Department of Occupational and Environmental Medicine, Soonchunhyang University Cheonan Hospital, Cheonan-si 31151, Korea.
Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan-si 31151, Korea.
Int J Environ Res Public Health. 2021 Sep 23;18(19):10007. doi: 10.3390/ijerph181910007.
(1) Background: The purpose of this study was to investigate the epidemiological characteristics of malignant mesothelioma in Korea by investigating cases compensated under the asbestos injury relief system. (2) Methods: A total of 407 compensated cases between 2011 and 2015 were reviewed using medical records and resident registrations in order to investigate the dates of diagnosis and death. Asbestos exposure and patients' general characteristics were investigated through face-to-face interviews. The standardized incidence ratio was calculated as the number of observations from 2005 to 2014 per exposure region in Korea, using the mid-annual population of each region in 2009 as the standard population. (3) Results: Among the 407 cases, 65.1% were male. The pleura and peritoneum were affected in 76.9% and 23.1% of cases, respectively. For peritoneal mesothelioma, the median survival duration was longer ( = 0.005), and the proportion of affected women was higher than that in pleural mesothelioma. The standardized incidence ratio (95% CI) by province of primary exposure was Chungnam 3.33 (2.51-4.35), Ulsan 1.85 (0.97-3.21), and Seoul 1.32 (1.06-1.63). (4) Conclusions: Although the representativeness of the data is limited, it is sufficient to assume the epidemiologic characteristics of malignant mesothelioma, help improve the compensation system, and contribute to future policies.
(1) 背景：本研究旨在通过调查石棉伤害赔偿制度下的赔偿病例，调查韩国恶性间皮瘤的流行病学特征。(2) 方法：共回顾了 2011 年至 2015 年期间的 407 例补偿病例，通过病历和居民登记调查了诊断和死亡日期。通过面对面访谈调查了石棉暴露和患者的一般特征。使用韩国每个地区 2009 年的年中人口作为标准人口，根据韩国每个地区的暴露地区，计算了标准化发病比（2005 年至 2014 年每暴露地区的观察数）。(3) 结果：407 例中，男性占 65.1%。胸膜和腹膜受累分别占 76.9%和 23.1%。腹膜间皮瘤的中位生存时间较长（ = 0.005），女性受累比例高于胸膜间皮瘤。按主要暴露省份的标准化发病比（95%CI）分别为忠南 3.33（2.51-4.35）、蔚山 1.85（0.97-3.21）和首尔 1.32（1.06-1.63）。(4) 结论：尽管数据的代表性有限，但足以假设恶性间皮瘤的流行病学特征，有助于改善赔偿制度，并为未来的政策做出贡献。
