[Retrospective study on smoking in lung cancer at the University Hospital of Liège].

Revue medicale de Liege Pub Date : 2024-11-01
Marie Delvenne, Valérie Bonhivers, Laurence Seidel, Philippe Delvenne, Bernard Duysinx, Guy Jerusalem, Renaud Louis
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Abstract

This retrospective study including 93 patients who presented a new diagnosis of lung cancer at the University Hospital of Liege between January 2023 and April 2023 analyzed the prevalence of smoking cessation following the diagnosis announcement. It was also investigated whether certain factors influenced this rate (stage, histology, type of treatment received, tobacco monitoring,…) and whether the impact of this smoking cessation influenced the progression of the disease and the response to oncological treatments. The results show that 34.8 % of active smokers at diagnosis experienced smoking cessation at 6 months and 32.6 % at 1 year. This success rate of more than 30 % at 1 year is considerably higher than the success rates observed in individuals who attempt to obtain smoking cessation spontaneously and independently, outside of a cancer diagnosis (3-5 %). However, it remains low if one consider that smoking cessation is an important factor for increasing the survival rate for this type of cancer. It should be noted that, among the 51 smokers still active, 42 (82.4 %) did not consult a tobacco specialist. Smoking cessation support should in fact be offered to patients diagnosed with lung cancer more systematically and as early as possible in order to optimize the effectiveness of treatments and to increase the chances of survival.

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[列日大学医院肺癌患者吸烟情况回顾性研究]。
这项回顾性研究纳入了2023年1月至2023年4月期间列日大学医院新诊断出肺癌的93名患者,分析了诊断结果公布后的戒烟率。此外,还调查了某些因素(分期、组织学、接受的治疗类型、烟草监测等)是否会影响戒烟率,以及戒烟是否会影响疾病的进展和对肿瘤治疗的反应。结果显示,34.8%的活跃吸烟者在确诊后 6 个月戒烟,32.6%的吸烟者在确诊后 1 年戒烟。这一超过 30% 的 1 年戒烟成功率大大高于在癌症诊断之外自发、独立尝试戒烟的成功率(3%-5%)。然而,如果考虑到戒烟是提高这类癌症生存率的重要因素,戒烟成功率仍然很低。值得注意的是,在 51 名仍在吸烟的患者中,有 42 人(82.4%)没有咨询过烟草专家。事实上,应更系统地尽早为确诊肺癌的患者提供戒烟支持,以优化治疗效果,增加生存机会。
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