膀胱癌患者戒烟辅助：来自美国泌尿科专家的全国调查
2010/11/03
摘要
目的：吸烟是膀胱癌的一个已知危险因素。泌尿科医生对膀胱癌患者强调戒烟的重要性目前尚不清楚。本研究对美国泌尿科医生采取的帮助膀胱癌患者戒烟的形式进行评价。
材料与方法：2008年，采用有关戒烟实践形式的问卷调查对美国泌尿科医学会1821名泌尿科医生进行调查。对反馈表进行分析其频率和比率。采用卡方检验进行统计分析。多元logistic回归分析检测辅助戒烟的预测因素。
结果：收到601名泌尿科医生的回复，这些医生在过去1年内共计治疗约14713名膀胱癌患者。超过一半的泌尿科医生（55.6%）从未与患者讨论过戒烟事项，而19.8%的医生常与膀胱癌患者讨论戒烟。在从不讨论戒烟的医生中，40.7%认为戒烟不能改变病程或疾病转归，37.7%不认为自己有资格给患者提供戒烟咨询。大部分医生（93.7%）从未接受过正式的戒烟培训。与无戒烟培训经历的医生相比，有过戒烟培训经历的泌尿科医生更有可能为患者提供戒烟咨询（20.6% vs 6.0%, p = 0.0011）。治疗的膀胱癌患者人数（OR 3.96）及参加正式的戒烟培训（OR 13.49）是提供辅助戒烟的重要预测因素。
结论：较低比例的泌尿科医生能给膀胱癌患者提供辅助戒烟咨询。有过戒烟培训的泌尿科医生能为患者提供辅助戒烟咨询。我们推荐将正式的戒烟培训整合进有关膀胱癌的课程，强调戒烟对膀胱癌患者的作用，并且强烈鼓励美国泌尿医师学会将其纳入治疗指南。
（林江涛 审校）
J Urol. 2010 Sep 15. [Epub ahead of print]
Smoking Cessation Assistance for Patients With Bladder Cancer: A National Survey of American Urologists.
Bjurlin MA, Goble SM, Hollowell CM.
Division of Urology, Department of Surgery, Cook County Health and Hospitals System, Cook County Hospital, Chicago, Illinois.
Abstract
PURPOSE: Cigarette smoking is a known risk factor for bladder cancer. How urologists address smoking cessation among patients with bladder cancer is not well-known. We assessed the practice patterns of American urologists regarding smoking cessation assistance for patients with bladder cancer.
MATERIALS AND METHODS: A questionnaire regarding smoking cessation practice patterns was sent to 1,821 American urologists in the 2008 American Urological Association membership directory. Responses were summarized with frequency and percent. Statistical comparison was made using chi-square tests. Multiple logistic regression was used to detect significant predictors of providing smoking cessation assistance.
RESULTS: Responses were received from 601 urologists who collectively treated an estimated 14,713 patients with bladder cancer in the last year. More than half (55.6%) of urologists never discuss smoking cessation while only 19.8% always discuss smoking cessation with patients with bladder cancer. Of urologists who never discuss smoking cessation 40.7% believe that smoking cessation may not alter the course or outcome of the disease and 37.7% do not feel qualified giving smoking cessation counseling. Most urologists (93.7%) have never had formal smoking cessation training. Urologists with smoking cessation training were more likely to always provide smoking cessation assistance compared to those without training (20.6% vs 6.0%, p = 0.0011). Number of patients with bladder cancer treated (OR 3.96) and formal smoking cessation training (OR 13.49) were significant predictors of providing smoking cessation assistance.
CONCLUSIONS: American urologists demonstrate a low rate of providing smoking cessation assistance to patients with bladder cancer. Urologists who are trained in smoking cessation most commonly provide smoking cessation assistance. We recommend integrating formal smoking cessation instruction into courses that address bladder cancer and strongly encourage the American Urological Association to adopt practice pattern guidelines.
J Urol. 2010 Sep 15. [Epub ahead of print]
目的：吸烟是膀胱癌的一个已知危险因素。泌尿科医生对膀胱癌患者强调戒烟的重要性目前尚不清楚。本研究对美国泌尿科医生采取的帮助膀胱癌患者戒烟的形式进行评价。
材料与方法：2008年，采用有关戒烟实践形式的问卷调查对美国泌尿科医学会1821名泌尿科医生进行调查。对反馈表进行分析其频率和比率。采用卡方检验进行统计分析。多元logistic回归分析检测辅助戒烟的预测因素。
结果：收到601名泌尿科医生的回复，这些医生在过去1年内共计治疗约14713名膀胱癌患者。超过一半的泌尿科医生（55.6%）从未与患者讨论过戒烟事项，而19.8%的医生常与膀胱癌患者讨论戒烟。在从不讨论戒烟的医生中，40.7%认为戒烟不能改变病程或疾病转归，37.7%不认为自己有资格给患者提供戒烟咨询。大部分医生（93.7%）从未接受过正式的戒烟培训。与无戒烟培训经历的医生相比，有过戒烟培训经历的泌尿科医生更有可能为患者提供戒烟咨询（20.6% vs 6.0%, p = 0.0011）。治疗的膀胱癌患者人数（OR 3.96）及参加正式的戒烟培训（OR 13.49）是提供辅助戒烟的重要预测因素。
结论：较低比例的泌尿科医生能给膀胱癌患者提供辅助戒烟咨询。有过戒烟培训的泌尿科医生能为患者提供辅助戒烟咨询。我们推荐将正式的戒烟培训整合进有关膀胱癌的课程，强调戒烟对膀胱癌患者的作用，并且强烈鼓励美国泌尿医师学会将其纳入治疗指南。
（林江涛 审校）
J Urol. 2010 Sep 15. [Epub ahead of print]
Smoking Cessation Assistance for Patients With Bladder Cancer: A National Survey of American Urologists.
Bjurlin MA, Goble SM, Hollowell CM.
Division of Urology, Department of Surgery, Cook County Health and Hospitals System, Cook County Hospital, Chicago, Illinois.
Abstract
PURPOSE: Cigarette smoking is a known risk factor for bladder cancer. How urologists address smoking cessation among patients with bladder cancer is not well-known. We assessed the practice patterns of American urologists regarding smoking cessation assistance for patients with bladder cancer.
MATERIALS AND METHODS: A questionnaire regarding smoking cessation practice patterns was sent to 1,821 American urologists in the 2008 American Urological Association membership directory. Responses were summarized with frequency and percent. Statistical comparison was made using chi-square tests. Multiple logistic regression was used to detect significant predictors of providing smoking cessation assistance.
RESULTS: Responses were received from 601 urologists who collectively treated an estimated 14,713 patients with bladder cancer in the last year. More than half (55.6%) of urologists never discuss smoking cessation while only 19.8% always discuss smoking cessation with patients with bladder cancer. Of urologists who never discuss smoking cessation 40.7% believe that smoking cessation may not alter the course or outcome of the disease and 37.7% do not feel qualified giving smoking cessation counseling. Most urologists (93.7%) have never had formal smoking cessation training. Urologists with smoking cessation training were more likely to always provide smoking cessation assistance compared to those without training (20.6% vs 6.0%, p = 0.0011). Number of patients with bladder cancer treated (OR 3.96) and formal smoking cessation training (OR 13.49) were significant predictors of providing smoking cessation assistance.
CONCLUSIONS: American urologists demonstrate a low rate of providing smoking cessation assistance to patients with bladder cancer. Urologists who are trained in smoking cessation most commonly provide smoking cessation assistance. We recommend integrating formal smoking cessation instruction into courses that address bladder cancer and strongly encourage the American Urological Association to adopt practice pattern guidelines.
J Urol. 2010 Sep 15. [Epub ahead of print]
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利用YouTube视频网站作为戒烟信息的一个来源
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在戒烟机构中，影响接受戒烟服务的结构性和文化性障碍
