ZHANG Zhaohui 1 , HUANG Lei 2 , SHI Lu 1 , KUANG Jie 1,3 , ZHOU Xiaojun 1,3
  • 1. Department of Epidemiology, School of Public Health, Nanchang University, Nanchang 330006, P.R.China;
  • 2. West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, P.R.China;
  • 3. Jiangxi Provincial Key Laboratory of Preventive Medicine, Nanchang 330006, P.R.China;
KUANG Jie, Email: kuangjie@ncu.edu.cn
Pneumoconiosis; Disease burden; Disability adjusted life year (DALY); Systematic review
10.7507/1672-2531.202010018
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Objective To systematically review the disease burden of pneumoconiosis in Chinese population so as to provide references for health resources allocation and health policy making.Methods Databases including PubMed, EBSCO, Web of Science, CNKI, WanFang Data and VIP databases were searched for studies on investigation of the disease burden of pneumoconiosis in Chinese population from inception to 31st January, 2020. Two reviewers independently screened literature, exacted data, and assessed risk of bias of included studies. Systematic review was performed on data of pneumoconiosis associated population, mortality, and disease burden.Results A total of 26 studies were included. Qualitative analysis showed that the decrease of DALY and YLL of pneumoconiosis in China had been lower than that in globally, and the increase of YLD had been higher than that in globally in recent 10 years. 14 factors were included in the analysis of influencing factors on the financial burden or hospitalization expenses of pneumoconiosis patients; among them, the length of hospitalization, related complications, and pneumoconiosis stage were the most important indexes which had influence or difference on patients’ financial burden (or hospitalization expenses). The burden of pneumoconiosis in the Chinese population was primarily concentrated on males. Occupational diseases caused most of them, and middle-aged and older adults were the primary population for pneumoconiosis. However, young patients due to early-onset age, long course of disease and complications, and other factors resulting in a larger YLD phenomenon should also be considered.Conclusions The disease burden of pneumoconiosis patients in China is still heavy. It is recommended to continue to reduce the DALY of pneumoconiosis among the Chinese population as a long-term goal, and to strengthen control strategies to curb the early onset and death of pneumoconiosis.

Citation： ZHANG Zhaohui, HUANG Lei, SHI Lu, KUANG Jie, ZHOU Xiaojun. Disease burden of pneumoconiosis in Chinese population: a systematic review. Chinese Journal of Evidence-Based Medicine, 2021, 21(3): 276-283. doi: 10.7507/1672-2531.202010018 Copy

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