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• W1966320422 abstract "No AccessJournal of UrologyAdult Urology1 Mar 2014Comprehensive Assessment of the Impact of Cigarette Smoking on Survival of Clear Cell Kidney Cancer Behfar Ehdaie, Helena Furberg, Emily Craig Zabor, A. Ari Hakimi, and Paul Russo Behfar EhdaieBehfar Ehdaie Memorial Sloan-Kettering Cancer Center, New York, New York More articles by this author , Helena FurbergHelena Furberg Epidemiology and Biostatistics, New York, New York More articles by this author , Emily Craig ZaborEmily Craig Zabor Epidemiology and Biostatistics, New York, New York More articles by this author , A. Ari HakimiA. Ari Hakimi Urology Service, Sidney Kimmel Center for Prostate and Urologic Cancers, New York, New York More articles by this author , and Paul RussoPaul Russo Urology Service, Sidney Kimmel Center for Prostate and Urologic Cancers, New York, New York More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.08.081AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The impact of modifiable environmental factors on kidney cancer specific outcomes is under studied. We evaluated the impact of smoking exposure on cancer specific survival in patients with clear cell renal cell carcinoma treated with surgery. Materials and Methods: From a prospectively maintained database at a single center we collected the characteristics of 1,625 patients with clear cell renal cell carcinoma treated with surgery between 1995 through 2012. We determined the associations of smoking status with advanced disease, defined as AJCC (American Joint Committee on Cancer) stage greater than 2, and with cancer specific survival. Results: The prevalence rate of current, former and never smoking at diagnosis was 16%, 30% and 54%, respectively. Of the patients 62% reported a smoking history of 20 pack-years or greater. Median followup in survivors was 4.5 years (IQR 2.2–7.9). On univariable analysis a smoking history of 20 pack-years or greater was associated with a significantly increased risk of advanced disease (OR 1.43, 95% CI 1.02–2.00). However, it did not achieve an independent association after adjusting for age and gender. Pathological stage and Fuhrman grade adversely affected cancer specific survival on multivariable competing risks analysis. Although the association between smoking and cancer specific survival did not achieve statistical significance on multivariable analysis, the direction of the central estimate (HR 1.5, 95% CI 0.89–2.52) suggested that smoking adversely impacts cancer specific survival. Current smokers faced a higher risk of death from another cause than never smokers (HR 1.93, 95% CI 1.29–2.88). Conclusions: Smoking exposure substantially increases the risk of death from another cause and adversely impacts cancer specific survival in patients with clear cell renal cell carcinoma. Treatment plans to promote smoking cessation are recommended for these patients. References 1 : Cancer statistics, 2012. CA Cancer J Clin2012; 62: 10. Google Scholar 2 : Improvement in overall survival of patients with advanced renal cell carcinoma: prognostic factor trend analysis form an international data set of clinical trials. J Urol2012; 188: 2095. 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Google Scholar © 2014 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byAl Hussein Al Awamlh B, Shoag J, Ravikumar V, Posada L, Taylor B, van der Mijn J, Khan A, Fainberg J, Al Hussein Alawamlh O and Scherr D (2019) Association of Smoking and Death from Genitourinary Malignancies: Analysis of the National Longitudinal Mortality StudyJournal of Urology, VOL. 202, NO. 6, (1248-1254), Online publication date: 1-Dec-2019. Volume 191Issue 3March 2014Page: 597-602Supplementary Materials Advertisement Copyright & Permissions© 2014 by American Urological Association Education and Research, Inc.Keywordssmokingcarcinomanephrectomyrenal cellkidneysmoking cessationAcknowledgmentsLenny Glickman and Marc Walker assisted with data collection.MetricsAuthor Information Behfar Ehdaie Memorial Sloan-Kettering Cancer Center, New York, New York More articles by this author Helena Furberg Epidemiology and Biostatistics, New York, New York More articles by this author Emily Craig Zabor Epidemiology and Biostatistics, New York, New York More articles by this author A. Ari Hakimi Urology Service, Sidney Kimmel Center for Prostate and Urologic Cancers, New York, New York More articles by this author Paul Russo Urology Service, Sidney Kimmel Center for Prostate and Urologic Cancers, New York, New York More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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