Continued Increase in Lung Transplantation for Coal Workers’ Pneumoconiosis in the United States

Details

• Personal Author:
  Blackley DJ ; Halldin, Cara N. ; Laney AS
• Description:
  Background: Severe coal workers' pneumoconiosis (CWP) is increasingly common, and sometimes requires lung transplantation. Methods: Using Organ Procurement and Transplantation Network data, we updated the trend for CWP-related lung transplants, described CWP patients who have been waitlisted but not transplanted, and characterized the primary payer of medical costs for CWP-related and other occupational lung disease transplants. Results: There have been at least 62CWP-related lung transplants; 49(79%) occurred in the last decade. The rate of these procedures has also increased.Twenty-seven patients were wait-listed but did not receive a transplant. Compared to other occupational lung diseases, transplants for CWP were more likely to be paid for by public insurance. Conclusions: The increase in the frequency and rate of lung transplantation for CWP is consistent with the rising prevalence of severe CWP among U.S. coal miners. Effective exposure controls and identification of early stage CWP remain essential for protecting these workers. [Description provided by NIOSH]
• Subjects:
  Coal Coal Mining Diagnosis Hazardous Substances Lung Lung Diseases Mining Occupational Health Respiratory System Respiratory Tract Diseases Safety

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• Keywords:
  Author Keywords: Coal Workers' Pneumoconiosis Black Lung Disease Clinical Diagnosis Coal Miners Coal Workers Coal Workers Pneumoconiosis Cost Analyses Costs Environmental Control Hazard Controls Health Care Health Effects Lung Disease Lung Function Lung Transplantation Medical Treatment Occupational Lung Disease Occupational Respiratory Disease Organ Procurement And Transplantation Network Organs Pneumoconiosis Pulmonary Function Pulmonary System Disorders Respiratory Function Respiratory Health Respiratory System Disorders Surveillance Surveillance Programs

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• ISSN:
  0271-3586
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  61
• Issue:
  7
• NIOSHTIC Number:
  nn:20051516
• Citation:
  Am J Ind Med 2018 Jul; 61(7):621-624
• Contact Point Address:
  David J. Blackley, DrPH, Respiratory Health Division, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Mail Stop HG900.2, Morgantown, WV 26505
• Email:
  dblackley@cdc.gov
• Federal Fiscal Year:
  2018
• NORA Priority Area:
  Mining
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Industrial Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1ed82be61d04ed0af3ab39359d7f2603279058cead0b0cf256f383204aebace4f35bd9dd6afa8a12f956efbdbd6c1494a86f3316b0c6400b7644973968b1f67a
• Download URL:
  https://stacks.cdc.gov/view/cdc/211422/cdc_211422_DS1.pdf
• File Type:
  [PDF - 276.10 KB ]