doi.org/10.64483/202412632

Article Details