IS IT ENOUGH TO KNOW THAT TOBACCO CONSUMPTION IS ASSOCIATED TO GASTRIC CANCER?

LETTER TO THE EDITOR

REVISTA DE LA FACULTAD DE MEDICINA HUMANA 2024 - Universidad Ricardo Palma
10.25176/RFMH.v24i3.6472

IS IT ENOUGH TO KNOW THAT TOBACCO CONSUMPTION IS ASSOCIATED TO GASTRIC CANCER?

¿ES SUFICIENTE SABER QUE EL CONSUMO DE TABACO ESTÁ ASOCIADO CON EL CÁNCER GÁSTRICO?

Meza-Gamboa, O. ORCID 1

1 Instituto de Investigaciones en ciencias biomédicas, Universidad Ricardo Palma, Lima, Perú.

Dear Editor

I would like to express my gratitude for the publication of the article "Factors Associated with Knowledge on Gastric Cancer Prevention in Patients at a Hospital in Lima – Peru, 2017"(1). It is encouraging to see research addressing crucial public health issues such as gastric cancer (GC) prevention, particularly in the Peruvian context.
Cancer is a devastating disease that affects millions of people worldwide, and GC is no exception.

In 2020 alone, GC was the 5th most prevalent cancer with an incidence of 1,100,000 new cases and 769,000 deaths globally(2). Although the numbers have been decreasing in recent years, the efforts and measures applied by each nation are not enough to prevent hundreds of thousands of deaths(3).

Among the factors associated with GC, tobacco consumption is one of the most relevant after Helicobacter pylori infection(4).

The search for risk factors, particularly tobacco consumption, has been the subject of numerous studies demonstrating the correlation and the extent of the effect that tobacco consumption has on the development of GC.

This association between tobacco consumption and GC should not be overlooked, especially in a country like ours, where the incidence of GC remains alarmingly high. In 2013, there was a mortality rate of 11.4 per 100,000 inhabitants(5). A recent journalistic article mentioned that in Peru, new GC cases amount to 6,300 and deaths reach 4,979, representing 80% of cases, making it the cancer with the highest mortality(6). These figures remain alarmingly high; therefore, GC in Peru is a reality that demands an urgent response from health authorities.

While the article mentions factors such as lack of employment, limited internet access, and socioeconomic level as determinants of knowledge about prevention, it is crucial to recognize that smoking also plays a vital role in this issue.

Under the title "Is it Enough to Know that Tobacco Consumption is Associated with Gastric Cancer?"

I would like to emphasize the importance of prioritizing gastric cancer prevention. For this, it seems necessary to explore more dimensions of this risk factor, such as the amount of tobacco consumed per day, whether one is a current or former tobacco user, and whether one is an active or passive smoker. This way, efforts can be better focused on funding awareness and prevention campaigns with a more significant impact on the population. This includes not only educating about the risks of smoking but also promoting healthy lifestyles and facilitating access to preventive healthcare services and early detection.

It is imperative to allocate adequate economic resources to address this problem comprehensively, from health promotion to specialized medical care. Only through a coordinated and committed approach can we hope to reduce the burden of GC and improve health outcomes for the population.


Authorship Contributions: The author participated in the generation, data collection, writing, and final version of the original article.

Funding: Self-funded.

Conflict of Interest: The author declares no conflicts of interest in the publication of this article.

Date Submitted: April 16, 2024

Approved: May 21, 2024


Corresponding Author Details:

Correspondence: Oscar Gregory Meza Gamboa

Address: Av. Benavides 5440 - Santiago de Surco Lima, Peru

Phone: +51 993957887

Email: oscarmg990@gmail.com


Article published by the Journal of the faculty of Human Medicine of the Ricardo Palma University. It is an open access article, distributed under the terms of the Creatvie Commons license: Creative Commons Attribution 4.0 International, CC BY 4.0(https://creativecommons.org/licenses/by/4.0/), that allows non-commercial use, distribution and reproduction in any medium, provided that the original work is duly cited. For commercial use, please contact revista.medicina@urp.edu.pe.


REFERENCES

    1. Berrospi-Zavala M, Llocclla-Delgado SD, Correa-López LE. Factores asociados a conocimientos sobre prevención del cáncer gástrico en pacientes en un hospital de Lima-Perú, 2017. [Artículo Original]. 2019;19(2):00-00 (Abril 2019). DOI: 10.25176/RFMH.v19.n2.2064.
    2. Song Y, Liu X, Cheng W, Li H, Zhang D. The global, regional and national burden of stomach cancer and its attributable risk factors from 1990 to 2019. Sci Rep. 2022 Jul 7;12(1):11542. DOI: 10.1038/s41598-022-15839-7. PMID: 35798837; PMCID: PMC9262989.
    3. Rawla P, Barsouk A. Epidemiology of gastric cancer: global trends, risk factors and prevention. Prz Gastroenterol. 2019;14(1):26-38. DOI: 10.5114/pg.2018.80001. PMID: 30944675; PMCID: PMC6444111.
    4. Poorolajal J, Moradi L, Mohammadi Y, Cheraghi Z, Gohari-Ensaf F. Risk factors for stomach cancer: a systematic review and meta-analysis. Epidemiol Health. 2020;42:e2020004. DOI: 10.4178/epih.e2020004. PMID: 32023777; PMCID: PMC7056944.
    5. Venegas-Ojeda D, Agüero-Palacios YD. Tendencia de la tasa de mortalidad por cáncer gástrico en Perú: Modelo de regresión segmentada de 1995 a 2013. Rev. Fac. Med. Hum. [Internet]. 2021 Ene [citado 2024 Abr 13]; 21(1):28-39. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2308-05312021000100028&lng=es. DOI: 10.25176/rfmh.v21i1.3592.
    6. Landeo-Aliaga I. “Cáncer Gástrico En El Perú.” Elperuano.pe, 31 July 2023, elperuano.pe/noticia/219422-cancer-gastrico-en-el-peru. Accessed 13 Apr. 2024.



http://www.scielo.org.pe/scielo.php?script=sci_serial&pid=2223-2516&lng=en&nrm=iso


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