P-56 - Alcohol and Neoplasia Oropharyngeal: a bad Combination

Abstract

Introduction

It is well known that alcohol consumption increases the risk for oropharyngeal malignancy. However, we have no systematic practice of detection and prevention of drug consumption by ORL professionals.

Objectives

1. - Identify alcohol use in patients with oropharyngeal neoplasia and first-line approach of problematic drinking by ORL professionals.

2. - Identify the level of anxiety and depression

Material and method

Cross-sectional study. 191 cancer patients treated sequentially in the Clinic Hospital (Barcelona, Spain) during two months by clinical interview, AUDIT, CAGE and Hamilton Depression Scale.

Results

1. - 89% of the sample are long time smokers (more than 25 yrs) but 85% of them stop smoking once they are diagnosed with cancer.

2. - 85% consume alcohol out of whom 39% drink at risk. 12% of them persist with risky drinking after diagnosis.

3. - Only in 42% the doctor recommends to reduce or stop alcohol consumption. There is a statistically significant correlation between the existence of such a recommendation and the variation in consumption.

4. - Better prediction of risky drinking by Audit C than by Audit.

5. - Positive correlation between anxiety and newly diagnosed cancer,

Discussion and conclusions

1. - It is important to perform an alcohol screening and to give medical advice to reduce alcohol consumption.

2. - To be conscious of the anxiety levels of newly diagnosed patients.