{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T20:14:10Z","timestamp":1772655250663,"version":"3.50.1"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"4-5","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Labor Prosecution Office","award":["45672\/2014"],"award-info":[{"award-number":["45672\/2014"]}]},{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"publisher","award":["306708\/2019-1"],"award-info":[{"award-number":["306708\/2019-1"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Brazil has a long history of heavy asbestos consumption. However, the number of asbestos-related diseases (ARDs) falls far below the one expected compared with other asbestos consumer countries.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To examine underreporting of ARDs, that is mesothelioma, asbestosis and pleural plaques, in Brazil\u2019s Mortality Information System (SIM).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Health information systems (HIS) were mapped, datasets retrieved and records of ARD deaths extracted. Records were pair-matched using anonymous linkage to create a single database. ARD-reported cases missing in SIM were considered unreported. The study\u2019s period ranged from 2008 to 2014, when every HIS contributed to the ARD records pool.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 1298 registered ARD deaths were found, 996 cases of mesothelioma (77%) and 302 (23%) of asbestosis and pleural plaques. SIM was the major single data source of ARD but 335 mesothelioma deaths were missing, an average underreporting of 33%, with no clear time trend. For asbestosis and pleural plaques, underreporting of ARD oscillated from 55% in 2010 to 25% in 2014, a declining trend. ARD underreporting was not associated with sex or age.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>One-third of underreported ARD deaths in the universal SIM is unacceptably high and, apparently, it has not been improving substantially over time. After recoveries from multiple databases, the number of cases is still below, which could be expected based on asbestos consumption. Interoperability of multiple information systems could enhance case detection and improve the precision of mortality estimates, which are crucial for surveillance and for evaluation of remedial policies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/occmed\/kqab073","type":"journal-article","created":{"date-parts":[[2021,6,26]],"date-time":"2021-06-26T19:10:00Z","timestamp":1624734600000},"page":"223-230","source":"Crossref","is-referenced-by-count":15,"title":["Underreporting of mesothelioma, asbestosis and pleural plaques in Brazil"],"prefix":"10.1093","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3399-7612","authenticated-orcid":false,"given":"V S","family":"Santana","sequence":"first","affiliation":[{"name":"Institute of Collective Health, Federal University of Bahia, Salvador, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Salvi","sequence":"additional","affiliation":[{"name":"Institute of Collective Health, Federal University of Bahia, Salvador, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Cavalcante","sequence":"additional","affiliation":[{"name":"Institute of Collective Health, Federal University of Bahia, Salvador, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Campos","sequence":"additional","affiliation":[{"name":"Institute of Collective Health, Federal University of Bahia, Salvador, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Algranti","sequence":"additional","affiliation":[{"name":"Fundacentro, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,7,22]]},"reference":[{"key":"2021082017302798000_CIT0001","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/j.canep.2015.08.007","article-title":"The next mesothelioma wave: mortality trends and forecast to 2030 in Brazil","volume":"39","author":"Algranti","year":"2015","journal-title":"Cancer Epidemiol"},{"key":"2021082017302798000_CIT0002","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5271\/sjweh.3462","article-title":"Asbestos, asbestosis, and cancer, the Helsinki criteria for diagnosis and attribution 2014: recommendations","volume":"41","author":"Wolff","year":"2015","journal-title":"Scand J Work Environ Health"},{"key":"2021082017302798000_CIT0003","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1136\/oemed-2019-106012","article-title":"Global and regional burden of cancer in 2016 arising from occupational exposure to selected carcinogens: a systematic analysis for the Global Burden of Disease Study 2016 GBD 2016 Occupational Carcinogens Collaborators","volume":"77","author":"GBD 2016 Occupational Carcinogens Collaborators.","year":"2020","journal-title":"Occup Environ Med"},{"key":"2021082017302798000_CIT0004","doi-asserted-by":"crossref","first-page":"6797826","DOI":"10.1155\/2017\/6797826","article-title":"Incidental and underreported pleural plaques at chest CT: do not miss them-asbestos exposure still exists","volume":"2017","author":"Mazzei","year":"2017","journal-title":"Biomed Res Int"},{"key":"2021082017302798000_CIT0005","first-page":"353","article-title":"Relationship between pleural plaques and biomarkers of cumulative asbestos dose. 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