Factors influencing smoking cessation in Lebanese patients with bladder cancer: A cross sectional study

Introduction: Bladder cancer (BCa) is a very common urological cancer. Literature showed smoking as a main risk factor for BCa however patients may not be well-informed about the relation between smoking and BCa. Urologists play a crucial role in educating patients about smoking risks and encouragin...

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Main Authors: Georges Horkoss, Joey El Khoury, Rami Halabi, Anthony Kanbar, Serge Assaf, Anthony Mina, Sabine El Breidi, Charbel Dabal, Charbel El Hachem, Maher Abdessater, Rodrigue Saad, Antoine Kassis, Raghid El Khoury
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Cancer Treatment and Research Communications
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468294225000176
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author Georges Horkoss
Joey El Khoury
Rami Halabi
Anthony Kanbar
Serge Assaf
Anthony Mina
Sabine El Breidi
Charbel Dabal
Charbel El Hachem
Maher Abdessater
Rodrigue Saad
Antoine Kassis
Raghid El Khoury
author_facet Georges Horkoss
Joey El Khoury
Rami Halabi
Anthony Kanbar
Serge Assaf
Anthony Mina
Sabine El Breidi
Charbel Dabal
Charbel El Hachem
Maher Abdessater
Rodrigue Saad
Antoine Kassis
Raghid El Khoury
author_sort Georges Horkoss
collection DOAJ
description Introduction: Bladder cancer (BCa) is a very common urological cancer. Literature showed smoking as a main risk factor for BCa however patients may not be well-informed about the relation between smoking and BCa. Urologists play a crucial role in educating patients about smoking risks and encouraging cessation. The objective is to discover sociodemographic factors that influence the success rate of smoking cessation and other behavioral changes in a sample of smoking Lebanese patients diagnosed with BCa. Methods: A cross sectional study was conducted using a phone survey composed of 53 questions assessing the patients’ knowledge that they had or received from their treating physician about smoking as risk factor for BCa. A sample of patients diagnosed with BCa between 2015 and 2020 were contacted and data was collected between the months of September 2022 and May 2023. Inclusion criteria consisted of adult patients with a diagnosis of BCa and a history of smoking while exclusion criteria consisted of unreachable patients. 260 patients were chosen, 182 patients responded making the response rate 70 % Results: Our sample size consisted of 182 patients was composed of 143 males (78.6 %) and 39 females (21.4 %), 97 (53.3 %) are currently smokers of which 50 (51.5 %) tried but failed, 41 (42.3 %) found no benefit in stopping and 6 (6.2 %) were not counseled. 145 patients (79.7 %) knew about smoking as a risk factor for BCa, with only 6 (3.3 %) knowing before their diagnosis. The multivariate analysis has shown that women (p = 0.010), patients with higher educational level (p = 0.004) tend to stop smoking after diagnosis with BCa more than men and people with lower educational level. Also there was a positive correlation between urologist counseling and smoking cessation (p = 0.03). Conclusion: These findings showed that people had little knowledge about smoking as risk factor for BCa. A need for nationwide awareness campaigns about smoking risks specially targeting lower educational level patients and men or implicating stricter laws for smoking. Also a need of improving in smoking cessation counseling of urologists.
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spelling doaj-art-a663bd7fe6ee4c85bea70280ee7e27972025-08-20T02:03:46ZengElsevierCancer Treatment and Research Communications2468-29422024-01-014310087910.1016/j.ctarc.2025.100879Factors influencing smoking cessation in Lebanese patients with bladder cancer: A cross sectional studyGeorges Horkoss0Joey El Khoury1Rami Halabi2Anthony Kanbar3Serge Assaf4Anthony Mina5Sabine El Breidi6Charbel Dabal7Charbel El Hachem8Maher Abdessater9Rodrigue Saad10Antoine Kassis11Raghid El Khoury12Notre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon; Corresponding author.Notre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonNotre Dame des Secours University Hospital Center, Street 93, Byblos Postal Code 3, Lebanon; School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, LebanonIntroduction: Bladder cancer (BCa) is a very common urological cancer. Literature showed smoking as a main risk factor for BCa however patients may not be well-informed about the relation between smoking and BCa. Urologists play a crucial role in educating patients about smoking risks and encouraging cessation. The objective is to discover sociodemographic factors that influence the success rate of smoking cessation and other behavioral changes in a sample of smoking Lebanese patients diagnosed with BCa. Methods: A cross sectional study was conducted using a phone survey composed of 53 questions assessing the patients’ knowledge that they had or received from their treating physician about smoking as risk factor for BCa. A sample of patients diagnosed with BCa between 2015 and 2020 were contacted and data was collected between the months of September 2022 and May 2023. Inclusion criteria consisted of adult patients with a diagnosis of BCa and a history of smoking while exclusion criteria consisted of unreachable patients. 260 patients were chosen, 182 patients responded making the response rate 70 % Results: Our sample size consisted of 182 patients was composed of 143 males (78.6 %) and 39 females (21.4 %), 97 (53.3 %) are currently smokers of which 50 (51.5 %) tried but failed, 41 (42.3 %) found no benefit in stopping and 6 (6.2 %) were not counseled. 145 patients (79.7 %) knew about smoking as a risk factor for BCa, with only 6 (3.3 %) knowing before their diagnosis. The multivariate analysis has shown that women (p = 0.010), patients with higher educational level (p = 0.004) tend to stop smoking after diagnosis with BCa more than men and people with lower educational level. Also there was a positive correlation between urologist counseling and smoking cessation (p = 0.03). Conclusion: These findings showed that people had little knowledge about smoking as risk factor for BCa. A need for nationwide awareness campaigns about smoking risks specially targeting lower educational level patients and men or implicating stricter laws for smoking. Also a need of improving in smoking cessation counseling of urologists.http://www.sciencedirect.com/science/article/pii/S2468294225000176Bladder neoplasmsSmoking cessationUrologistsSocioeconomic factorsLebanon
spellingShingle Georges Horkoss
Joey El Khoury
Rami Halabi
Anthony Kanbar
Serge Assaf
Anthony Mina
Sabine El Breidi
Charbel Dabal
Charbel El Hachem
Maher Abdessater
Rodrigue Saad
Antoine Kassis
Raghid El Khoury
Factors influencing smoking cessation in Lebanese patients with bladder cancer: A cross sectional study
Cancer Treatment and Research Communications
Bladder neoplasms
Smoking cessation
Urologists
Socioeconomic factors
Lebanon
title Factors influencing smoking cessation in Lebanese patients with bladder cancer: A cross sectional study
title_full Factors influencing smoking cessation in Lebanese patients with bladder cancer: A cross sectional study
title_fullStr Factors influencing smoking cessation in Lebanese patients with bladder cancer: A cross sectional study
title_full_unstemmed Factors influencing smoking cessation in Lebanese patients with bladder cancer: A cross sectional study
title_short Factors influencing smoking cessation in Lebanese patients with bladder cancer: A cross sectional study
title_sort factors influencing smoking cessation in lebanese patients with bladder cancer a cross sectional study
topic Bladder neoplasms
Smoking cessation
Urologists
Socioeconomic factors
Lebanon
url http://www.sciencedirect.com/science/article/pii/S2468294225000176
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