Author/Authors :
Abós-Herràndiz, Rafael Catalan Health Institute (ICS) - Division of Primary Health Care - Department of Health, Barcelona, Catalonia, Spain , Rodriguez-Blanco, Teresa Primary Care Research Institute (IDIAP Jordi Gol) and Research Associate - Autonomous University of Barcelona (UAB), Spain , Garcia-Allas, Isabel Catalan Health Institute (ICS) - Division of Primary Health Care - Department of Health, Barcelona, Catalonia, Spain , Rosell-Murphy, Isabel-Magdalena Catalan Health Institute (ICS) - Division of Primary Health Care - Department of Health, Barcelona, Catalonia, Spain , Albertí-Casas, Constança Catalan Institute for Medical Evaluation (ICAM), Barcelona, Catalonia, Spain , Tarrés, Josep Catalan Health Institute (ICS) - Division of Primary Health Care - Department of Health, Barcelona, Catalonia, Spain , Krier-Günther, Illona Catalan Health Institute (ICS) - Division of Primary Health Care - Department of Health, Barcelona, Catalonia, Spain , Martinez-Artés, Xavier Catalan Health Institute (ICS) - Division of Primary Health Care - Department of Health, Barcelona, Catalonia, Spain , Orriols, Ramon Ciber de Enfermedades Respiratorias (CIBERES), Palma de Mallorca, Baleares, Spain , Grimau-Malet, Isidre Palliative Care Unit, Parc Taulı Hospital, Barcelona, Spain , Canela-Soler, Jaume Department of Public Health - University of Barcelona (UB), Barcelona, Spain
Abstract :
Background.Themortality fromallmalignant 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 asbestosexposed
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 ofmesothelioma. 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 peritonealmesothelioma 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.
