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논문 기본 정보

자료유형
학술저널
저자정보
Matthias May (St. Elisabeth Hospital Straubing) Hans-Martin Fritsche (Caritas St. Josef Medical Center University of Regensburg) Christian Gilfrich (St. Elisabeth Hospital Straubing) Mirja Dombrowski (Caritas St. Josef Medical Center University of Regensburg) Odilo Maurer (St. Elisabeth Hospital Straubing) Philipp Spachmann (Caritas St. Josef Medical Center University of Regensburg) Manju Ganesh Kumar (Caritas St. Josef Medical Center University of Regensburg) Marc Bjurlin (New York University Langone Hospital) Maximilian Burger (Caritas St. Josef Medical Center University of Regensburg) Sabine Brookman-May (Ludwig-Maximilians University)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.59 No.2
발행연도
2018.1
수록면
91 - 97 (7page)

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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.

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참고문헌 (27)

참고문헌 신청
Cumberbatch MG / 2016 / The role of tobacco smoke in bladder and kidney carcinogenesis: a comparison of exposures and meta-analysis of incidence and mortality risks / Eur Urol 70:458~466 Crossref Freedman ND / 2011 / Association between smoking and risk of bladder cancer among men and women / JAMA 306:737~745 Crossref McLaughlin JK / 1992 / Cigarette smoking and cancers of the renal pelvis and ureter / Cancer Res 52:254~257 google schola Miyazaki J / 2017 / Epidemiology of urothelial carcinoma / Int J Urol 24:730~734 Crossref Rouissi K / 2011 / Smoking and polymorphisms in xenobiotic metabolism and DNA repair genes are additive risk factors affecting bladder cancer in Northern Tunisia / Pathol Oncol Res 17:879~886 Crossref

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