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Awareness of the Harms of Continued Smoking Among Cancer Survivors.
Eng, Lawson; Alton, Devon; Song, Yuyao; Su, Jie; Zhang, Qihuang; Che, Jiahua; Farzanfar, Delaram; Mohan, Rahul; Krys, Olivia; Mattina, Katie; Harper, Christopher; Liu, Sophia; Yoannidis, Tom; Milne, Robin; Abdelmutti, Nazek; Brown, M Catherine; Vennettilli, Ashlee; Hope, Andrew J; Howell, Doris; Jones, Jennifer M; Selby, Peter; Evans, William K; Xu, Wei; Goldstein, David Paul; Giuliani, Meredith Elana; Liu, Geoffrey.
Afiliación
  • Eng L; Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Alton D; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Song Y; Department of Medicine, University Health Network, Toronto, Ontario, Canada.
  • Su J; Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Zhang Q; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Che J; Department of Medicine, University Health Network, Toronto, Ontario, Canada.
  • Farzanfar D; Department of Radiation Oncology, Princess Margaret Cancer Centre, 610 University Ave, Rm 7-125, Toronto, Ontario, M5G 2M9, Canada.
  • Mohan R; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Krys O; Department of Biostatistics, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Mattina K; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Harper C; Department of Biostatistics, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Liu S; Department of Biostatistics, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Yoannidis T; Department of Biostatistics, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Milne R; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Abdelmutti N; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Brown MC; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Vennettilli A; Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Hope AJ; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Howell D; Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Jones JM; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Selby P; Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network and University of Toronto, Toronto, Ontario, Canada.
  • Evans WK; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Xu W; Department of Otolaryngology-Head and Neck Surgery, University of Toronto, University Health Network, Toronto, Ontario, Canada.
  • Goldstein DP; Ontario Cancer Institute, Toronto, Ontario, Canada.
  • Giuliani ME; Department of Radiation Oncology, Princess Margaret Cancer Centre, 610 University Ave, Rm 7-125, Toronto, Ontario, M5G 2M9, Canada.
  • Liu G; Department of Radiation Oncology, Princess Margaret Cancer Centre, 610 University Ave, Rm 7-125, Toronto, Ontario, M5G 2M9, Canada.
Support Care Cancer ; 28(7): 3409-3419, 2020 Jul.
Article en En | MEDLINE | ID: mdl-31781945
BACKGROUND: Smoking cessation is an integral part of cancer survivorship. To help improve survivorship education, clinicians need an understanding of patient awareness of the harms of continued smoking. METHODS: Cancer survivors from Princess Margaret Cancer Centre (Toronto, ON) were surveyed on their awareness of the harms of continued smoking on cancer-related outcomes. Multivariable logistic regression models assessed factors associated with awareness and whether awareness was associated with subsequent cessation among smokers at diagnosis. RESULTS: Among 1118 patients, 23% were current smokers pre-diagnosis and 54% subsequently quit; 25% had lung and 30% head and neck cancers. Many patients reported being unaware that continued smoking results in greater cancer surgical complications (53%), increased radiation side effects (62%), decreased quality of life during chemotherapy (51%), decreased chemotherapy or radiation efficacy (57%), increased risk of death (40%), and increased development of second primaries (38%). Being a current smoker was associated with greater lack of awareness of some of these smoking harms (aORs = 1.53-2.20, P < 0.001-0.02), as was exposure to any second-hand smoke (aORs = 1.45-1.53, P = 0.006-0.04) and being diagnosed with early stage cancer (aORs = 1.38-2.31, P < 0.001-0.06). Among current smokers, those with fewer pack-years, being treated for cure, or had a non-tobacco-related cancer were more likely unaware. Awareness that continued tobacco use worsen quality of life after chemotherapy was associated with subsequent cessation (aOR = 2.26, P = 0.006). CONCLUSIONS: Many cancer survivors are unaware that continued smoking can negatively impact cancer-related outcomes. The impact of educating patients about the potential harms of continued smoking when discussing treatment plans should be further evaluated.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Fumar / Cese del Hábito de Fumar / Supervivientes de Cáncer Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Patient_preference Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Support Care Cancer Asunto de la revista: NEOPLASIAS / SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Fumar / Cese del Hábito de Fumar / Supervivientes de Cáncer Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Patient_preference Límite: Female / Humans / Male / Middle aged Idioma: En Revista: Support Care Cancer Asunto de la revista: NEOPLASIAS / SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Alemania