Occupational contact dermatitis: Return to work using a multidisciplinary clinic model

Background Occupational contact dermatitis often results in work disruption. Return-to-work (RTW) is an important outcome. Objective The objective of this study was to determine RTW outcomes and factors associated with such outcomes using a multidisciplinary clinic model. Methods Chart abstraction was performed for 194 workers who received RTW assistance over a 6-year period. Elements abstracted included demographic and diagnostic information and information about the RTW program including principles, program components, barriers, and facilitators. Results Of the 902 workers seen for dermatologic assessment, 194 received RTW assistance. At initial assessment, 37% were not working because of their skin disease, and at follow-up, 7% were not working because of their skin disease. The RTW plan components included a graduated or trial of RTW, specific recommendations for avoiding exposure, personal protective equipment, skin management, and ongoing skin monitoring. Principles associated with successful RTW included good communication and the availability of modified work and a worker adherence to the plan. Barriers included lack of modified work, unresponsive employers, and ongoing skin problems. Conclusions Specific approaches are important to identify if RTW is to be successful for workers with occupational contact dermatitis.