2024-04-30 07:09:18
A French study published in the Journal of Nephrology[1] was interested in the epidemiology of smoking in patients with renal failure requiring dialysis treatment in France and evaluated the involvement of nephrologists in the support given to patients for smoking cessation.
To support smoking cessation, a questionnaire about this practice was sent to all members of the French Society of Nephrology, Dialysis and Transplantation (SFNDT).
Epidemiology of tobacco in dialysis patients
In 2020, of the 49,165 patients identified in the French REIN registry, smokers represented almost 12% of the group, ex-smokers 25%, non-smokers 50% and the data were missing for 14% of them. These figures are generally stable between 2010 and 2020. Patients who are ex-smokers more often have a history of cancer and have a higher incidence of cardiovascular comorbidities (3 and above).
These figures observed among dialysis patients, whose average age is 65-75 years, therefore appear to be similar to the smoking rate observed in their age category in the general population.
Tobacco, an important risk factor for kidney disease
Smoking is an independent risk factor for cardiovascular disease, such as high blood pressure, which itself is known to cause chronic kidney disease. But smoking has also been identified as an independent risk factor for the onset and progression of chronic kidney disease.
Involvement of nephrologists in smoking cessation
This publication also reports the first survey on smoking cessation practices among nephrologists practicing in France.
Nephrologists find themselves at the crossroads when it comes to caring for patients with chronic kidney disease with multiple comorbidities and actively participate in the coordination of care.
The nephrology community seems to be convinced of the benefits of smoking cessation in patients with kidney disease, and many nephrologists seem to want to become more involved in the smoking cessation process since 72.8% of them offered to quit smoking. A majority of them (81.6%) indicated that they needed training and did not have enough tools to support patients’ smoking cessation in their daily practice.
Key words: Kidney, kidney disease, abstinence, nephrologists, smoking
CAR
[1] Haussaire D, Couchoud C, Elharrar X, Rostoker G. Epidemiology of tobacco use in dialysis patients in France and investigation of nephrologists’ involvement in tobacco cessation counseling. J Nephrol. 2024 Jan 23 doi: 10.1007/s40620-023-01842-2. Epub ahead of print. PMID: 38253969. https://link.springer.com/article/10.1007/s40620-023-01842-2
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