Evidence map›Paper›PMID 36858466›Full record

SynthesisBMJ open2023

Incidence and influencing factors of occupational pneumoconiosis: a systematic review and meta-analysis.

Xuesen Su, Xiaomei Kong, Xiao Yu, Xinri Zhang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Ceramic industry and pneumoconiosis in Turkey: a cross-sectional study on workplace health management.Journal of occupational medicine and toxicology (London, England) · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Pneumoconiosis and Chronic Diseases: A Narrative Review.Iranian journal of public health · 2025
    Review
  10. Article
  11. Observational
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Xuesen SuThe First College for Clinical Medicine, Shanxi Medical University, Taiyuan, Shanxi, China.ORCID 0000-0003-4905-6200
Xiaomei KongThe National Health Commission Key Laboratory of Pneumoconiosis (Shanxi, China) Project, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Xiao YuThe National Health Commission Key Laboratory of Pneumoconiosis (Shanxi, China) Project, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Xinri ZhangThe National Health Commission Key Laboratory of Pneumoconiosis (Shanxi, China) Project, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China XinriZhangsxmd@163.com.
Shanxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the incidence of pneumoconiosis worldwide and its influencing factors.

designSystematic review and meta-analysis.

settingCohort studies on occupational pneumoconiosis.

participantsPubMed, Embase, the Cochrane Library and Web of Science were searched until November 2021. Studies were selected for meta-analysis if they involved at least one variable investigated as an influencing factor for the incidence of pneumoconiosis and reported either the parameters and 95% CIs of the risk fit to the data, or sufficient information to allow for the calculation of those values. PRIMARY OUTCOME MEASURES: The pooled incidence of pneumoconiosis and risk ratio (RR) and 95% CIs of influencing factors.

resultsOur meta-analysis included 19 studies with a total of 335 424 participants, of whom 29 972 developed pneumoconiosis. The pooled incidence of pneumoconiosis was 0.093 (95% CI 0.085 to 0.135). We identified the following influencing factors: (1) male (RR 3.74; 95% CI 1.31 to 10.64; p=0.01), (2) smoking (RR 1.80; 95% CI 1.34 to 2.43; p=0.0001), (3) tunnelling category (RR 4.75; 95% CI 1.96 to 11.53; p<0.0001), (4) helping category (RR 0.07; 95% CI 0.13 to 0.16; p<0.0001), (5) age (the highest incidence occurs between the ages of 50 and 60), (6) duration of dust exposure (RR 4.59, 95% CI 2.41 to 8.74, p<0.01) and (7) cumulative total dust exposure (CTD) (RR 34.14, 95% CI 17.50 to 66.63, p<0.01). A dose-response analysis revealed a significant positive linear dose-response association between the risk of pneumoconiosis and duration of exposure and CTD (P-non-linearity=0.10, P-non-linearity=0.16; respectively). The Pearson correlation analysis revealed that silicosis incidence was highly correlated with cumulative silica exposure (r=0.794, p<0.001).

conclusionThe incidence of pneumoconiosis in occupational workers was 0.093 and seven factors were found to be associated with the incidence, providing some insight into the prevention of pneumoconiosis. PROSPERO REGISTRATION NUMBER: CRD42022323233.

Indexed as

PneumoconiosisDustHumansIncidenceMaleMiddle AgedOdds RatioPubMedDustEPIDEMIOLOGYOCCUPATIONAL & INDUSTRIAL MEDICINEPUBLIC HEALTH

Identifiers

PMID36858466
PMCPMC9980323
OpenAlexW4322758097

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.