Smoking behaviour of patients before and after renal transplantation. |
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Authors: | Miriam C Banas Bernhard Banas Johanna Wolf Ute Hoffmann Bernd Krüger Carsten A B?ger Stephan R Orth Bernhard K Kr?mer |
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Affiliation: | Klinik und Poliklinik für Innere Medizin II, University of Regensburg, D-93042 Regensburg, Germany. miriam.banas@klinik.uni-regensburg.de |
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Abstract: | BACKGROUND: Smoking is the most important remediable cardiovascular risk factor, and an independent risk factor for the progression of renal diseases. To date, only limited information about changes in cigarette-smoking habits before and after renal transplantation is available. METHODS: In a comprehensive cross-sectional single centre study, we analysed smoking habits of patients registered on the waiting list for renal transplantation and patients that had received an allograft. RESULTS: Of 230 patients (76.1%), 175 on the waiting list and of 264 allograft recipients (87.5%), 231 were non-smokers at the time of investigation (P <0.01). Among the non-smoking waiting list patients, only 71 (30.9%) had never smoked, whereas 108 (40.9%) patients of the allograft recipients were never-smokers. Of former smoking patients, 27.6% (n = 34) had stopped smoking after transplantation. Patients <55 years of age and females were more likely to stop smoking than patients >55 years of age or males. A data analysis revealed that smokers had a significantly lower probability to attain renal transplantation. CONCLUSION: We conclude that renal transplantation is a strong incentive for patients to stop smoking. Reasons for changes in smoking behaviour after renal transplantation may be an intense contact of the patients with their physicians, the fear of a premature loss of the transplanted organ with continued smoking and the psychological support during post-transplantation patient care. |
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Keywords: | dialysis renal transplantation smoking waiting list |
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