Abstract
Purpose
Our objective was to investigate whether patients with urologic tumors were aware
of smoking as a risk factor for the development and progression of several urologic
cancers and the extent of the medical education they had received. Another aim was
to investigate whether gender or age influenced patients’ willingness to change their
smoking habits.
Materials and Methods
Patients with histologically malignant urologic tumors were enrolled in our questionnaire-based
study from September 2013 to December 2014 in 2 urology departments. Patients were
asked about their smoking habits and their general understanding of the relationship
between smoking and the onset of cancer (urologic cancer and lung cancer). Also, the
extent of information they had acquired from a physician was assessed. The descriptive
and oncologic data of the patients were recorded.
Results
Of 258 enrolled patients, 186 (72.1%) had never had an informational discussion with
a doctor about smoking and their urologic tumor disease. Of the 160 active and former
smokers, only 45 (28.1%) were planning to stop or reduce smoking because of their
tumor disease. The willingness to change smoking habits was greater for women, with
a statistically significant difference (odds ratio, 5.59; P = .002). Younger patients aged <58 years were also more willing to reduce or stop
smoking.
Conclusion
In our study, most patients with urologic cancer were unaware of smoking as the most
probable cause of tumor development. The patients had not received proper counseling
from doctors on smoking and the risk it poses for tumor progression. Efforts to balance
compliance among the genders and age groups through risk-adapted counseling should
be undertaken.
Keywords
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Article info
Publication history
Published online: August 10, 2018
Accepted:
July 29,
2018
Received in revised form:
July 26,
2018
Received:
March 25,
2018
Footnotes
M.D. and M.M. contributed equally to the present study.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
