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Lung transplantation is increasingly common among patients with coal workers’ pneumoconiosis
Author(s) -
Blackley David J.,
Halldin Cara N.,
Cummings Kristin J.,
Laney A. Scott
Publication year - 2016
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.22551
Subject(s) - pneumoconiosis , medicine , lung transplantation , transplantation , occupational lung disease , lung , environmental health , surgery , pathology
Background The prevalence of coal workers’ pneumoconiosis (CWP) in U.S. coal miners has increased, and severe presentations are increasingly common. Methods We describe trends in lung transplantation during 1996–2014 for recipients with a primary diagnosis of CWP or pneumoconiosis unspecified, and we summarize recipient characteristics and estimate survival. Results A total of 47 transplants were included; nearly three‐quarters were performed during 2008–2014. All recipients were male, 96% were white, and the mean age was 56 years. Mean FEV 1 % was 35%; mean FVC% was 53%. Mean time on a waitlist was 155 days, and 60% of transplants were bilateral. Median survival was 3.7 years. Conclusions These transplants reflect the use of a scarce resource for an entirely preventable disease, and highlight the need for enhanced efforts to reduce coal mine dust exposures. Am. J. Ind. Med. 59:175–177, 2016. Published 2016. This article is a U.S. Government work and is in the public domain in the USA.