Pneumoconiosis incidence and prevalence among US Medicare beneficiaries, 1999–2019

Details

• Alternative Title:
  Am J Ind Med
• Personal Author:
  Kurth, Laura ; Casey, Megan L. ; Mazurek, Jacek M. ; Blackley, David J.
• Description:
  Background:
  
  Pneumoconiosis is a group of occupational lung diseases caused by dust and fiber exposure. This study analyzes Medicare claims to estimate the burden of pneumoconiosis among fee-for-service (FFS; Medicare Parts A and B) Medicare beneficiaries during 1999–2019 in the United States.
  
  Methods:
  
  Claim and enrollment information from 81 million continuously enrolled FFS Medicare beneficiaries were analyzed. Beneficiaries with any pneumoconiosis and cause-specific pneumoconiosis (e.g., asbestosis, silicosis) were identified using three case definitions (broad, intermediate, and narrow) with varying diagnostic criteria based on claim International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis codes and Healthcare Common Procedure Coding System codes. Results are presented as ranges of values for the three case definitions.
  
  Results:
  
  The 21-year prevalence range for any pneumoconiosis was 345,383–677,361 (412–833 per 100,000 beneficiaries) using the three case definitions. The highest prevalence was among those ≥75 years of age, males, Whites, and North American Natives. Most claims (70.0%–72.5%) included an ICD-CM diagnosis code for asbestosis. The broad pneumoconiosis prevalence rate increased significantly (p < 0.001) during 2002–2009 by 3%–10% annually and declined significantly by 3%–5% annually starting in 2009. The average annual broad incidence rate declined significantly by 7% annually during 2009–2019.
  
  Conclusions:
  
  Despite the decline in rate for any pneumoconiosis among Medicare beneficiaries, which is primarily attributed to a decline in asbestosis, pneumoconiosis is prevalent among FFS Medicare beneficiaries.
  
  
• Subjects:
  Aged Asbestosis Humans Incidence Male Medicare Pneumoconiosis Prevalence United States
• Keywords:
  Asbestosis Coal Workers' Pneumoconiosis Medical Claims Pneumoconiosis
• Source:
  Am J Ind Med. 66(10):831-841
• Pubmed ID:
  37482966
• Pubmed Central ID:
  PMC10924676
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  66
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:643182051816b22d9bf64f1177211b13a10ff35d3b70d624d81e077933907791df77658ed1fdf3f61a383e2a4dab4324c127691d989c1ed02600e04169fc6c7a
• Download URL:
  https://stacks.cdc.gov/view/cdc/151650/cdc_151650_DS1.pdf
• File Type:
  [PDF - 813.85 KB ]