Abstract
BACKGROUND: Pneumoconiosis is a preventable occupational lung disease that is caused by the inhalation of inorganic occupational dust. The disease can progress and result in functional impairment. Profusion scores are crucial for the assessment of disease severity. OBJECTIVE: This study aimed to determine the prevalence of pneumoconiosis cases with a profusion score of 0/1 and explore the correlation between pneumoconiosis and smoking behavior and sectors. METHODS: A retrospective cross-sectional study was carried out in this work. Pneumoconiosis was diagnosed with occupational exposure histories and thoracic computed tomography (CT) findings. The study included patients admitted to the occupational diseases outpatient clinic at Eskişehir City Hospital for occupational or pulmonary conditions from January 2021 to July 2023. The collected data included age, sex, smoking status, packyears, industry of employment, specific departments, occupations, exposure to occupational and non-occupational environmental factors, duration of exposure, laboratory results, pulmonary function test outcomes, thoracic CT findings, and International Classification of Radiographs of Pneumoconiosis score. RESULTS: Among the 361 patients, 99.4% were male and 62.3% were current smokers. We observed a profusion score of 0/1 in 15% (n = 54) of the cases. Patients with a 0/1 profusion score had better lung function than those with higher scores, with the FEV1/FVC ratio declining as the profusion score increased. Non-smokers with progressive massive fibrosis had significantly lower FEV1/FVC ratios compared to other non-smokers. CONCLUSION: In order to avert the progression of early-stage cases, it is significant that we reevaluate occupational health policies and measures, regardless of compensation.