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NDT Advance Access originally published online on December 8, 2007
Nephrology Dialysis Transplantation 2008 23(4):1442-1446; doi:10.1093/ndt/gfm764
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© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


Smoking behaviour of patients before and after renal transplantation

Miriam C. Banas, Bernhard Banas, Johanna Wolf, Ute Hoffmann, Bernd Krüger, Carsten A. Böger, Stephan R. Orth and Bernhard K. Krämer

Klinik und Poliklinik für Innere Medizin II, University of Regensburg, Germany

Miriam C. Banas, Klinik und Poliklinik für Innere Medizin II, University of Regensburg, D-93042 Regensburg, Germany E-mail: miriam.banas{at}klinik.uni-regensburg.de



  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.

Keywords: dialysis; renal transplantation; smoking; waiting list

Received for publication: 6. 7.07
Accepted in revised form: 28. 9.07


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