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F. Parrado
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P3.05 - Poster Session/ Prevention and Tobacco Control (ID 217)
- Event: WCLC 2015
- Type: Poster
- Track: Prevention and Tobacco Control
- Presentations: 1
- Moderators:
- Coordinates: 9/09/2015, 09:30 - 17:00, Exhibit Hall (Hall B+C)
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P3.05-009 - Tobacco Consumption in Cancer Patients from Colombia's Coffee Zone (ID 3157)
09:30 - 09:30 | Author(s): F. Parrado
- Abstract
Background:
The General Surgeon has been reporting the similarities of the addiction magnitude of nicotine, heroin and cocaine. The criteria for diagnosis of dependency to nicotine have been established by the DSM-IV which includes impulsivity for consumption, lack of control despite the negative effects of smoking, and a high motivation to consume above other activities that can be done instead. Other elements of diagnosis are signs of physical dependency and tolerance which demands an increase in consumption. The effects of nicotine have been related to the fact that inhalation of nicotine by a large body surface such as the lungs, which is dissolved at a high pH fluid, which is transported from the lungs to the heart and quickly reaches the brain. The high rate of absorption and large amount of nicotine is concentrated in the brain are the two causes that generate dependency. Smoking also affects the processes of tissue repair and states that the mortality among current smokers is 2 to 3 times as high as that among persons who never smoked. We evaluate cigarette smoking in cancer patients “Colombia’s Coffee Zone”
Methods:
Oncologos del Occidente has clinics for the attention of cancer patients throughout “Colombia’s Coffee Zone” conformed by Caldas, Quindio and Risaralda states. Inhabited by 4.8% of the national population and during 2004, 4340 cancer patients had their first medical appointment. We measured cigarette consumption with surveys and validated tests and the level of dependency to tobacco of these new patients through a systematic sampling
Results:
The prevalence of cigarette consumption through life was 44.6% (IC~95% ~37.0-52.5) in 168 tested patients; former smokers consumed an average of 0.7 cigarette packs per year during 21.6 years. Current smokers consume an average of 0.67 cigarette packs per year during 42 years. The 61% of these patients wait until 30 minutes to consume their first cigarette of day, after they get up from bed. The 38% of the current smokers do not like to avoid the first cigarette of the day. The 50% smokes even when they fill ill and stay in bed, meanwhile the 16.7% of the patients want to smoke “right now”; the 22.2% feel less depressed and tired when they smoke.
Conclusion:
There is a high frequency of consumption among these cancer patients who also present high levels of dependence; this is why they require support to quit smoking tobacco. The pharmacological effects of nicotine must be medically evaluated. We propose a clinic to support these patients in the cessation of tobacco consumption.
