Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.
Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands; Division of Human Nutrition, Wageningen University, Wageningen, the Netherlands.
Urol Oncol. 2019 Sep;37(9):573.e1-573.e8. doi: 10.1016/j.urolonc.2019.04.016. Epub 2019 May 8.
A healthy lifestyle may reduce the risk of non-muscle-invasive bladder cancer (NMIBC) recurrence. The objective of this study was to obtain insight in whether NMIBC patients are aware of possible risk factors for (bladder) cancer, adhere to lifestyle recommendations for cancer prevention, received lifestyle advice from their physician, and what their attitudes are towards physicians giving lifestyle advice.
Patients with newly diagnosed NMIBC between 2014 and 2017 participating in the UroLife cohort study completed questionnaires at 6 weeks and 3 months after diagnosis about awareness of (bladder) cancer risk factors, adherence to lifestyle recommendations, reception of lifestyle advice, and attitudes towards physicians giving lifestyle advice.
A total of 969 NMIBC patients were included (response rate 46%). Most patients (89%) were aware that smoking is a risk factor for cancer, and knowledge of other risk factors for cancer varied between 29% (low fruit and vegetable consumption) and 67% (overweight). Adherence to cancer prevention recommendations varied between 34% (body weight) and 85% (smoking). Of the smokers, 70% reported they were advised to quit, and 36% quit smoking in the three months before or after diagnosis. Only 21% of all patients indicated they received other lifestyle advice. More than 80% of patients had a positive attitude towards receiving lifestyle advice from their physician.
These findings show that awareness of (bladder) cancer risk factors and adherence to cancer prevention lifestyle recommendations among NMIBC patients is low and that physicians' information provision should be improved.
健康的生活方式可能降低非肌肉浸润性膀胱癌（NMIBC）复发的风险。本研究旨在了解 NMIBC 患者是否了解（膀胱癌）的可能危险因素，是否遵循癌症预防的生活方式建议，是否从医生那里获得生活方式建议，以及他们对医生提供生活方式建议的态度如何。
2014 年至 2017 年间，新诊断为 NMIBC 的患者参加了 UroLife 队列研究，在诊断后 6 周和 3 个月时完成了关于（膀胱癌）危险因素意识、生活方式建议依从性、生活方式建议接收情况以及对医生提供生活方式建议态度的问卷。
共纳入 969 例 NMIBC 患者（应答率为 46%）。大多数患者（89%）知道吸烟是癌症的危险因素，而对其他癌症危险因素的了解程度在 29%（低水果和蔬菜摄入）和 67%（超重）之间。预防癌症建议的依从性在 34%（体重）至 85%（吸烟）之间。在吸烟者中，70%的人报告他们被建议戒烟，36%的人在诊断前或诊断后三个月内戒烟。只有 21%的患者表示他们接受了其他生活方式建议。超过 80%的患者对从医生那里获得生活方式建议持积极态度。
这些发现表明，NMIBC 患者对（膀胱癌）危险因素的认识和对癌症预防生活方式建议的依从性较低，医生应加强信息提供。
