Tobacco use before and after liver transplantation: a single center survey and implications for clinical practice and research

Shawna L Ehlers; James R Rodrigue; Michelle R Widows; Alan I Reed; David R Nelson

doi:10.1002/lt.20087

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Tobacco use before and after liver transplantation: a single center survey and implications for clinical practice and research

Journal article

Peer reviewed

Tobacco use before and after liver transplantation: a single center survey and implications for clinical practice and research

Shawna L Ehlers, James R Rodrigue, Michelle R Widows, Alan I Reed and David R Nelson

Liver transplantation, Vol.10(3), pp.412-417

03/2004

DOI: 10.1002/lt.20087

PMID: 15004770

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Abstract

Compared to alcohol use, and despite its potential health implications, tobacco use among candidates and recipients of orthotopic liver transplantation (OLT) has not been the focus of much attention. The purpose of the present study is to examine lifetime pre- and post-OLT prevalence rates of tobacco use, relapse rates after OLT, and comorbid use of alcohol and tobacco. Structured interviews were conducted to examine retrospective accounts of lifetime tobacco use in 202 OLT recipients. Sixty percent of OLT recipients reported a lifetime history of smoking, with 15% reporting smoking post-OLT. Of smokers who quit before OLT, 20% reported relapse to smoking post-OLT. Finally, 54% reported using both tobacco and alcohol pre-OLT. In light of these prevalence data and known health risks associated with tobacco use, there is an urgent need to examine the relationship between tobacco use and OLT outcomes. Furthermore, assessment of tobacco use and the provision of treatment for nicotine dependence should be a routine part of OLT candidacy evaluations and follow-up, based on general medical risk factors and potential relevancy to patient and graft survival.

Recurrence

Prevalence

Comorbidity

Humans

Middle Aged

Risk Factors

Male

Liver Transplantation - statistics & numerical data

Alcohol Drinking - epidemiology

Smoking - epidemiology

Female

Aged

Retrospective Studies

Details

Title: Subtitle: Tobacco use before and after liver transplantation: a single center survey and implications for clinical practice and research
Creators: Shawna L Ehlers - Department of Clinical and Health Psychology, University of Florida Health Science Center, Gainesville FL 32610-0165, USA. sehlers@hp.ufl.edu
James R Rodrigue
Michelle R Widows
Alan I Reed
David R Nelson
Resource Type: Journal article
Publication Details: Liver transplantation, Vol.10(3), pp.412-417
Publisher: United States
DOI: 10.1002/lt.20087
PMID: 15004770
ISSN: 1527-6465
eISSN: 1527-6473
Language: English
Date published: 03/2004
Academic Unit: Accounting; Surgery
Record Identifier: 9984051538102771

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