Pneumoconiosis Incidence and Prevalence Among US Medicare Beneficiaries, 1999–2019

Details

• Personal Author:
  Blackley DJ ; Casey ML ; Kurth L ; Mazurek JM
• 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. [Description provided by NIOSH]
• Subjects:
  Asbestos Coal Coal Mining Dust Epidemiology Inorganic Chemicals Lung Lung Diseases Mining Occupational Health Particulate Matter Pneumoconiosis Respiratory System Respiratory Tract Diseases Safety

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• Keywords:
  Asbestosis Author Keywords: Asbestosis Black Lung Disease Coal Workers' Pneumoconiosis Coal Workers Pneumoconiosis Disease Incidence Dust Exposure Fibers Medical Claims Medicare Pneumoconiosis Respiratory Diseases Silicosis Surveillance

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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 ; NPPTL - National Personal Protective Technology Laboratory
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  66
• Issue:
  10
• NIOSHTIC Number:
  nn:20068088
• Citation:
  Am J Ind Med 2023 Oct; 66(10):831-841
• Contact Point Address:
  Laura Kurth, Surveillance Branch, Centers for Disease Control and Prevention, Respiratory Health Division, National Institute for Occupational Safety and Health, 1000 Frederick Ln. Mailstop HG900.2, Morgantown, WV 26508, USA
• Email:
  lkurth@cdc.gov
• Federal Fiscal Year:
  2024
• 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:a793f321293bbecc0e45759b7ee8b55bb2a7171ee581de31ddcd22065d7dc4e485a852f542c618203f91284b4cdd883efdf97c5c80168ce7ff3eea433d907971
• Download URL:
  https://stacks.cdc.gov/view/cdc/230306/cdc_230306_DS1.pdf
• File Type:
  [PDF - 1.07 MB ]