Amount of tobacco consumption is associated with superficial bladder cancer progression

Korkes, Fernando; Juliano, Cesar Augusto Braz; Bunduky, Maria Alice Peluso; Costa, Ana Carolina Duarte Martins; Castro, Marí­lia Germanos de

doi:10.1590/s1679-45082010ao1751

Cited by 5 publications

(5 citation statements)

References 13 publications

(17 reference statements)

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“…Fifty-seven studies have assessed associations between smoking-related exposures and NMIBC outcomes [ 6 , 9 – 64 ]. Multiple exposure types have been studied, including current versus never, [ 6 , 9 – 59 ] former versus never, [ 6 , 9 – 36 , 60 ] current versus former, [ 9 – 15 , 60 – 63 ] and cumulative exposure (e.g., pack-years, quantity/day, cigarette index) [ 9 – 13 , 16 – 19 , 37 , 38 , 60 , 64 ].…”

Section: Resultsmentioning

confidence: 99%

“…The meta-analysis did not, however, find an association with progression among 5 studies with 3,979 NMIBC or MIBC patients [ 6 ]. Indeed, the evidence regarding smoking and disease progression has been ambiguous [ 6 , 9 – 11 , 13 , 15 , 16 , 18 – 24 , 39 – 46 , 60 , 61 ]. The majority of studies among patients with NMIBC alone have reported no association between smoking and CSM [ 13 , 15 , 20 , 25 , 39 – 41 , 54 ] or ACM [ 11 , 25 , 26 , 39 , 40 ].…”

Section: Resultsmentioning

confidence: 99%

“…Indeed, the evidence regarding smoking and disease progression has been ambiguous [ 6 , 9 – 11 , 13 , 15 , 16 , 18 – 24 , 39 – 46 , 60 , 61 ]. The majority of studies among patients with NMIBC alone have reported no association between smoking and CSM [ 13 , 15 , 20 , 25 , 39 – 41 , 54 ] or ACM [ 11 , 25 , 26 , 39 , 40 ]. However, in studies with a mix of patients with NMIBC and MIBC, the evidence regarding an association between smoking and CSM [ 6 , 18 , 21 , 36 , 42 , 43 , 55 , 63 ] or ACM [ 18 , 21 , 36 , 38 , 42 , 43 , 56 – 59 , 63 ] has been mixed.…”

Section: Resultsmentioning

confidence: 99%

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Lifestyle and Non-muscle Invasive Bladder Cancer Recurrence, Progression, and Mortality: Available Research and Future Directions

Zuniga

Graff

Feiger

et al. 2020

BLC

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BACKGROUND: A broad, comprehensive review of studies exploring associations between lifestyle factors and non-muscle invasive bladder cancer (NMIBC) outcomes is warranted to consolidate recommendations and identify gaps in research. OBJECTIVE: To summarize the literature on associations between lifestyle factors and clinical outcomes among patients with NMIBC. METHODS: PubMed was systematically queried for articles published through March 2019 regarding lifestyle factors and recurrence, progression, cancer-specific mortality, and all-cause mortality among patients with NMIBC. RESULTS: Notwithstanding many ambiguities, there is good-quality evidence suggesting a benefit of smoking avoidance/cessation, healthy body mass index (BMI), and type II diabetes mellitus prevention and treatment. Lactobacillus casei probiotic supplementation may reduce recurrence. There have been individual studies suggesting a benefit for uncooked broccoli and supplemental vitamin E as well as avoidance of supplemental vitamin B9, areca nut chewing, and a "Western diet" pattern high in fried foods and red meat. Additional studies do not suggest associations between NMIBC outcomes and use of fibrin clot inhibitors; insulin and other oral hypoglycemics; statins; supplemental selenium, vitamin A, vitamin C, and vitamin B6; fluid intake and intake of specific beverages (e.g., alcohol, coffee, green tea, cola); various dietary patterns (e.g., Tex-Mex, high fruit and vegetable, low-fat); and occupational and chemical exposures. CONCLUSIONS: Despite a myriad of publications on lifestyle factors and NMIBC, a need remains for research on unexplored associations (e.g., physical activity) and further studies that can elucidate causal effects. This would inform future implementation strategies for healthy lifestyle change in NMIBC patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Lifestyle and Non-muscle Invasive Bladder Cancer Recurrence, Progression, and Mortality: Available Research and Future Directions

Zuniga

Graff

Feiger

et al. 2020

BLC

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“…Bladder cancer occurrence is strongly related to environmental factors and aging. Smokers are 2-4 times more likely to develop BC and this association seems to be related to smoking intensity (9,10).…”

Section: Introductionmentioning

confidence: 99%

Bladder cancer trends and mortality in the brazilian public health system

et al. 2020

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Introduction: Considering the lack of data on BC trends in Brazilian population, mainly as a result of the diffi culty on gathering data, the present manuscript provides an overview of bladder cancer incidence, hospitalization, mortality patterns and trends using the Brazilian Data Center for The Public Health System (DATASUS). Materials and Methods: All hospital admissions associated with BC diagnosis (ICD-10 C67) between 2008 and 2017 were analyzed. Distributions according to year, gender, age group, ethnicity, death, length of hospital stay, and costs were evaluated. Demographic data was obtained from the last Brazilian national census. Results: From 2008 to 2017 there were 119,058 public hospital admissions related to BC. Patients were mostly white males aged 60 to 79 years-old. Mortality rates for patients who have undergone surgery was 6.75% on average, being 7.38% for women and 6.49% for men. Mortality rates were higher when open surgeries were performed compared to endoscopic procedures (4.98% vs 1.18%). Considering only endoscopic procedures, mortality rates were three times higher after urgent surgeries compared to elective ones (2.6% vs 0.6%). Over the years the cystectomy/transurethral bladder resection (C/T) ratio signifi cantly decreased in all Brazilian Regions. In 2008, the C/T ratio was 0.19, while in 2017 it reduced to 0.08. Conclusions: Despite BC relatively low incidence, it still represents a signifi cant social economic burden in Brazil, as it presents with recurrent episodes that might require multiple hospitalizations and surgical treatment. The set of data collected might suggest that population access to health care has improved between 2008-2017.

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“…( 1 ) The habit of smoking is associated with the causes of respiratory and cardiac diseases, cerebrovascular accidents (stroke), peptic ulcer, upper respiratory tract cancer, ( 2 ) and superficial bladder cancer. ( 3 )…”

Section: Introductionmentioning

confidence: 99%

Analysis of smoke cessation rate and profile of former smokers living in Belo Horizonte and Metropolitan Region

Claudino

Abreu

2014

Einstein (São Paulo)

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Objective:To estimate the smoking cessation rate and to identify possible associated factors.Methods:Individuals from the Metropolitan Region of Belo Horizonte (MG) aged 15 years or more who responded to the smoking supplement of the National Household Sample Survey were selected (n=1,297). An estimate was made of the tobacco-use cessation rate relative to the 95% confidence interval. To verify factors associated with smoking cessation, Pearson's χ2 test or Student's t test were used.Results:The general smoking cessation rate was 56.7% (95% confidence interval: 52.3-61.1), with 57.7% among men and 55.5% among women. The associated factors were higher age and income. Among the 19 individuals who had stopped smoking for less than 12 months, 52.6% had been seen by a physician or healthcare professional in the previous 12 months, and 60% of them were oriented to stop smoking, but only 1 (16.7%) had been oriented at a unit of the public national Unified Healthcare System.Conclusion:Despite high rates of smoking cessation, the methods made available by the Unified Healthcare System did not show good results. It is necessary to enhance the healthcare programs that aim to reduce the proportion of smokers in the population. Such measures can have a positive long-term influence in droping mortality and morbidity rates associated with smoking and the costs for healthcare services.

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Amount of tobacco consumption is associated with superficial bladder cancer progression

Cited by 5 publications

References 13 publications

Lifestyle and Non-muscle Invasive Bladder Cancer Recurrence, Progression, and Mortality: Available Research and Future Directions

Lifestyle and Non-muscle Invasive Bladder Cancer Recurrence, Progression, and Mortality: Available Research and Future Directions

Bladder cancer trends and mortality in the brazilian public health system

Analysis of smoke cessation rate and profile of former smokers living in Belo Horizonte and Metropolitan Region

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