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Canadian Respiratory Journal
Volume 2017, Article ID 9015914, 9 pages
Research Article

Risk Factors of Mortality from All Asbestos-Related Diseases: A Competing Risk Analysis

1Catalan Health Institute (ICS), Division of Primary Health Care, Department of Health, Barcelona, Catalonia, Spain
2Primary Care Research Institute (IDIAP Jordi Gol) and Research Associate, Autonomous University of Barcelona (UAB), Cerdanyola del Vallès, Spain
3Catalan Institute for Medical Evaluation (ICAM), Barcelona, Catalonia, Spain
4Pneumology Unit, Hospitals de Girona i Salt, Institut d’Investigació Biomèdica de Girona (IDIBGI), Girona, Catalonia, Spain
5Ciber de Enfermedades Respiratorias (CIBERES), Palma de Mallorca, Baleares, Spain
6Palliative Care Unit, Parc Taulí Hospital, Barcelona, Spain
7Department of Public Health, University of Barcelona (UB), Barcelona, Spain
8Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL, USA

Correspondence should be addressed to Rafael Abós-Herràndiz; moc.liamg@har52042

Received 29 January 2017; Revised 8 May 2017; Accepted 17 May 2017; Published 7 June 2017

Academic Editor: Elisa Giovannetti

Copyright © 2017 Rafael Abós-Herràndiz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.