Occupational and Environmental Asbestos Exposure and Survival of Patients with Asbestos-Related Cancer: A Follow-Up Study on Patients with Malignant Mesothelioma and Asbestos-Related Lung Cancer in Korea

Malignant mesothelioma and asbestos-related lung cancer are typically associated with a poor prognosis. However, it has been observed that some patients with these cancers survive significantly longer than the average survival period. While many preliminary studies have investigated factors influenc...

Full description

Bibliographic Details
Main Authors: Min-Sung Kang, Woo-Ri Chae, Yong-Jin Lee, Kyong Whan Moon
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/12/1/20
_version_ 1797342508045303808
author Min-Sung Kang
Woo-Ri Chae
Yong-Jin Lee
Kyong Whan Moon
author_facet Min-Sung Kang
Woo-Ri Chae
Yong-Jin Lee
Kyong Whan Moon
author_sort Min-Sung Kang
collection DOAJ
description Malignant mesothelioma and asbestos-related lung cancer are typically associated with a poor prognosis. However, it has been observed that some patients with these cancers survive significantly longer than the average survival period. While many preliminary studies have investigated factors influencing patient survival, the specific impact of asbestos exposure has not been thoroughly explored. We followed up with 546 patients with malignant mesothelioma and 902 patients with asbestos-related lung cancer, all identified as asbestos victims between 2009 and 2021. In both malignant mesothelioma and asbestos-related lung cancer, patients with occupational asbestos exposure exhibited not only shorter median survival times but also lower 3- and 5-year survival rates compared to those with environmental exposure. Additionally, a longer duration of occupational exposure and closer proximity to the source of asbestos were linked to shorter survival times and lower survival rates. Among the patients with occupational asbestos exposure, the highest hazard ratios (HRs) were observed in those who worked in the production of asbestos-containing products across both cancer types. In contrast, significant HRs were only noted in mesothelioma patients who lived near asbestos industries, slate houses, and redevelopment areas, within the environmentally exposed group.
first_indexed 2024-03-08T10:34:34Z
format Article
id doaj.art-926c743056a14edf9d07da7675f97392
institution Directory Open Access Journal
issn 2305-6304
language English
last_indexed 2024-03-08T10:34:34Z
publishDate 2023-12-01
publisher MDPI AG
record_format Article
series Toxics
spelling doaj.art-926c743056a14edf9d07da7675f973922024-01-26T18:40:56ZengMDPI AGToxics2305-63042023-12-011212010.3390/toxics12010020Occupational and Environmental Asbestos Exposure and Survival of Patients with Asbestos-Related Cancer: A Follow-Up Study on Patients with Malignant Mesothelioma and Asbestos-Related Lung Cancer in KoreaMin-Sung Kang0Woo-Ri Chae1Yong-Jin Lee2Kyong Whan Moon3Asbestos Environmental Health Center, Soonchunhyang University Cheonan Hospital, Soonchunhyang 6-gil 31, Dongnam-gu, Cheonan-si 31151, Republic of KoreaDepartment of Health and Safety Convergence Science, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, Republic of KoreaAsbestos Environmental Health Center, Soonchunhyang University Cheonan Hospital, Soonchunhyang 6-gil 31, Dongnam-gu, Cheonan-si 31151, Republic of KoreaSchool of Health and Environmental Science, Korea University, Anam-ro 145, Seongbuk-gu, Seoul 02841, Republic of KoreaMalignant mesothelioma and asbestos-related lung cancer are typically associated with a poor prognosis. However, it has been observed that some patients with these cancers survive significantly longer than the average survival period. While many preliminary studies have investigated factors influencing patient survival, the specific impact of asbestos exposure has not been thoroughly explored. We followed up with 546 patients with malignant mesothelioma and 902 patients with asbestos-related lung cancer, all identified as asbestos victims between 2009 and 2021. In both malignant mesothelioma and asbestos-related lung cancer, patients with occupational asbestos exposure exhibited not only shorter median survival times but also lower 3- and 5-year survival rates compared to those with environmental exposure. Additionally, a longer duration of occupational exposure and closer proximity to the source of asbestos were linked to shorter survival times and lower survival rates. Among the patients with occupational asbestos exposure, the highest hazard ratios (HRs) were observed in those who worked in the production of asbestos-containing products across both cancer types. In contrast, significant HRs were only noted in mesothelioma patients who lived near asbestos industries, slate houses, and redevelopment areas, within the environmentally exposed group.https://www.mdpi.com/2305-6304/12/1/20asbestoslung cancermalignant mesotheliomasurvival
spellingShingle Min-Sung Kang
Woo-Ri Chae
Yong-Jin Lee
Kyong Whan Moon
Occupational and Environmental Asbestos Exposure and Survival of Patients with Asbestos-Related Cancer: A Follow-Up Study on Patients with Malignant Mesothelioma and Asbestos-Related Lung Cancer in Korea
Toxics
asbestos
lung cancer
malignant mesothelioma
survival
title Occupational and Environmental Asbestos Exposure and Survival of Patients with Asbestos-Related Cancer: A Follow-Up Study on Patients with Malignant Mesothelioma and Asbestos-Related Lung Cancer in Korea
title_full Occupational and Environmental Asbestos Exposure and Survival of Patients with Asbestos-Related Cancer: A Follow-Up Study on Patients with Malignant Mesothelioma and Asbestos-Related Lung Cancer in Korea
title_fullStr Occupational and Environmental Asbestos Exposure and Survival of Patients with Asbestos-Related Cancer: A Follow-Up Study on Patients with Malignant Mesothelioma and Asbestos-Related Lung Cancer in Korea
title_full_unstemmed Occupational and Environmental Asbestos Exposure and Survival of Patients with Asbestos-Related Cancer: A Follow-Up Study on Patients with Malignant Mesothelioma and Asbestos-Related Lung Cancer in Korea
title_short Occupational and Environmental Asbestos Exposure and Survival of Patients with Asbestos-Related Cancer: A Follow-Up Study on Patients with Malignant Mesothelioma and Asbestos-Related Lung Cancer in Korea
title_sort occupational and environmental asbestos exposure and survival of patients with asbestos related cancer a follow up study on patients with malignant mesothelioma and asbestos related lung cancer in korea
topic asbestos
lung cancer
malignant mesothelioma
survival
url https://www.mdpi.com/2305-6304/12/1/20
work_keys_str_mv AT minsungkang occupationalandenvironmentalasbestosexposureandsurvivalofpatientswithasbestosrelatedcancerafollowupstudyonpatientswithmalignantmesotheliomaandasbestosrelatedlungcancerinkorea
AT woorichae occupationalandenvironmentalasbestosexposureandsurvivalofpatientswithasbestosrelatedcancerafollowupstudyonpatientswithmalignantmesotheliomaandasbestosrelatedlungcancerinkorea
AT yongjinlee occupationalandenvironmentalasbestosexposureandsurvivalofpatientswithasbestosrelatedcancerafollowupstudyonpatientswithmalignantmesotheliomaandasbestosrelatedlungcancerinkorea
AT kyongwhanmoon occupationalandenvironmentalasbestosexposureandsurvivalofpatientswithasbestosrelatedcancerafollowupstudyonpatientswithmalignantmesotheliomaandasbestosrelatedlungcancerinkorea