Survival Analysis of Coal Workers' Pneumoconiosis (CWP) Patients in a State-Owned Mine in the East of China from 1963 to 2014

Int J Environ Res Public Health. 2017 May 6;14(5):489. doi: 10.3390/ijerph14050489.

Abstract

To investigate the mortality probability, life expectancy of coal workers' pneumoconiosis (CWP), and related factors of life expectancy, a total of 495 patients with CWP were diagnosed and reported from 1963 to 2014 in a state-owned mine in the east of China. The life table method, log rank method, and Cox regression model were used for survival analysis. 95 out of 495 CWP died during this period. The mortality rate was 19.19%. The average life span was 12.1 (0.0-33.2) years and average death age was 57.4 (33.0-83.0) years. The life table indicated that overall mortality probability increased with the age of CWP patients. Life expectancy of CWP patients was prolonged to 4.3, 1.4, 1.2, and 1.4 years without death caused by pneumoconiosis, tuberculosis, lung cancer, and pulmonary heart disease respectively. The survival curve of CWP patients without pulmonary tuberculosis was higher (average 37.9 years) than patients with pulmonary tuberculosis (average 34.1 years). There was significant difference observed (χ² = 6.196, p < 0.05). Three risk factors that include initial dust exposure year, age of onset, and first diagnostic stage were put into the Cox regression model for evaluation. The data indicated that prevention and treatment of CWP complication is important to improve patients' survival rates.

Keywords: China; Coal Workers’ Pneumoconiosis (CWP); survival analysis.

MeSH terms

  • Adult
  • Age of Onset
  • Aged
  • Aged, 80 and over
  • Anthracosis / epidemiology*
  • Anthracosis / mortality
  • China / epidemiology
  • Coal Mining / statistics & numerical data*
  • Dust*
  • Humans
  • Life Expectancy
  • Life Tables
  • Male
  • Middle Aged
  • Occupational Exposure / adverse effects*
  • Proportional Hazards Models
  • Risk Factors
  • Survival Analysis

Substances

  • Dust