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Impact of Smoking on Anal Abscess and Anal Fistula Diseases

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Background:Several studies have investigated the association between smoking and anal abscess and anal fistula (AA/F) diseases.However,the relationship between cigarette smoking and AA/F remains unclear.This study sought to assess the role of smoking in anorectal male patients in a Chinese population.Methods:In this retrospective study,a questionnaire,including smoking history,was completed over a 3-month period by male inpatients in the Proctology Department of China-Japan Friendship Hospital."Cases" were patients who had AA/F,and "controls" were patients with other anorectal complaints.Mann-Whitney U-test and Chi-square test were carried out to examine differences in baseline characteristics between groups.Subsequently,multivariate logistic regression was used to explore any related factors.Results:A total of 977 patients aged from 18 to 80 years were included,excluding those diagnosed with inflammatory bowel disease or diabetes mellitus.Out of this total,805 patients (82.4%) completed the entire questionnaire.Among the 805 patients,334 (41.5%) were cases and 471 (58.5%) were controls.Results showed significant differences between cases and controls (x2 =205.2,P < 0.001),with smoking found to be associated with the development of AA/F diseases (odds ratio:12.331,95% confidence interval:8.364-18.179,P < 0.001).Conclusions:This study suggested smoking to be a potential risk factor for the development of AA/F diseases in a Chinese population.Consequently,current smoking patients should be informed of this relationship,and further research should be conducted to explore and investigate this further.

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作者单位: Proctology Department, China-Japan Friendship Hospital, Beijing 100029, China [1] Centre for Respiratory Diseases, China-Japan Friendship Hospital, Beijing 100029, China;Tobacco Medicine and Tobacco Cessation Centre, China-Japan Friendship Hospital, Beijing 100029, China;WHO Collaborating Centre for Tobacco Cessation and Respiratory Diseases Prevention, China-Japan Friendship Hospital, Beijing 100029, China;National Clinical Research Centre for Respiratory Diseases, Beijing 100029, China [2] Centre for Respiratory Diseases, China-Japan Friendship Hospital, Beijing 100029, China;WHO Collaborating Centre for Tobacco Cessation and Respiratory Diseases Prevention, China-Japan Friendship Hospital, Beijing 100029, China;National Clinical Research Centre for Respiratory Diseases, Beijing 100029, China;Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China [3]
期刊: 《中华医学杂志(英文版)》2018年131卷9期 1034-1037页 SCIMEDLINEISTICCSCDBP
栏目名称: Original Articles
DOI: 10.4103/0366-6999.230738
发布时间: 2018-06-11
基金项目:
This study was supported by the grants from the National Key Research and Development Program of China Research Foundation of China-Japan Friendship Hospital
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