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Published on: July 28, 2012
A smoking cessation program as a resource for bladder cancer patients
Daniel Vilensky1, Nathan Lawrentschuk, Karen Hersey
1Department of Urology and Surgical Oncology, University Health Network, Princess Margaret Hospital and Toronto General Hospital, Toronto, University of Toronto, ON.
Summary
Patients with bladder cancer (CaB) who continue to smoke after diagnosis need smoking cessation programs. These programs can improve prognosis and long-term health for CaB survivors.
Area of Science:
- Oncology
- Public Health
- Behavioral Science
Background:
- Continued tobacco use post-bladder cancer (CaB) diagnosis increases risks for other tobacco-related diseases.
- Smoking is linked to higher rates of treatment complications, tumor recurrence, morbidity, and mortality in CaB patients.
Purpose of the Study:
- To evaluate if bladder cancer patients who continue smoking require smoking cessation programs.
- To determine if such programs can improve prognosis and long-term health outcomes for these patients.
Main Methods:
- A cross-sectional, quantitative questionnaire study was conducted from January to April 2009.
- 100 patients with pathologically confirmed CaB diagnosis were surveyed during cystoscopy appointments at a single cancer center.
Main Results:
- 72% of patients had a history of smoking, and 33% smoked at diagnosis.
- 58% of diagnosed smokers continued to smoke; 37% were interested in a hospital-based smoking cessation program.
- Common barriers to quitting included stress management and fear of weight gain; 70% identified smoking as a risk for poor CaB prognosis.
Conclusions:
- Bladder cancer patients who smoke post-diagnosis warrant access to smoking cessation programs.
- Efficacious and cost-effective programs are needed to support smoking cessation in this patient population.
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