美国煤工尘肺患者的肺移植数量持续增加。
Continued increase in lung transplantation for coal workers' pneumoconiosis in the United States.
机构信息
Respiratory Health Division, National Institute for Occupational Safety and Health, Morgantown, West Virginia.
出版信息
Am J Ind Med. 2018 Jul;61(7):621-624. doi: 10.1002/ajim.22856. Epub 2018 May 6.
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 62 CWP-related lung transplants; 49 (79%) occurred in the last decade. The rate of these procedures has also increased. Twenty-seven patients were waitlisted 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.
背景
严重的煤工尘肺（CWP）越来越常见，有时需要进行肺移植。
方法
利用器官获取和移植网络的数据，我们更新了与 CWP 相关的肺移植趋势，描述了已列入候补名单但未进行移植的 CWP 患者，并确定了 CWP 相关和其他职业性肺部疾病移植的主要支付者。
结果
至少有 62 例与 CWP 相关的肺移植；其中 49 例（79%）发生在过去十年中。这些手术的数量也有所增加。有 27 名患者已列入候补名单但未接受移植。与其他职业性肺部疾病相比，CWP 的移植更有可能由公共保险支付。
结论
CWP 肺移植的频率和数量增加与美国煤矿工人中严重 CWP 的患病率上升一致。有效的暴露控制和早期 CWP 的识别对于保护这些工人仍然至关重要。
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