[Patterns of electronic cigarette and tobacco heating products use in Spain.] / Patrones de consumo del cigarrillo electrónico y de los productos de tabaco calentado en España.

OBJECTIVE: The new tobacco related products (TRP) have modified the smoking patterns, which have been scarcely evaluated by independent studies. Our objective was to describe the patterns of electronic cigarette (e-cig) and tobacco heating products (THP) use among Spanish population. METHODS: An electronic survey aimed to population who had used at least once in their lifetime e-cigs or THPs was used to gather personal data, patterns of e-cig and THP use, as well as risk perceptions and intention to quit these products. Chi-square and Kruskal-Wallis test were used to analyze qualitative and non-parametric quantitative variables, respectively, establishing statistical significance if p values <0.05. RESULTS: The responses of 175 subjects were included. From them, 107 had consumed e-cig, 33 THP and 35 both devices. The daily use was more common among THP users, who were older than e-cig and both devices' consumers (median age 43 vs 38 vs 35 years old, p=0.013). Of the overall group, 94% referred to have smoked conventional cigarettes at least once in their lifetime, and from them 36% referred a daily cigarette consumption at the time of the survey. Regarding the risk perception of the TRP, 70%, 55% y 63% of the subjects that had used e-cig, THP, and both devices, respectively, considered that these products were less harmful for their own health than conventional cigarettes. Concerning their intention to quit any tobacco product, 51% and 64% of e-cig and THP users respectively, showed interest in quitting these devices. CONCLUSIONS: The previous and current conventional cigarettes use is frequent among TRPs consumers. The risk perception of these products is low; however, a considerable intention to quit these products is reported.

OBJETIVO: Los nuevos productos relacionados al tabaco (PRT) han diversificado la forma en que se fuma, sin embargo, existen pocos estudios independientes que analicen los patrones de este consumo. Nuestro objetivo fue describir los patrones de uso del cigarrillo electrónico (CE) y de los productos de tabaco calentado (PTC) en España. METODOS: A través de una encuesta digital dirigida a población que había usado al menos una vez CE y/o PTC se recabaron datos personales, patrones de consumo, percepción de riesgo e intención de abandono. Se utilizaron chi-cuadrada y Kruskal-Wallis para analizar variables cualitativas y cuantitativas no paramétricas respectivamente, estableciendo significancia estadística con un p valor <0,05. RESULTADOS: Se incluyeron a 175 personas, de las cuales 107 habían usado CE, 33 PTC y 35 ambos dispositivos. El uso diario fue más frecuente entre la población que había consumido PTC (p=0,018) cuya mediana de edad fue mayor a la de la que había usado CE o ambos dispositivos (43 vs 38 vs 35 años p=0,013). El 94% del grupo total había consumido cigarrillos convencionales con anterioridad y el 36% de éstos los usaba diariamente al momento de la encuesta. El 70%, 55% y 63% de las personas que habían usado CE, PTC y ambos productos, respectivamente, consideraba que el riesgo de estos dispositivos era menor frente al de los cigarrillos convencionales. El 51% y 64% de los usuarios habituales y ocasionales de CE y PTC, respectivamente, querían abandonar estos productos. CONCLUSIONES: El consumo previo y actual de cigarrillos convencionales entre la población usuaria de PRT es frecuente. A pesar de una baja percepción de riesgo, se observa una alta intención de abandonar el consumo de CE y PTC.

Stratification and management of cardiovascular risk in cancer patients. A consensus document of the SEC, FEC, SEOM, SEOR, SEHH, SEMG, AEEMT, AEEC, and AECC.

Both cancer treatment and survival have significantly improved, but these advances have highlighted the deleterious effects of vascular complications associated with anticancer therapy. This consensus document aims to provide a coordinated, multidisciplinary and practical approach to the stratification, monitoring and treatment of cardiovascular risk in cancer patients. The document is promoted by the Working Group on Cardio Oncology of the Spanish Society of Cardiology (SEC) and was drafted in collaboration with experts from distinct areas of expertise of the SEC and the Spanish Society of Hematology and Hemotherapy (SEHH), the Spanish Society of Medical Oncology (SEOM), the Spanish Society of Radiation Oncology (SEOR), the Spanish Society of General and Family Physicians (SEMG), the Spanish Association of Specialists in Occupational Medicine (AEEMT), the Spanish Association of Cardiovascular Nursing (AEEC), the Spanish Heart Foundation (FEC), and the Spanish Cancer Association (AECC).