S. Brandenburg

Universität Osnabrück, Osnabrück, Lower Saxony, Germany

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Publications (39)27.51 Total impact

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    ABSTRACT: In Germany over 2.5 million employees have an increased risk of skin cancer due to their occupational exposure to natural UV-irradiation. The medical consultation board “Occupational diseases” of the Ministry of Labor and Social affairs has investigated the association between occupational UV-irradiation and skin cancer risk and recommends to add the following new occupational disease into the appendix1 of the German ordinance on occupational diseases: “Squamous cell carcinoma and multiple actinic keratosis due to natural UV-irradiation”.In this article we report in the view of the German Society of Occupational and Environmental Dermatology (ABD) and the German Statutory accident insurance (DGUV), whose criteria have to be fulfilled for the notification and recognition of an occupational skin cancer due to natural UV-irradiation.
    Full-text · Article · Dec 2014 · Journal der Deutschen Dermatologischen Gesellschaft
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    ABSTRACT: ZusammenfassungIn Deutschland sind über 2,5 Millionen Arbeitnehmer aufgrund ihrer beruflichen Tätigkeit als Outdoor-Worker im besonderen Maße gegenüber natürlicher UV-Strahlung exponiert. Der Ärztliche Sachverständigenbeirat „Berufskrankheiten“ beim Bundesministerium für Arbeit und Soziales hat den Zusammenhang zwischen beruflicher UV-Strahlung und Hautkrebs geprüft und empfohlen, in die Anlage1 zur Berufskrankheiten-Verordnung folgende neue Berufskrankheit aufzunehmen: „Plattenepithelkarzinome oder multiple aktinische Keratosen der Haut durch natürliche UV-Strahlung“.Es wird aus Sicht der Arbeitsgemeinschaft für Berufs- und Umweltdermatologie (ABD) in der Deutschen Dermatologischen Gesellschaft (DDG) und der Deutschen Gesetzlichen Unfallversicherung (DGUV) dargestellt, welche Voraussetzungen für eine Meldung und Anerkennung einer beruflichen Hautkrebserkrankung durch natürliche UV-Strahlung erfüllt sein müssen.
    Full-text · Article · Dec 2014 · Journal der Deutschen Dermatologischen Gesellschaft

  • No preview · Article · Dec 2014
  • C Skudlik · B Lindemann · M Woltjen · S Brandenburg · S.M. John
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    ABSTRACT: In Germany, responsibility for treatment of occupational diseases lies with the public statutory employers' liability insurances (SELI). According to their legal obligation SELI have to ascertain cure-wherever possible-"with all suitable means". Thus, dermatologists treating patients with occupational dermatoses are required to deliver the best possible therapy, which, according to the current scientific knowledge, may in some cases be off-label. For example, in occupational contact dermatitis a number of scientifically promising topical and systemic drugs are not yet licensed for this indication. Off-label prescribing is not prohibited and there are no laws limiting physician flexibility in such prescribing. SELI also allows the use of off-label drugs. The goals of optimal treatment or effective prevention of occupational disease determine the measures which can be employed. Off-label use is approved for occupational skin diseases when the medication is required for cure or prevention and its use meets generally accepted medical standards. In these cases, SELI will cover off-label drug prescriptions. However, detailed patient counseling and informed consent are mandatory.
    No preview · Article · Oct 2013 · Der Hautarzt
  • C. Skudlik · W. Römer · S. Brandenburg · S.M. John
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    ABSTRACT: According to German law, severe Hymenoptera-sting allergy, acquired at the workplace, may be covered for by the statutory accident insurance under certain conditions. Depending on the circumstances of the condition it can legally either be regarded as an occupational accident or as an occupational disease. If the accident insurance is the responsible social insurance body, which will particularly be the case if e.g. beekeepers, farmers, forest workers, bakery vendors suffer from severe Hymenoptera-sting allergy, the immediate treatment as well as the longterm treatment (e.g. specific immunotherapy) and - if applicable - compensation has to be provided according to the German law (Sozialgesetzbuch VII (State Insurance Code 7), Berufskrankheitenverordnung (Decree on Occupational Diseases)) by the statutory accident insurance.
    No preview · Article · Jul 2013 · Dermatologie in Beruf und Umwelt
  • S. Brandenburg · S. Palfner

    No preview · Article · Apr 2013
  • C. Skudlik · W. Römer · S. Brandenburg · S.M. John

    No preview · Article · Jul 2012

  • No preview · Article · Dec 2009 · Das Gesundheitswesen

  • No preview · Article · Dec 2009 · Das Gesundheitswesen
  • C Skudlik · M Jünger · K Palsherm · K Breuer · S Brandenburg · S M John

    No preview · Article · Nov 2009 · Der Hautarzt
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    C. Skudlik · M. Jünger · K. Palsherm · K. Breuer · S. Brandenburg · S. M. John

    Full-text · Article · Nov 2009 · Der Hautarzt
  • C. Skudlik · M. Juenger · K. Palsherm · K. Breuer · S. Brandenburg · S. M. John

    No preview · Article · Nov 2009 · Der Hautarzt
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    ABSTRACT: The certification of experts is an important constituent in a quality management concept in occupational dermatology. With the certificate "Occupational Dermatology (ABD)" the Task Force on Occupational and Environmental Dermatology (ABD) within the German Dermatological Society has developed a comprehensive CME concept in the field. The ABD seminars meet the current requirements of the statutory accident insurances and social welfare courts. The new CME seminar curriculum 2010 of the ABD takes into account the recent pioneering achievements in occupational dermatology, e. g. the optimized dermatologist's report and the spectrum of recently implemented preventive measures as well as new regulations, and guidelines including the Bamberg Recommendation 2008/2009 on dermatological expert opinions, including skin cancer. The ABD seminars ( total of 28 hrs) are subdivided into 4 consecutive modules ( 7 hrs each): basic, advanced and 2 special seminars, one of which covers occupational skin cancers. The seminars are interactive, based on practice-oriented discussions with experts from different disciplines ( occupational dermatology, social law). The seminars should be attended in a chronological order within 5 years. In order to maintain the certificate, one must attend a "quality management workshop" ( 7 hrs) at 5-year-intervals; this focuses on interdisciplinary case discussions of the current legal regulations and recent social welfare court decisions. More than 600 dermatologists have already been certified for occupational dermatology in Germany.
    Full-text · Article · Oct 2009 · Journal der Deutschen Dermatologischen Gesellschaft
  • C. Skudlik · M. Jünger · K. Palsherm · K. Breuer · S. Brandenburg · S.M. John
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    ABSTRACT: Preventive measures in occupational dermatology have proven to be very effective in recent years, especially measures of primary and secondary prevention as components of a complex hierarchical prevention concept. For those cases of occupational dermatoses in which these outpatient prevention measures are not successful, interdisciplinary inpatient rehabilitation measures have been developed (“tertiary individual prevention” [TIP]). TIP comprises 3 weeks inpatient treatment including intensive disease-oriented teaching and psychological counseling, followed by outpatient treatment by the local dermatologist. In 2005, a German prospective cohort multicenter study („Medizinisch-Berufliches Rehabilitationsverfahren Haut – Optimierung und Qualitätssicherung des Heilverfahrens” [ROQ]) started which will further standardize TIP and evaluate long-term success and scientific sustainability in depth. This integrated concept of an inpatient/outpatient disease management reveals remarkable pertinent options for patients with severe occupational dermatoses in all high-risk professions.
    No preview · Article · Sep 2009 · Der Hautarzt
  • C Skudlik · M Jünger · K Palsherm · K Breuer · S Brandenburg · S M John
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    ABSTRACT: Preventive measures in occupational dermatology have proven to be very effective in recent years, especially measures of primary and secondary prevention as components of a complex hierarchical prevention concept. For those cases of occupational dermatoses in which these outpatient prevention measures are not successful, interdisciplinary inpatient rehabilitation measures have been developed ("tertiary individual prevention" [TIP]). TIP comprises 3 weeks inpatient treatment including intensive disease-oriented teaching and psychological counseling, followed by outpatient treatment by the local dermatologist. In 2005, a German prospective cohort multicenter study ("Medizinisch-Berufliches Rehabilitationsverfahren Haut--Optimierung und Qualitätssicherung des Heilverfahrens" [ROQ]) started which will further standardize TIP and evaluate long-term success and scientific sustainability in depth. This integrated concept of an inpatient/outpatient disease management reveals remarkable pertinent options for patients with severe occupational dermatoses in all high-risk professions.
    No preview · Article · Aug 2009 · Der Hautarzt
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    ABSTRACT: The following recommendations for assessment are mainly addressed to experts in occupational dermatology, who, in cases of a questionably occupation-related skin diseases, have to make statements concerning the causal relation to the patient's occupation, the preconditions and the reduction in earning capacity caused by the skin disease. This Part II of the completely revised "Bamberg Medical Medical Bulletin" is dedicated to skin tumors, like squamous cell carcinomas, including Bowen's disease, and their preliminary stages as well as basilomas (also called basal cell carcinoma). There are restrictions concerning some of the below discussed expositions.We explicitely take into account that according to the Guideline of the German Dermatologic Society aktinic ceratoses are categorized as carcinoma in situ. The diseases discussed here make special demands on the appraiser when assessing the interrelation. In contrast to the typical cases of BK number 5101, long latencies, sometimes of several decades, are normal. This has to be considered in the criteria for assessing the causal interrelation. The formal requirements for an anticipated medical expert assessment postulated by the German Social Court have been completely achieved by the recommendations for appraisment for occupational diseases. The "Bamberg Medical Bulletin" was approved on June 12, 2008 in Potsdam in a public consensus conference. The concluding discussion will be published in an extra report of the German statutory accident insurance. The study group "Bamberg Medical Bulletin" was headed by Prof. Dr. T.L. Diepgen. The initial head representant of the German statutory accident insurance was Otto Blome and later Dr. Heinz Otten and Fred-D. Zagrodnik. The minutes were taken at first by Elke Rogosky and later by Fred-D. Zagrodnik. The German Dermatologic Society was represented by the Study Group for Occupational and Environ-mental Dermatology by the follwing persons: Prof. Dr. T.L. Diepgen, Prof. Dr. P. Elsner, Frau Prof. Dr. M. Fartasch, Prof. Dr. S.M. John, Dr. A. Köllner, PD Dr. C. Skudlik. The Professional Association of German Dermatologists was represented at first by Dr. I. Schindera and then by Dr. A. Köllner and Dr. A. Stary. Prof. Dr.H. Drexler and temporarily also Prof. Dr. St. Letzel (Part 2) represented the German Society for Occupational and Environmental Medicine. The Association of Commercial Physicians was representd by Dr. C. Bernhard-Klimt. For the professional organizations which are most frequently engaged with occupation-related skin diseases, the following persons attended the conference: Professor Dr. jur. Stephan Brandenburg, Professional Organization for Health Service and Welfare Work; Dieter Dienstbach, Professional Organization of the Chemical Industry; Dr. med. Karl Heinz Frank, Professional Organization of the Building Industry; Dr. rer. nat. Peter Kleesz, Professional Organization for Food and Restaurants; Ass. Wilfried Pappai, Professional Organization for Engineering and Metall; Dr. jur.Wolfgang Römer, Professional Organization for Metall North South; Ass. Joachim Sacher, Professional Organization of the Chemical Industry.
    No preview · Article · Jan 2009 · Dermatologie in Beruf und Umwelt
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    ABSTRACT: The following recommendations for assessment are mainly addressed to experts in occupational dermatology, who, in cases of a questionably occupation-related skin diseases, have to make statments concerning the causal relation to the patient's occupation, the preconditions pursuant to insurance law and the reduction in earning capacity caused by the skin disease. Part 1 of the completely revised "Bamberg Medical Bulletin" deals with the subject of occupational disease No. 5101 "Severe and repeatedly relapsing skin diseases that caused the cessation of all occupations which could cause the development, aggravation or resurgance of the disease" listed in the appendix (list of occupational diseases) of the German Decree on Occupational Diseases. Part 2 is dedicated to malignant skin tumors like squamous cell carcinomas including Bowen's disease and their pre-stages as well as basiliomas (also called basal cell carcinomas). The accident insurance providers in the sense of §§ 20 ff SGB X have the task of investigate the decision-relevant data (particularly concerning expositon and disease). The required examination methods are standards for assessment and the necessary plausibility examination of the assessments together with the recommendations for the percentage of reduction in earning capacity becomes simpler for the accident insurance providers as well as for the social courts. Furthermore, transparency for the insured persons in question also increases. The formal requirements for an anticipated medical expert assessment postulated by the German Social Court have been completely achieved by the recommendations for assessments for occupational diseases. The "Bamberg Medical Bulletin" was approved on June 12, 2008 in Potsdam in a public consensus conference. The concluding discussion will be published in an extra report of the German statutory accident insurance. The study group "Bamberg Medical Bulletin" was headed by Prof. Dr. T.L. Diepgen. The initial head représentant of the German statutory accident insurance was Otto Blome and later Dr. Heinz Otten and Fred-D. Zagrodnik. The minutes were taken at first by Elke Rogosky and later by Fred-D. Zagrodnik. The German Dermatologic Society was represented by the Study Group for Occupational and Environmental Dermatology by the follwing persons: Prof. Dr. T.L. Diepgen, Prof. Dr. P. Elsner, Frau Prof. Dr. M. Fartasch, Prof. Dr. S.M. John, Dr. A. Köllner, PD Dr. C. Skudlik. The Professional Association of German Dermatologists was represented at first by Dr. I. Schindera and then by Dr. A. Köllner and Dr. A. Stary. Prof. Dr. H. Drexler and temporarily also Prof. Dr. St. Letzel (Part 2) represented the German Society for Occupational and Environmental Medicine. The Association of Commercial Physicians was representd by Dr. C. Bernhard-Klimt. For the professional organizations which are most frequently engaged with occupation-related skin diseases, the following persons attended the conference: Professor Dr. jur. Stephan Brandenburg, Professional Organization for Health Service and Welfare Work; Dieter Dienstbach, Professional Organization of the Chemical Industry; Dr. med. K. H. Frank, Professional Organization of the Building Industry; Dr. rer. nat. Peter Kleesz, Professional Organization for Food and Restaurants; Ass. Wilfried Pappai, Professional Organization for Engineering and Metall; Dr. jur. Wolfgang Römer, Professional Organization for Metall North South; Ass. Joachim Sacher, Professional Organization of the Chemical Industry.
    No preview · Article · Dec 2008
  • Source

    Full-text · Article · Oct 2008
  • C Skudlik · K Breuer · M Jünger · H Allmers · S Brandenburg · S M John
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    ABSTRACT: Occupational dermatoses (OD) have been at the top of all occupational diseases in Germany for years (>25% of all occupational diseases officially reported annually to the public statutory employers' liability insurance bodies). More than 90% of OD-cases are hand eczema. Several pilot initiatives to improve prevention of occupational skin diseases have been developed and funded since 2005 by the statutory employers' liability insurance schemes. The concept underpinning these initiatives is a nationwide multi-step intervention approach recently implemented by the public statutory insurance system administration ("step- wise procedure") which aims at offering quick and specific preventive help at all levels of severity of OD. The dermatologist has a pivotal function in this concept; for early secondary prevention, the so-called dermatologist's procedure was recently updated in order to provide more rapid and concise dermatological consultations and care. Additionally, combined outpatient dermatological and educational intervention seminars ("secondary individual prevention", SIP) and interdisciplinary inpatient prevention measures have been developed ("tertiary individual prevention", [TIP]) and are currently being further evaluated in multicenter studies.
    No preview · Article · Sep 2008 · Der Hautarzt
  • C. Skudlik · K. Breuer · M. Jünger · H. Allmers · S. Brandenburg · S.M. John
    [Show abstract] [Hide abstract]
    ABSTRACT: Occupational dermatoses (OD) have been at the top of all occupational diseases in Germany for years (>25% of all occupational diseases officially reported annually to the public statutory employers’ liability insurance bodies). More than 90% of OD-cases are hand eczema. Several pilot initiatives to improve prevention of occupational skin diseases have been developed and funded since 2005 by the statutory employers’ liability insurance schemes. The concept underpinning these initiatives is a nationwide multi-step intervention approach recently implemented by the public statutory insurance system administration (“step- wise procedure”) which aims at offering quick and specific preventive help at all levels of severity of OD. The dermatologist has a pivotal function in this concept; for early secondary prevention, the so-called dermatologist’s procedure was recently updated in order to provide more rapid and concise dermatological consultations and care. Additionally, combined outpatient dermatological and educational intervention seminars (“secondary individual prevention”, SIP) and interdisciplinary inpatient prevention measures have been developed (“tertiary individual prevention”, [TIP]) and are currently being further evaluated in multicenter studies.
    No preview · Article · Aug 2008 · Der Hautarzt