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Tibaduiza Torres AL, Betancur Romero JE, Silva Aparicio A, Rico Mendoza MA. [Malignant mesothelioma in Colombia: burden of disease, overview, and subnational sociodemographic index, 2015-2020Mesotelioma maligno na Colômbia: carga de morbidade, visão geral e índice sociodemográfico subnacional, entre 2015 e 2020]. Rev Panam Salud Publica 2023; 47:e95. [PMID: 38089107 PMCID: PMC10712569 DOI: 10.26633/rpsp.2023.95] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 06/12/2023] [Indexed: 03/08/2024] Open
Abstract
Objective Establish the disease burden of malignant mesothelioma (MM) in Colombia between 2015 and 2020, and its association with the subnational sociodemographic development index (SDI) and with asbestos sites. Methods Mixed ecological study of the Colombian population diagnosed with MM (according to ICD-10) from 2015 to 2020. The global burden of disease (GBD) was estimated using the methodology proposed by Murray and Lopez, based on prevalence and mortality data obtained from official sources. The subnational (departmental level) SDI was estimated as a measure of socioeconomic development. Linear regressions were established with the GBD, SDI, and documented asbestos sites. Results The estimated GBD of MM in Colombia during 2015-2020 was 51.71 disability-adjusted life years (DALYs) per 1 000 000 inhabitants (15 375.79 total DALYs), with predominance in people over 50 years of age (91.1%) and males (66.4%).Bogotá and Valle del Cauca were the departments with the highest number of adjusted DALYs. Bogotá had the highest SDI and Guainía and Cesar had the lowest. There was evidence of an association between DALYs and SDI, explaining 22.8% of DALYs. Conclusion Malignant mesothelioma is the cause of a large number of DALYs, predominantly in the departments with greater socioeconomic development and with companies that used to use asbestos. However, possible underdiagnosis of MM limits analysis of the information.
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Smargiassi A, Pasciuto G, Pedicelli I, Lo Greco E, Calvello M, Inchingolo R, Schifino G, Capoluongo P, Patriciello P, Manno M, Cirillo A, Corbo GM, Soldati G, Iavicoli I. Chest ultrasonography in health surveillance of asbestos-related lung diseases. Toxicol Ind Health 2017; 33:537-546. [DOI: 10.1177/0748233716686916] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Objectives: Exposure to asbestos fibers can lead to different lung diseases, such as pleural thickening and effusion, asbestosis, mesothelioma, and lung cancer. These diseases are expected to peak in the next few years. The aim of the study was to validate ultrasonography (US) as a diagnostic tool in the management of lung diseases in subjects with a history of occupational exposure to asbestos. Methods: Fifty-nine retired male workers previously exposed to asbestos were enrolled in the study. Chest US was performed in all the subjects. The US operator was blinded to earlier performed computed tomography (CT) scan reports and images. The sonographic pathological findings were pleural thickening (with or without calcifications), peripheral lung consolidation, and focal sonographic interstitial syndrome and diffuse pneumogenic sonographic interstitial syndrome (pulmonary asbestosis). Significant US findings were recorded, stored, and subsequently compared with CT scans. Results: With some patients falling into more than one category, on CT scan, pleural thickening was reported in 33 cases (56%, 26 with calcifications), focal interstitial peripheral alterations in 23 (39%), asbestosis in 6 (10%), and peripheral lung consolidation in 13 cases (22%). Comparing each pathological condition to CT scan reports, US findings had high levels of sensitivity, specificity, positive, and negative predictive values. US did not prove effective for the detection of central lung nodules or diaphragmatic pleural thickenings. Chest US was considered to be the best technique to detect minimal pleural effusions (six subjects, 10%). Conclusions: Chest US might be considered an additional tool to follow up subjects occupationally exposed to asbestos who have already undergone CT scan examination and whose pathology is detectable by US as well.
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Affiliation(s)
- Andrea Smargiassi
- Pulmonary Medicine Department, University Hospital “A. Gemelli”—Università Cattolica del Sacro Cuore, Rome, Italy
| | - Giuliana Pasciuto
- Pulmonary Medicine Department, University Hospital “A. Gemelli”—Università Cattolica del Sacro Cuore, Rome, Italy
| | - Ilaria Pedicelli
- Pulmonary Medicine Department, OORR Area Nolana—ASL Napoli3 Sud, Pollena Trocchia, Italy
| | - Erminia Lo Greco
- Pulmonary Medicine Department, University Hospital “A. Gemelli”—Università Cattolica del Sacro Cuore, Rome, Italy
| | - Mariarosaria Calvello
- Pulmonary Medicine Department, University Hospital “A. Gemelli”—Università Cattolica del Sacro Cuore, Rome, Italy
| | - Riccardo Inchingolo
- Pulmonary Medicine Department, University Hospital “A. Gemelli”—Università Cattolica del Sacro Cuore, Rome, Italy
| | - Gioacchino Schifino
- Pulmonary Medicine Department, University Hospital “A. Gemelli”—Università Cattolica del Sacro Cuore, Rome, Italy
| | - Patrizio Capoluongo
- Department of Public Health, University of Naples—Federico II, Naples, Italy
| | - Pasquale Patriciello
- Pulmonary Medicine Department, OORR Area Nolana—ASL Napoli3 Sud, Pollena Trocchia, Italy
| | - Maurizio Manno
- Department of Public Health, University of Naples—Federico II, Naples, Italy
| | - Alfonso Cirillo
- Department of Prevention, Service of Hygiene and Occupational Medicine—ASL Napoli3 Sud, Pompei, Italy
| | - Giuseppe Maria Corbo
- Pulmonary Medicine Department, University Hospital “A. Gemelli”—Università Cattolica del Sacro Cuore, Rome, Italy
| | - Gino Soldati
- Emergency Department, Valle del Serchio General Hospital, Castelnuovo Garfagnana, Italy
| | - Ivo Iavicoli
- Department of Public Health, University of Naples—Federico II, Naples, Italy
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