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首页> 外文期刊>International braz j urol >The awareness of patients with non - muscle invasive bladder cancer regarding the importance of smoking cessation and their access to smoking cessation programs
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The awareness of patients with non - muscle invasive bladder cancer regarding the importance of smoking cessation and their access to smoking cessation programs

机译：关于无肌肉侵袭性膀胱癌的患者的认识，了解吸烟停止的重要性及其吸烟戒烟计划的重要性

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Objectives Smoking is the most important risk factor for bladder cancer and smoking cessation is associated with reduced risk of tumor recurrence and progression. The aim of this study is to assess the awareness of non-muscle invasive bladder cancer (NMIBC) patients regarding the importance of smoking cessation, determine their access to smoking cessation programs and the effects of smoking cessation on recurrence rates of NMIBC. Materials and Methods NMIBC patients who were followed with cystoscopy were included in the study. Their demographic properties were recorded, along with their smoking habits, awareness regarding the effects of smoking on bladder cancer and previous attempts for smoking cessation. Moreover, the patients were asked whether they applied for a smoking cessation program. Recurrence of bladder cancer during the follow-up period was also noted. Results A total of 187 patients were included in the study. The mean age was 64.68?±12.05 (range: 15-90) and the male to female ratio was 167/20. At the time of diagnosis, 114 patients (61.0%) were active smokers, 35 patients (18.7%) were ex-smokers and 38 patients (20.3%) had never smoked before. After the diagnosis, 83.3% of the actively smoking patients were advised to quit smoking and 57.9% of them quit smoking. At the time of the study, 46.52% of the NMIBC patients were aware of the link between smoking and bladder cancer, whereas only 4.1% of the smoking patients were referred to smoking cessation programs. After a mean follow-up of 32.28?±11.42 months, 84 patients (44.91%) had recurrence; however, current smoking status or awareness of the causative role of smoking on NMIBC did not affect the recurrence. Conclusion In our study group, the majority of the NMIBC patients were not aware of the association between smoking and bladder cancer. Although most of the physicians advised patients to quit smoking, a significant amount of the patients were still active smokers during follow-up. Only a small proportion of patients were referred to smoking cessation programs. Urologists should take a more active role in the battle against smoking and refer those patients to smoking cessation programs. Larger study populations with longer follow-up periods are needed to better demonstrate the beneficial effects of smoking cessation on recurrence rates.
机译：目标吸烟是膀胱癌最重要的危险因素，吸烟戒烟与降低肿瘤复发和进展的风险降低有关。本研究的目的是评估非肌肉侵袭性膀胱癌（NMIBC）患者对吸烟的重要性的认识，确定他们对吸烟计划的访问以及吸烟停止对NMIBC复发率的影响。研究中含有膀胱镜检查的患者的材料和方法被纳入研究。他们的人口财产以及他们的吸烟习惯，有关吸烟对膀胱癌的影响以及吸烟停止的尝试的认识。此外，患者被问到他们是否适用于吸烟计划。还注意到在随访期间膀胱癌的复发。结果共有187名患者纳入该研究。平均年龄为64.68？±12.05（范围：15-90），男性与女性比例为167/20。在诊断时，114名患者（61.0％）是活性吸烟者，35名患者（18.7％）是出吸烟者，38例患者（20.3％）以前从未吸烟过。诊断后，建议83.3％的积极吸烟患者戒烟，57.9％的戒烟戒烟。在研究时，46.52％的NMIBC患者意识到吸烟和膀胱癌之间的联系，而只有4.1％的吸烟患者被提及吸烟戒烟计划。平均随访32.28？±11.42个月，84名患者（44.91％）复发;然而，目前的吸烟状态或对NMIBC吸烟的致病作用的认识并未影响复发。结论在我们的研究组中，大多数NMIBC患者不知道吸烟和膀胱癌之间的关联。虽然大多数医生建议患者戒烟，但在随访期间，大量的患者仍然是活跃的吸烟者。只有一小部分患者被提及吸烟计划。泌尿科医生应该在反对吸烟的战斗中采取更积极的作用，并将那些患者推荐吸烟计划。需要更大的研究人群，需要更长的随访时间，以更好地证明吸烟对复发率的有益效果。

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