Effect of Kidney Transplantation on Smoking Habits of Kidney Donors

• Published in: Transplantation proceedings 2015-06, Vol.47 (5), p.1302-1305
• Main Authors: Keles, M, Avsar, U, Avsar, Z, Emre, H, Cankaya, E, Cansever, Z, Kaya, A, Topdagi, O, Uyanik, A, Aydinli, B
• Format: Article
• Language: English
• Subjects: Adult; Cardiovascular Diseases - etiology; Female; Humans; Kidney Transplantation - psychology; Living Donors - psychology; Male; Middle Aged; Risk Factors; Smoking - adverse effects; Smoking - epidemiology; Smoking - psychology; Smoking Cessation - psychology; Surgery; Surveys and Questionnaires; Tobacco Use Disorder
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2015.04.055

Abstract Introduction Smoking increases the risk for cardiovascular disease in kidney donors, as is the case with normal individuals; it may also result in the development and progression of chronic renal failure. The present study aimed to investigate the effect of kidney transplant on smoking habits of kidney donors. Method The study included 98 donors in total (54 female, 44 male). A questionnaire was administered to donors about smoking status. Smoking status was asked about before surgery and 12 months postoperatively, and the preoperative and postoperative values were compared. The Fagerstörm test for nicotine dependence was administered to individuals who were still smokers and those who had smoked but quit. Results The mean age of the participants was 48.27 ± 10.8 years. The preoperative smoking status was 47% (n = 46), whereas the postoperative rate decreased to 29% (n = 28). This reduction in smoking rate was significant ( P  = .001). There was no difference in Fagerström levels between donors who continued smoking and those who quit smoking after the surgery ( P  = .583). Conclusions A person who becomes a kidney transplant donor has the chance to quit smoking, which is a cardiovascular risk factor. In addition to the psychosocial benefits of being a donor, it should be noted that it might also provide some medical benefits. However, some patients continue smoking after surgery. Smoking should be questioned in the postoperative follow-ups of donors and the support required for smoking cessation should be provided.