Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis
Background. The mortality from all malignant and nonmalignant asbestos-related diseases remains unknown. The authors assessed the incidence and risk factors for all asbestos-related deaths. Methods. The sample included 544 patients from an asbestos-exposed community in the area of Barcelona (Spain),...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Canadian Respiratory Journal |
| Online Access: | http://dx.doi.org/10.1155/2017/9015914 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560763328266240 |
|---|---|
| author | Rafael Abós-Herràndiz Teresa Rodriguez-Blanco Isabel Garcia-Allas Isabel-Magdalena Rosell-Murphy Constança Albertí-Casas Josep Tarrés Illona Krier-Günther Xavier Martinez-Artés Ramon Orriols Isidre Grimau-Malet Jaume Canela-Soler |
| author_facet | Rafael Abós-Herràndiz Teresa Rodriguez-Blanco Isabel Garcia-Allas Isabel-Magdalena Rosell-Murphy Constança Albertí-Casas Josep Tarrés Illona Krier-Günther Xavier Martinez-Artés Ramon Orriols Isidre Grimau-Malet Jaume Canela-Soler |
| author_sort | Rafael Abós-Herràndiz |
| collection | DOAJ |
| description | Background. The mortality from all malignant and nonmalignant asbestos-related diseases remains unknown. The authors assessed the incidence and risk factors for all asbestos-related deaths. Methods. The sample included 544 patients from an asbestos-exposed community in the area of Barcelona (Spain), between Jan 1, 1970, and Dec 31, 2006. Competing risk regression through a subdistribution hazard analysis was used to estimate risk factors for the outcomes. Results. Asbestos-related deaths were observed in 167 (30.7%) patients and 57.5% of these deaths were caused by some type of mesothelioma. The incidence rate after diagnosis was 3,600 per 100,000 person-years. In 7.5% of patients death was non-asbestos-related, while pleural and peritoneal mesothelioma were identified in 87 (16.0%) and 18 (3.3%) patients, respectively. Conclusions. Age, sex, household exposure, cumulative nonmalignant asbestos-related disease, and single malignant pathology were identified as risk factors for asbestos-related death. These findings suggest the need to develop a preventive approach to the community and to improve the clinical follow-up process of these patients. |
| format | Article |
| id | doaj-art-c747ae33fe1b45f48c6cb17c49fa61ee |
| institution | Kabale University |
| issn | 1198-2241 1916-7245 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Respiratory Journal |
| spelling | doaj-art-c747ae33fe1b45f48c6cb17c49fa61ee2025-02-03T01:26:50ZengWileyCanadian Respiratory Journal1198-22411916-72452017-01-01201710.1155/2017/90159149015914Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk AnalysisRafael Abós-Herràndiz0Teresa Rodriguez-Blanco1Isabel Garcia-Allas2Isabel-Magdalena Rosell-Murphy3Constança Albertí-Casas4Josep Tarrés5Illona Krier-Günther6Xavier Martinez-Artés7Ramon Orriols8Isidre Grimau-Malet9Jaume Canela-Soler10Catalan Health Institute (ICS), Division of Primary Health Care, Department of Health, Barcelona, Catalonia, SpainPrimary Care Research Institute (IDIAP Jordi Gol) and Research Associate, Autonomous University of Barcelona (UAB), Cerdanyola del Vallès, SpainCatalan Health Institute (ICS), Division of Primary Health Care, Department of Health, Barcelona, Catalonia, SpainCatalan Health Institute (ICS), Division of Primary Health Care, Department of Health, Barcelona, Catalonia, SpainCatalan Institute for Medical Evaluation (ICAM), Barcelona, Catalonia, SpainCatalan Health Institute (ICS), Division of Primary Health Care, Department of Health, Barcelona, Catalonia, SpainCatalan Health Institute (ICS), Division of Primary Health Care, Department of Health, Barcelona, Catalonia, SpainCatalan Health Institute (ICS), Division of Primary Health Care, Department of Health, Barcelona, Catalonia, SpainPneumology Unit, Hospitals de Girona i Salt, Institut d’Investigació Biomèdica de Girona (IDIBGI), Girona, Catalonia, SpainPalliative Care Unit, Parc Taulí Hospital, Barcelona, SpainDepartment of Public Health, University of Barcelona (UB), Barcelona, SpainBackground. The mortality from all malignant and nonmalignant asbestos-related diseases remains unknown. The authors assessed the incidence and risk factors for all asbestos-related deaths. Methods. The sample included 544 patients from an asbestos-exposed community in the area of Barcelona (Spain), between Jan 1, 1970, and Dec 31, 2006. Competing risk regression through a subdistribution hazard analysis was used to estimate risk factors for the outcomes. Results. Asbestos-related deaths were observed in 167 (30.7%) patients and 57.5% of these deaths were caused by some type of mesothelioma. The incidence rate after diagnosis was 3,600 per 100,000 person-years. In 7.5% of patients death was non-asbestos-related, while pleural and peritoneal mesothelioma were identified in 87 (16.0%) and 18 (3.3%) patients, respectively. Conclusions. Age, sex, household exposure, cumulative nonmalignant asbestos-related disease, and single malignant pathology were identified as risk factors for asbestos-related death. These findings suggest the need to develop a preventive approach to the community and to improve the clinical follow-up process of these patients.http://dx.doi.org/10.1155/2017/9015914 |
| spellingShingle | Rafael Abós-Herràndiz Teresa Rodriguez-Blanco Isabel Garcia-Allas Isabel-Magdalena Rosell-Murphy Constança Albertí-Casas Josep Tarrés Illona Krier-Günther Xavier Martinez-Artés Ramon Orriols Isidre Grimau-Malet Jaume Canela-Soler Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis Canadian Respiratory Journal |
| title | Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis |
| title_full | Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis |
| title_fullStr | Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis |
| title_full_unstemmed | Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis |
| title_short | Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis |
| title_sort | risk factors of mortality from all asbestos related diseases a competing risk analysis |
| url | http://dx.doi.org/10.1155/2017/9015914 |
| work_keys_str_mv | AT rafaelabosherrandiz riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT teresarodriguezblanco riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT isabelgarciaallas riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT isabelmagdalenarosellmurphy riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT constancaalberticasas riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT joseptarres riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT illonakriergunther riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT xaviermartinezartes riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT ramonorriols riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT isidregrimaumalet riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis AT jaumecanelasoler riskfactorsofmortalityfromallasbestosrelateddiseasesacompetingriskanalysis |