Efficacy of an inpatient smoking cessation program at a single regional cancer center: A prospective observational study.
Medicine (Baltimore)
; 100(6): e24745, 2021 Feb 12.
Article
em En
| MEDLINE
| ID: mdl-33578625
ABSTRACT
ABSTRACT Smoking is the leading cause of preventable death and a risk factor for cancer, but smoking cessation is difficult even in patients who need hospitalization. This study aimed to investigate the usefulness of an inpatient smoking cessation consultation program and to analyze the clinical factors associated with abstinence. In this observational study, patients received regular counseling for 6âmonths, and abstinence was objectively assessed via urine and exhaled carbon monoxide testing. Cessation rates were assessed at 4âweeks and 6âmonths, and clinical characteristics associated with cessation success were investigated. Of the 571 patients referred to participate in the program, 170 (29.8%) were enrolled, and only 2 (1.2%) used smoking cessation drugs in addition to counseling. The smoking cessation rate was 77.6% after 4âweeks and 59.1% after 6âmonths. The cessation rates were significantly higher in patients with cancer than in those without cancer at both timepoints (63.8% vs 21.9%, Pâ<â.001, 53.6% vs 12.5%, Pâ<â.001), and they were also higher in the first admission group than in the re-admission group (87.4% vs 74.7%, Pâ=â.033, 88.5% vs 76.1%, Pâ=â.037). In patients with lung cancer, progression-free survival and overall survival tended to be better in those enrolled in the program (Pâ=â.158, Pâ=â.183). In conclusion, the inpatient smoking cessation program was associated with a high abstinence rate. Most patients maintained cessation without medication, suggesting that initial admission, along with a cancer diagnosis, can provide enough motivation to abstain from smoking. In addition, the smoking cessation effort showed potential to improve survival during lung cancer treatment.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Abandono do Hábito de Fumar
/
Neoplasias Pulmonares
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
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Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Medicine (Baltimore)
Ano de publicação:
2021
Tipo de documento:
Article