Impact of a Bladder Cancer Diagnosis on Smoking Behavior
Impact of a Bladder Cancer Diagnosis on Smoking Behavior
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DOI：
10.1200/jco.2011.36.6518
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发表时间：
2012-05-20
影响因子：
45.3
通讯作者：
Saigal, Christopher S.
中科院分区：
文献类型：
--
作者：
Bassett, Jeffrey C.;Gore, John L.;Saigal, Christopher S.
目的膀胱癌是第二常见的烟草相关恶性肿瘤。一个新的膀胱癌诊断可能是一个戒烟的机会。关于膀胱癌诊断对膀胱癌患者烟草使用和戒烟模式的影响知之甚少。患者和方法从加州癌症登记处获得2006年诊断的非侵袭性膀胱癌幸存者的简单随机样本。受访者完成了一项关于烟草使用史、对膀胱癌风险因素的看法以及医生对戒烟的影响的调查。受访者按吸烟状况进行比较。这些在诊断时吸烟的应答者与从加州烟草调查中获得的一般人群对照进行比较，以确定膀胱癌诊断对烟草使用模式的影响。结果应答率为70%（492例符合条件的参与者中有344例）。大多数应答者（74%）有吸烟史。17%的受访者在诊断时吸烟。新诊断为膀胱癌的吸烟者戒烟的可能性几乎是普通人群吸烟者的5倍（分别为48% vs 10%； P < 0.001）。膀胱癌的诊断和泌尿科医生的建议是最常被引用的原因。当泌尿科医生是他们了解的来源时，受访者更有可能认可吸烟是膀胱癌的一个危险因素。结论膀胱癌的诊断是戒烟的契机。泌尿科医生可以在影响那些新诊断的烟草使用模式方面发挥不可或缺的作用。[J]中华临床杂志（英文版）：1871-1878。(c) 2012年由美国临床肿瘤学会发布
PurposeBladder cancer is the second most common tobacco-related malignancy. A new bladder cancer diagnosis may be an opportunity to imprint smoking cessation. Little is known about the impact of a diagnosis of bladder cancer on patterns of tobacco use and smoking cessation among patients with incident bladder cancer.Patients and MethodsA simple random sample of noninvasive bladder cancer survivors diagnosed in 2006 was obtained from the California Cancer Registry. Respondents completed a survey on history of tobacco use, beliefs regarding bladder cancer risk factors, and physician influence on tobacco cessation. Respondents were compared by smoking status. Those respondents smoking at diagnosis were compared with general population controls obtained from the California Tobacco Survey to determine the impact of a diagnosis of bladder cancer on patterns of tobacco use.ResultsThe response rate was 70% (344 of 492 eligible participants). Most respondents (74%) had a history of cigarette use. Seventeen percent of all respondents were smoking at diagnosis. Smokers with a new diagnosis of bladder cancer were almost five times as likely to quit smoking as smokers in the general population (48% v 10%, respectively; P < .001). The bladder cancer diagnosis and the advice of the urologist were the reasons cited most often for cessation. Respondents were more likely to endorse smoking as a risk factor for bladder cancer when the urologist was the source of their understanding.ConclusionThe diagnosis of bladder cancer is an opportunity for smoking cessation. Urologists can play an integral role in affecting the patterns of tobacco use of those newly diagnosed. J Clin Oncol 30:1871-1878. (c) 2012 by American Society of Clinical Oncology