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Table 5 Algorithm summarising the recommended medico-professional follow-up of workers currently or previously exposed to carcinogenic substances for the bladder

From: Medical follow-up for workers exposed to bladder carcinogens: the French evidence-based and pragmatic statement

Risk level for the professional group Group of workers with a VERY HIGH risk (RR or OR or SMR > 5) or professions with documented high exposure levels Group of workers with a HIGH risk (2< RR or OR or SMR ≤5) Group of workers with a MODERATE risk (1< RR or OR or SMR ≤2)
Exposure duration ≥ 1 year < 1 year ≥ 1 year < 1 year  
Follow-up RECOMMENDED PROPOSED NOT RECOMMENDED (in view of the performance of currently available tests) 
Minimum latency period after the start of exposure 20 years
Proposed first line, then 6-monthly test Urinary cytology