Tags

Type your tag names separated by a space and hit enter

Smoking is underrecognized as a risk factor for chronic pancreatitis.
Pancreatology. 2010; 10(6):713-9.P

Abstract

BACKGROUND/AIMS

Smoking is an established risk factor for chronic pancreatitis (CP). We sought to identify how often and in which CP patients physicians consider smoking to be a risk factor.

METHODS

We analyzed data on CP patients and controls prospectively enrolled from 19 US centers in the North American Pancreatitis Study-2. We noted each subject's self-reported smoking status and quantified the amount and duration of smoking. We noted whether the enrolling physician (gastroenterologist with specific interest in pancreatology) classified alcohol as the etiology for CP and selected smoking as a risk factor.

RESULTS

Among 382/535 (71.4%) CP patients who were self-reported ever smokers, physicians cited smoking as a risk factor in only 173/382 (45.3%). Physicians cited smoking as a risk factor more often among current smokers, when classifying alcohol as CP etiology, and with higher amount and duration of smoking. We observed a wide variability in physician decision to cite smoking as a risk factor. Multivariable regression analysis however confirmed that the association of CP with smoking was independent of physician decision to cite smoking as a risk factor.

CONCLUSIONS

Physicians often underrecognize smoking as a CP risk factor. Efforts are needed to raise awareness of the association between smoking and CP. and IAP.

Authors+Show Affiliations

Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA. yadavd@upmc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study

Language

eng

PubMed ID

21242712

Citation

Yadav, Dhiraj, et al. "Smoking Is Underrecognized as a Risk Factor for Chronic Pancreatitis." Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.], vol. 10, no. 6, 2010, pp. 713-9.
Yadav D, Slivka A, Sherman S, et al. Smoking is underrecognized as a risk factor for chronic pancreatitis. Pancreatology. 2010;10(6):713-9.
Yadav, D., Slivka, A., Sherman, S., Hawes, R. H., Anderson, M. A., Burton, F. R., Brand, R. E., Lewis, M. D., Gardner, T. B., Gelrud, A., Disario, J., Amann, S. T., Baillie, J., Lawrence, C., O'Connell, M., Lowenfels, A. B., Banks, P. A., & Whitcomb, D. C. (2010). Smoking is underrecognized as a risk factor for chronic pancreatitis. Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.], 10(6), 713-9. https://doi.org/10.1159/000320708
Yadav D, et al. Smoking Is Underrecognized as a Risk Factor for Chronic Pancreatitis. Pancreatology. 2010;10(6):713-9. PubMed PMID: 21242712.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Smoking is underrecognized as a risk factor for chronic pancreatitis. AU - Yadav,Dhiraj, AU - Slivka,Adam, AU - Sherman,Stuart, AU - Hawes,Robert H, AU - Anderson,Michelle A, AU - Burton,Frank R, AU - Brand,Randall E, AU - Lewis,Michele D, AU - Gardner,Timothy B, AU - Gelrud,Andres, AU - Disario,James, AU - Amann,Stephen T, AU - Baillie,John, AU - Lawrence,Christopher, AU - O'Connell,Michael, AU - Lowenfels,Albert B, AU - Banks,Peter A, AU - Whitcomb,David C, Y1 - 2011/01/18/ PY - 2010/05/25/received PY - 2010/08/19/accepted PY - 2011/1/19/entrez PY - 2011/1/19/pubmed PY - 2011/7/20/medline SP - 713 EP - 9 JF - Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] JO - Pancreatology VL - 10 IS - 6 N2 - BACKGROUND/AIMS: Smoking is an established risk factor for chronic pancreatitis (CP). We sought to identify how often and in which CP patients physicians consider smoking to be a risk factor. METHODS: We analyzed data on CP patients and controls prospectively enrolled from 19 US centers in the North American Pancreatitis Study-2. We noted each subject's self-reported smoking status and quantified the amount and duration of smoking. We noted whether the enrolling physician (gastroenterologist with specific interest in pancreatology) classified alcohol as the etiology for CP and selected smoking as a risk factor. RESULTS: Among 382/535 (71.4%) CP patients who were self-reported ever smokers, physicians cited smoking as a risk factor in only 173/382 (45.3%). Physicians cited smoking as a risk factor more often among current smokers, when classifying alcohol as CP etiology, and with higher amount and duration of smoking. We observed a wide variability in physician decision to cite smoking as a risk factor. Multivariable regression analysis however confirmed that the association of CP with smoking was independent of physician decision to cite smoking as a risk factor. CONCLUSIONS: Physicians often underrecognize smoking as a CP risk factor. Efforts are needed to raise awareness of the association between smoking and CP. and IAP. SN - 1424-3911 UR - https://www.unboundmedicine.com/medline/citation/21242712/Smoking_is_underrecognized_as_a_risk_factor_for_chronic_pancreatitis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1424-3903(11)80074-8 DB - PRIME DP - Unbound Medicine ER -