Evidence map›Paper›PMID 40661254›Full record

ArticleBMJ public health2025

Global mortality burden of lung cancer and mesothelioma attributable to occupational asbestos exposure and the impact of national asbestos ban policies: a population-based study, 1990-2021.

Wang-Zhong Li, Hengrui Liang, Wei Wang, Jun Liu, Xiwen Liu, Shen Lao, Wenhua Liang, Jianxing He

Abstract read
In one paragraph

Article in BMJ public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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  5. Advances in the Basic Sciences in Thoracic Oncology in the Last 20 Years and Their Translational Impact.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Review
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  8. 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

8 authors.

Wang-Zhong Li *Department of Thoracic Oncology and Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.ORCID https://orcid.org/0000-0002-2744-8775
Hengrui Liang *Department of Thoracic Oncology and Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.
Wei WangDepartment of Thoracic Oncology and Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.
Jun LiuDepartment of Thoracic Oncology and Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.
Xiwen LiuDepartment of Thoracic Oncology and Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.
Shen LaoDepartment of Thoracic Oncology and Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.
Wenhua Liang *Department of Thoracic Oncology and Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.ORCID https://orcid.org/0000-0002-1391-8238
Jianxing He *Department of Thoracic Oncology and Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.ORCID https://orcid.org/0000-0003-1737-8192

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Asbestos-related thoracic cancers (ARTCs), including asbestos-related lung cancer and mesothelioma, constitute the majority of deaths due to asbestos exposure. This study evaluates the global mortality burden of ARTCs and the influence of national asbestos ban policies. Methods: We used data from the Global Burden of Diseases Study 2021 to estimate the mortality burden of ARTCs and analyse trends from 1990 to 2021, stratified by sex, location and sociodemographic index (SDI) quintile. Decomposition analysis identified contributors to changes in the ARTC burden, and future projections were made using the Bayesian age-period-cohort model. The relationship among asbestos ban policies, SDI and ARTC deaths was also examined. Results: In 2021, an estimated 216 535 deaths from ARTCs (including 29 619 from mesothelioma and 189 398 from lung cancer) resulted in an age-standardised mortality rate (ASMR) of 4.1 per 100 000 population, accounting for over 95% of deaths from asbestos-related cancers. Notable variation in ARTC deaths was observed across age, sex, location and SDI quintile, with higher ASMR among men, older adults and countries with higher SDI. From 1990 to 2021, there was a global decline in ASMR from ARTCs, particularly among men and in cases of asbestos-related lung cancer, although increases were noted in low to middle SDI quintiles. Despite a consistent reduction in ASMR, the absolute number of ARTC deaths is rising due to population growth and ageing. Countries with implemented asbestos bans have historically and currently faced higher ARTC burdens. A positive impact of asbestos ban policies on reducing ASMR from ARTCs was observed, although the effects take decades to manifest. Conclusions: Substantial geographic and sociodemographic disparities exist in the burden and trends of ARTCs. Countries with asbestos bans have historically faced higher ARTC burdens, and while these bans significantly reduce ASMR from ARTCs, the benefits take decades to become evident.

Indexed as

Cross-Sectional StudiesEnvironmental ExposurePublic Health

Identifiers

PMID40661254
PMCPMC12258307

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