Abstract
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.
Keywords
Asbestos; Mortality; Risk factors
Bibliographic citation
Abós-Herràndiz R, Rodriguez-Blanco T, Garcia-Allas I, Rosell-Murphy IM, Albertí-Casas C, Tarrés J, et al. Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis. Can Respir J. 2017 Jun 7: 9015914.
Audience
Professionals
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