Considerations for Future Research and Methodological Clarifications on Smoking Behavior Change and Heart Failure Risk in Patients With Type 2 Diabetes

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F24%3A10487406" target="_blank" >RIV/00064203:_____/24:10487406 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/24:10487406

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=DsSN0DeHdJ" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=DsSN0DeHdJ</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.2196/60713" target="_blank" >10.2196/60713</a>

Result language

angličtina

Original language name

Considerations for Future Research and Methodological Clarifications on Smoking Behavior Change and Heart Failure Risk in Patients With Type 2 Diabetes

Original language description

We read with great interest the article by Yoo et al, titled &quot;Smoking Behavior Change and the Risk of Heart Failure in Patients With Type 2 Diabetes: Nationwide Retrospective Cohort Study,&quot; published in this journal (JMIR Public Health and Surveillance).The study aimed to examine the association between smoking behavior change and the risk of heart failure (HF) among patients with type 2 diabetes. Smoking behavior changes were assessed at two consecutive health screenings between 2009 and 2012, and patients were followed up until the end of 2018 for incident HF. The authors concluded that smokers who ceased smoking were associated with lower risks of HF, whereas smokers who increased their level of smoking were associated with higher risks of HF compared to those who sustained their level of smoking. Reducing the level of smoking did not lead to a decreased risk of HF.We applaud the authors for this valuable study but have several remarks that we feel would benefit the article&apos;s readership. The authors state that the definition of current smokers was according to the World Health Organization; however, from the reference the authors cite, it is not clear what definition was used for the study, as the said reference is concerned with thyroid cancer screening in Korea. It would be beneficial to understand the exact definition of current smokers and which tobacco and nicotine products were considered for this analysis.Second, as the authors noted smoking behavior changes at only two consecutive health screenings, it would be interesting to understand whether such smoking behavior changes persisted during follow-up years when incident HF was detected, as this might have affected the results if only short-term smoking behavior change was reported at the second screening visit.Third, as varenicline has been shown to potentially lower the risk of HF, information on smoking cessation pharmacotherapy would be helpful to assess possible bias of chosen smoking cessation pharmacotherapy, if such data were collected in the study.Finally, the authors state that harm reduction strategy for smokers is based on reducing the number of cigarettes smoked each day. To this, we would like to add that the currently recommended harm reduction strategy includes the use of medicinally licensed nicotine-containing products. Moreover, there is an ongoing discussion of alternative nicotine delivery systems used by smokers to possibly reduce the health risks of smoking. Therefore, it would be useful to also collect data on the types of nicotine products used (and a relevant switch to a different nicotine product) for future studies.We respectfully suggest considering these points, especially if a continuation of the study is planned.

Czech name

—

Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30304 - Public and environmental health

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

JMIR Public Health and Surveillance

ISSN

2369-2960

e-ISSN

2369-2960

Volume of the periodical

10

Issue of the periodical within the volume

November

Country of publishing house

CA - CANADA

Number of pages

2

Pages from-to

e60713

UT code for WoS article

001361079600001

EID of the result in the Scopus database

2-s2.0-85209477207