LAUSR

Assessment of current smoking status and history of smoking is critically important for risk stratification and initiation of smoking cessation interventions. However, assessment of smoking status it not included in quality of care measurement, thus the information can be frequently missed in patient' records. To investigate how careful smoking status is recorded in hospital and primary care by physicians of different specialties. Electronic records from 124097 hospital and primary care adult patients' case histories were analyzed. Records were made by physicians of different specialties in 2018 and reflected all database for one year form big national medical research Centre. Smoking status was assessed and recorded only in 33504 of all 124097 (27.0%) electronic records, in 4056 of 44007 (9.2%) hospital records and in 29448 of 80090 (36.8%) out-patient episodes (p<0.001). The highest smoking status assessment rate was observed in nephrologists – 284 of 508 (55.9%), oncologists – 82 of 151 (54.3%), gynecologists – 4085 of 8147 (50.1%), cardiologists – 19591 of 40366 (48.5%) and hematologists – 2310 of 4891 (47.2%). The lowest smoking status recording rate was documented in surgery: cardiac surgeons – 243 of 4843 (5.0%), neurosurgeons – 449 of 10161 (4.4%), urologists – 24 of 1686 (1.4%), as well as by ophthalmologists – 5 of 3152 (0.2%). Radiologists, dermatologists, otolaryngologists, genetics and dentists did not include any records of smoking status at all. 72799 (58.7%) of assesses patients were women. Smoking status was more frequently recorded in women – 20780 of 72799 (28.5%) than in men – 12724 of 51298 (24.8%) (p<0.001), and in young patients more often than in elderly patients, thus the reported smoking rate was maximal in the age group of 20–29 years. Among those records, where the status was assessed, smoking was more prevalent among men – 3746 of 12724 (29.4%) compared women – 1901 of 20780 (9.1%). Smoking status and ex-smoking are indicated in medical records in less than one third of cases, especially low rate was observed in hospital records. No attention to smoking can influence correct risk assessment and lack of advice for smoking cessation. Even cardiologists indicate smoking status in less than 50% of patients' visits. Significant efforts should be made to emphasize the importance of risk factor assessment with a special attention to smoking as a potentially modifiable risk factor in order to decrease mortality and morbidity in Russia. Type of funding source: None