May, Matthias and Fritsche, Hans-Martin and Gilfrich, Christian and Dombrowski, Mirja and Maurer, Odilo and Spachmann, Philipp and Kumar, Manju Ganesh and Bjurlin, Marc and Burger, Maximilian and Brookman-May, Sabine (2018) What do patients with urothelial cancer know about the association of their tumor disease with smoking habits? Results of a German survey study. INVESTIGATIVE AND CLINICAL UROLOGY, 59 (2). 91-+. ISSN 2466-0493, 2466-054X
Full text not available from this repository. (Request a copy)Abstract
Purpose: Smoking represents a primary risk factor for the development of urothelial carcinoma (UC) and a relevant factor impacting UC-specific prognosis. Data on the accordant knowledge of UC-patients in this regard and the significance of physicians in the education of UC-patients is limited. Materials and Methods: Eighty-eight UC-patients were enrolled in a 23-items-survey-study aimed to analyse patient knowledge and awareness of their tumor disease with smoking along with physician smoking cessation counselling. Results: The median age of the study patients was 69 years; 26.1% (n=23), 46.6% (n=41), and 27.3% (n=24), respectively, were non-smokers, previous, and active smokers. Exactly 50% of active smokers reported a previous communication with a physician about the association of smoking and their tumor disease; however, only 25.0% were aware of smoking as main risk factor for UC development. Merely 33% of the active smokers had been prompted directly by their physicians to quit smoking. About 42% of active smokers had received the information that maintaining smoking could result in a tumor-specific impairment of their prognosis. Closely 29% of active and about 5% of previous smokers (during the time-period of active smoking) had been offered support from physicians for smoking cessation. No association was found between smoking anamnesis (p=0.574) and pack-years (p=0.912), respectively, and tumor stage of UC. Conclusions: The results of this study suggest that the medical conversation of physicians with UC-patients about the adverse significance of smoking is limited. Implementation of structured educational programs for smoking cessation may be an opportunity to further enhance comprehensive cancer care.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | BLADDER-CANCER; CIGARETTE-SMOKING; RISK-FACTORS; TOBACCO USE; EPIDEMIOLOGY; KNOWLEDGE; PROGNOSIS; AWARENESS; MORTALITY; Cigarette smoking; Health facility planning; Neoplasm staging; Surveys and questionnaires; Urinary bladder neoplasms |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Urologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 12 Mar 2020 12:08 |
| Last Modified: | 12 Mar 2020 12:08 |
| URI: | https://pred.uni-regensburg.de/id/eprint/14926 |
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