Avaliação do conhecimento da população sobre a relação entre tabagismo e câncer de bexiga / Assessment of the population's knowledge about the relationship between smoking and bladder cancer

Introdução: estudos em outros países mostraram que a população em geral sabe pouco sobre o fato de que o uso do tabaco causa câncer de bexiga, especialmente quando comparado a outras doenças, como câncer de pulmão, doenças cardiovasculares e disfunção erétil. Este estudo tem como objetivo avaliar o conhecimento de uma amostra da população brasileira sobre o tabagismo como fator de risco para câncer de bexiga e outras doenças. Material e métodos: entre julho e outubro de 2022, pesquisamos prospectivamente pedestres em áreas públicas da cidade do Rio de Janeiro sobre seu conhecimento sobre os efeitos nocivos do tabagismo e seu fator causador de câncer de bexiga e outras doenças. Resultados: um total de 730 pacientes responderam à pesquisa. O câncer de bexiga é o segundo menos associado ao consumo de tabaco. O câncer de bexiga foi a segunda condição menos relacionada ao consumo de tabaco (39%). O menos associado foi o câncer renal (34,1%). Conclusão: o câncer de bexiga é uma doença causada principalmente pelo tabagismo e esse fato é menos conhecido da população do que outras doenças como câncer de pulmão e infarto

Introduction: studies in other countries have shown that the general population knows little about the fact that tobacco use causes bladder cancer, especially when compared to other diseases such as lung cancer, cardiovascular disease, and erectile dysfunction. This study aims to evaluate the awareness of a sample population in Brazil about smoking as a risk factor for bladder cancer and other diseases. Material and methods: between July and October 2022, we prospectively surveyed pedestrians in public areas in Rio de Janeiro city about their knowledge of the harmful effects of smoking and its causative factor in bladder cancer and other diseases. Results: a total of 730 patients answered the survey. Bladder cancer is the second least associated to tobacco consumption. Bladder cancer was the second condition least related to tobacco consumption (39%). The least associated was kidney cancer (34.1%). Conclusion: bladder cancer is a disease caused mostly by smoking and this fact is less known to the population than other diseases such as lung cancer and heart attack

Infections after shoulder arthroplasty are correlated with higher anesthetic risk score: a case-control study in Brazil

ABSTRACT Purposes: Shoulder arthroplasty (SA) has been performed by many years for the treatment of several conditions, including osteoarthritis and proximal humeral fractures following trauma. Surgical site infection (SSI) following Shoulder arthroplasty remains a challenge, contributing to increased morbidity and costs. Identification of risk factors may help implementing adequate strategies to prevent infection. We aimed to identify pre- and intra-operative risk factors associated with deep infections after Shoulder arthroplasty. Methods: An unmatched case-control study was conducted to describe the prevalence, clinical and microbiological findings, and to evaluate patient and surgical risk factors for prosthetic shoulder infection (PSI), among 158 patients who underwent SA due to any reason, at a tertiary public university institution. Risk factors for PSI was assessed by uni- and multivariate analyses using multiple logistic regression. Results: 168 SA from 158 patients were analyzed, with an overall infection rate of 9.5% (16/168 cases). Subjects undergoing SA with American Society of Anesthesiologists (ASA) grade III or higher (odds ratio [OR] = 5.30, 95% confidence interval [CI] = 1.58-17.79, p < 0.013) and presenting local hematoma after surgery (odds ratio [OR] = 7.10, 95% confidence interval [CI] = 1.09-46.09, p = 0.04) had higher risk for PSI on univariate analysis. However, only ASA score grade III or higher remained significant on multivariate analysis (OR = 4.74, 95% CI = 1.33-16.92, p = 0.016). Gram-positive cocci and Gram-negative bacilli were equally isolated in 50% of cases; however, the most commonly detected bacterium was Pseudomonas aeruginosa (18.7%). Conclusion: This study provides evidence suggesting that patient-related known factors such as higher ASA score predisposes to shoulder arthroplasty-associated infection. Furthermore, unusual pathogens associated with PSI were identified.

Infections after shoulder arthroplasty are correlated with higher anesthetic risk score: a case-control study in Brazil.

PURPOSES: Shoulder arthroplasty (SA) has been performed by many years for the treatment of several conditions, including osteoarthritis and proximal humeral fractures following trauma. Surgical site infection (SSI) following Shoulder arthroplasty remains a challenge, contributing to increased morbidity and costs. Identification of risk factors may help implementing adequate strategies to prevent infection. We aimed to identify pre- and intra-operative risk factors associated with deep infections after Shoulder arthroplasty. METHODS: An unmatched case-control study was conducted to describe the prevalence, clinical and microbiological findings, and to evaluate patient and surgical risk factors for prosthetic shoulder infection (PSI), among 158 patients who underwent SA due to any reason, at a tertiary public university institution. Risk factors for PSI was assessed by uni- and multivariate analyses using multiple logistic regression. RESULTS: 168 SA from 158 patients were analyzed, with an overall infection rate of 9.5% (16/168 cases). Subjects undergoing SA with American Society of Anesthesiologists (ASA) grade III or higher (odds ratio [OR]=5.30, 95% confidence interval [CI]=1.58-17.79, p<0.013) and presenting local hematoma after surgery (odds ratio [OR]=7.10, 95% confidence interval [CI]=1.09-46.09, p=0.04) had higher risk for PSI on univariate analysis. However, only ASA score grade III or higher remained significant on multivariate analysis (OR=4.74, 95% CI=1.33-16.92, p=0.016). Gram-positive cocci and Gram-negative bacilli were equally isolated in 50% of cases; however, the most commonly detected bacterium was Pseudomonas aeruginosa (18.7%). CONCLUSION: This study provides evidence suggesting that patient-related known factors such as higher ASA score predisposes to shoulder arthroplasty-associated infection. Furthermore, unusual pathogens associated with PSI were identified.