Virtual Library

Start Your Search

Darijo Bokan



Author of

  • +

    P2.10 - Prevention and Tobacco Control (Not CME Accredited Session) (ID 959)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall
    • +

      P2.10-08 - Smoking Prevention Project in School Population: My Health Is in My Own Hands (ID 13418)

      16:45 - 18:00  |  Author(s): Darijo Bokan

      • Abstract

      Background

      According to the WHO report on the global tobacco epidemic 2017, estimated smoking prevalence in Serbia for people aged >15 for year 2015 was 39.4. Prevalence of tobacco use for 2017 in Serbia was 40.2 in adults and 17.8 in youths (13-15 YO). Aims of this project were to educate and to raise awareness in young people in elementary and high schools about harm of tobacco, to prevent cigarette/tobacco smoking and to initiate conversation among students about the harmful influence of tobacco on their health.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      This project was conducted in elementary schools for students aged between 12 and 13 and in high schools for students aged between 14 and 18. A team of young physicians gave lectures about harm of smoking in biology classes in elementary schools. Workshops were conducted in high schools in cooperation with school psychologist. Adequate brochures and posters were made to initiate conversation among students about the harmful influence of tobacco on their health. Special accent was given to smoking as a main risk factor for lung cancer. A questionnaire was developed for the evaluation of the usefulness of the project. This project was supported and granted by the City Health Administration of the City of Novi Sad.

      4c3880bb027f159e801041b1021e88e8 Result

      During the past five years we gave 173 lectures in 12 out of 20 elementary schools in Novi Sad for 3.989 students which is approximately 40% of the population aged between 10 and 14 (according to the 2011 Census). Workshops for students aged between 14 and 18 in 16 high schools in Novi Sad were organized each year. We distributed 24.500 brochures and 850 posters. In this population only a small number of students (<5%) admitted tobacco abuse. The main concern among students about harm of tobacco use was its influence on physical appearance and the possibility of lung cancer and death of a family member who smokes. The usefulness of lecturing was rated with highest scores.

      8eea62084ca7e541d918e823422bd82e Conclusion

      Incidence and mortality of lung cancer in Serbia is among the highest in the world and young people are not well educated about the harmful influence of tobacco use. Accent of further lectures needs to be on physical appearance and lung cancer as possible cause of death in the future. There is a high need for more aggressive and continuous anti-tobacco campaigns in elementary and high schools starting early in population even younger than 14.

      6f8b794f3246b0c1e1780bb4d4d5dc53

  • +

    P2.15 - Treatment in the Real World - Support, Survivorship, Systems Research (Not CME Accredited Session) (ID 964)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall
    • +

      P2.15-14 - Survivorship of Advanced Lung Cancer Patients with Psychiatric Disorders and Malnutrition Risk (ID 13437)

      16:45 - 18:00  |  Author(s): Darijo Bokan

      • Abstract

      Background

      Advanced lung cancer (aLC) is often accompanied by anxiety and/or depression and malnutrition risk. The above stated burdens have a huge influence on patients’ lives during the disease trajectory. Aim of this study was to assess the influence of depression and/or anxiety and malnutrition risk on overall survival (OS) in advanced lung cancer patients.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      This prospective trial was conducted at the Institute for Pulmonary Diseases of Vojvodina, Serbia. Patients with advanced lung cancer were included in this study regardless of lung cancer type and therapy regimen. Patients rated themselves on the Hospital Anxiety and Depression Scale (HADS). Malnutrition universal screening tool (MUST) was used for assessment of malnutrition risk. Univariate and multivariate analysis was performed in order to correlate the data.

      4c3880bb027f159e801041b1021e88e8 Result

      Out of total 134 patients, 76.9% were male and 23.1% female. Majority of patients were current smokers (58.2%), average age 61, with ECOG performance status 1 (79.9%) and diagnosed lung adenocarcinoma (48.5%). A psychiatric disorder was confirmed in 41.8% of patients (anxiety in 3.0%, depression in 19.4%, combined disorder in 19.4%). Malnutrition risk was observed in 35.0% of patients (low risk in 13.4%, high risk in 21.6%). Malnutrition risk was significantly related to education level (p=0.010) and age (p=0.040). Median OS of included patients was 17.8 months. We observed a significant relation between OS and psychiatric disorder (p=0.029) and OS and malnutrition risk (p=0.001). Median OS of patients without psychiatric disorders was 20.3, with depression 12.2 and with combined psychiatric disorders 13.9 months. Median OS of patients with low malnutrition risk was 20.6, for medium risk 12.3 and for high risk 13.2 months. Median OS of patients with any psychiatric disorder accompanied by increased malnutrition risk was 5.9 months (p=0.000). One-year survival was 71.7% in patients without burdens, 73.5% in patients with psychiatric disorder, 64.0% in patients with malnutrition risk and in 36.4% (p=0.018) in patients with combined burdens. Five-year survival was 5.7%, all these patients were without disorders.

      8eea62084ca7e541d918e823422bd82e Conclusion

      Depression and/or anxiety and malnutrition risk are present in large number of aLC patients and have great influence on not only quality of life but also overall survival. Effort should be done to implement easy-to-use screening tools in daily routine for early recognition of patients’ burdens and concerns which can improve comprehensive care of incurable lung cancer.

      6f8b794f3246b0c1e1780bb4d4d5dc53