1st Department of Urology, Athens Medical School, Agiou Thoma 17, 11527, Athens, Greece.
Int Urol Nephrol. 2010 Jun;42(2):309-14. doi: 10.1007/s11255-009-9611-4. Epub 2009 Jul 10.
Data on general population's and bladder cancer patients' perception of smoking as a risk factor for bladder cancer are limited. To determine urological patients' awareness of smoking as a risk factor for bladder cancer.
This prospective observational study included 202 consecutive urological inpatients, using a structured questionnaire. We evaluated urological patients' awareness of smoking as a risk factor for bladder cancer and other smoking-related pathologies. Smoker-bladder cancer patients were asked whether they believed that smoking was related to their present bladder problem, whether their treating urologist had ever advised them on the same, and whether they intended to quit.
Only 118 of 202 patients (58.4%) stated that they were aware of smoking as a risk factor for bladder cancer, as apposed to 94.6% for chronic obstructive pulmonary disease, 91.6% for heart and vascular problems, and 92.1%, for lung cancer. Perception was unrelated to age, gender, smoking habits, or history of heart or chronic lung disease. Of current smokers/TCC patients, 56.4% believed that smoking is related to their problem and 61.5% intended to quit. The majority (84.6%) had been already warned by their attending physicians.
Urological patients' awareness of smoking as a risk factor for bladder cancer is lower than that for other smoking-related entities. The role of the urologist should not be restricted only to diagnosis and treatment, but should also include counseling patients on the need for radical changes of their life style.
关于普通人群和膀胱癌患者对吸烟作为膀胱癌风险因素的认知的数据有限。为了确定泌尿外科患者对吸烟作为膀胱癌风险因素的认识。
本前瞻性观察研究纳入了 202 例连续的泌尿外科住院患者，使用结构化问卷进行评估。我们评估了泌尿外科患者对吸烟作为膀胱癌风险因素的认识以及其他与吸烟相关的病理。吸烟与膀胱癌患者被问及他们是否认为吸烟与他们目前的膀胱问题有关，他们的治疗泌尿科医生是否就此问题向他们提供过建议，以及他们是否打算戒烟。
只有 202 例患者中的 118 例（58.4%）表示他们意识到吸烟是膀胱癌的一个风险因素，而慢性阻塞性肺疾病、心脏病和血管问题的知晓率为 94.6%，肺癌为 92.1%。认知与年龄、性别、吸烟习惯或心脏病或慢性肺病史无关。在当前吸烟者/膀胱癌患者中，56.4%认为吸烟与他们的问题有关，61.5%打算戒烟。大多数（84.6%）已经被他们的主治医生警告过。
泌尿外科患者对吸烟作为膀胱癌风险因素的认识低于对其他与吸烟相关实体的认识。泌尿科医生的角色不应仅限于诊断和治疗，还应包括就彻底改变生活方式的必要性对患者进行咨询。
