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Epidemiology of tobacco use in dialysis patients in France and survey of nephrologists’ involvement in counseling on tobacco discontinuation

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Abstract

Background

Tobacco smoking is an independent risk factor for chronic kidney disease (CKD) and increases morbidity and mortality in CKD patients. The primary objective of the study was to investigate the epidemiology of smoking in patients undergoing maintenance dialysis in France. A second objective was to assess the involvement of nephrologists in supporting patients for smoking cessation.

Methods

Data on the smoking history of prevalent patients on maintenance dialysis in France between 2010 and 2020 were obtained from the REIN database (Renal Epidemiology and Information Network), updated by all French nephrology and dialysis centers. As for the support to smoking discontinuation, a questionnaire on smoking cessation assistance was sent to all members of the French Society of Nephrology, Dialysis and Transplantation (SFNDT).

Results

The proportion of current smokers among patients on maintenance dialysis was 10.4% in 2010, 11.2% in 2015 and 11.6% in 2020. A total of 228 nephrologists among the 790 members of the SFNDT participated in the survey (28.9%). Most respondents were women (57.3%), worked at a public hospital (61.1%), were under 40 years of age (51.3%) and had no history of smoking (60.8%). The majority reported asking patients about their smoking status and offering brief advice. Among respondents, 72.8% offered help with smoking cessation, 46.3% referred their smoking patients to a tobacco specialist, 51.8% reported prescribing drugs to quit tobacco, and 81.6% requested further training in how to support patients for smoking cessation.

Conclusion

Smoking cessation training for nephrologists and dedicated programs for patients in nephrology units could improve our practices and decrease the high prevalence of smoking in patients with ESKD.

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Data availability

Data can be shared upon request with the Renal Epidemiology and Information Network (REIN) registry coordinators.

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Acknowledgements

We acknowledge SFNDT for allowing the results of this survey to be disseminated. Thanks to Philippe Guichenez, a tobacco specialist, for his commitment to teaching smoking cessation assistance. Authors thank all REIN registry participants, especially the nephrologists and professionals in charge of data collection and quality control. Centers participating in the registry are listed in the REIN annual report (https://www.agence-biomedecine.fr/Les-chiffres-du-R-E-I-N).

Funding

Centre hospitalier de Mont de marsan.

Author information

Authors and Affiliations

  1. Centre Hospitalier Intercommunal de Mont de Marsan, Avenue Pierre de Coubertin, BP 417, 40024, Mont-de-Marsan, France

    Delphine Haussaire

  2. Registre Réseau Épidémiologique Et Information en Néphrologie (REIN), Agence de La Biomédecine, 1 Avenue du Stade de France, 93212, Saint-Denis-La Plaine, France

    Cécile Couchoud

  3. Centre Hospitalier de Dax, Côte d’argent, Boulevard Yves du Manoir, 40100, Dax, France

    Xavier Elharrar

  4. Hôpital Privé Claude Galien, Ramsay Santé, 20 Route de Boussy-Saint-Antoine, 91480, Quincy-Sous-Sénart, France

    Guy Rostoker

  5. Collège de médecine des Hôpitaux de Paris, 10 Rue Des Fossés Saint-Marcel, 75005, Paris, France

    Guy Rostoker

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  1. Delphine Haussaire
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Corresponding author

Correspondence to Delphine Haussaire.

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Conflict of interest

None declared.

Ethical approval

The national ethics committee (Commission National Informatique et Liberté) approved the data collection conducted by REIN, and this study was approved by the scientific committee of REIN. It was conducted according to the principles of the Declaration of Helsinki and its amendments.

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No informed consent is required to participate in the REIN registry.

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Haussaire, D., Couchoud, C., Elharrar, X. et al. Epidemiology of tobacco use in dialysis patients in France and survey of nephrologists’ involvement in counseling on tobacco discontinuation. J Nephrol 37, 451–459 (2024). https://doi.org/10.1007/s40620-023-01842-2

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  • DOI: https://doi.org/10.1007/s40620-023-01842-2

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