Journal Article

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

in Nephrology Dialysis Transplantation

Published on behalf of European Renal Association - European Dialysis and Transplant Assoc

Volume 23, issue 4, pages 1442-1446
Published in print April 2008 | ISSN: 0931-0509
Published online December 2007 | e-ISSN: 1460-2385 | DOI:
Smoking behaviour of patients before and after renal transplantation

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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

Journal Article.  3276 words.  Illustrated.

Subjects: Nephrology

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