Smoking cessation results in a clinical lung cancer screening program

Kitts, Andrea Borondy; McKee, Andrea B.; Regis, Shawn M.; Wald, Christoph; Flacke, Sebastian; McKee, Brady

doi:10.21037/jtd.2016.03.11

Cited by 24 publications

(7 citation statements)

References 18 publications

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“…As the science advances in this area and future studies examine communication format preference in the context of lung cancer screening, potential confounders should be considered. Finally, while the sample characteristics were skewed towards a younger sample of White, educated females, this is similar to the demographic characteristics of the current smokers in other lung cancer screening studies [31–33].…”

Section: Discussionsupporting

confidence: 69%

Current Smokers’ Preferences for Receiving Cessation Information in a Lung Cancer Screening Setting

et al. 2017

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Objective: To identify current smokers' communication format preferences for receiving smoking cessation information in a lung cancer screening setting.Methods: Cross-sectional correlational design using survey methodology with 159 screeningeligible current smokers. Data was dichotomized (digital versus traditional preference) and analyzed using Pearson's chi-squared test, Mann-Whitney U test, and logistic regression.Results: Race was a statistically significant predictor with White participants having four times greater odds of reporting preference for a digital format for receiving smoking cessation information such as social media and/or supportive text messages (OR: 4.06; p = 0.004). Conclusions:Lung cancer screening is a new venue where current long-term smokers can be offered information about smoking cessation while they are engaging in a health promoting behavior and potentially more likely to contemplate quitting. It is important to consider the communication format preference of current smokers to support cessation uptake.Practice Implications: The study is the first to examine communication format preference of current smokers in the context of the lung cancer screening venue. Key differences noted by race support the need for further research examining multiple formats of communication with efforts to maximize options in the cancer screening setting.

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Section: Discussionsupporting

confidence: 69%

Current Smokers’ Preferences for Receiving Cessation Information in a Lung Cancer Screening Setting

et al. 2017

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“…14 The literature suggest that lung cancer screening may serve as a “teachable moment” for promoting smoking cessation. 22 Specifically, LDCT lung screening research studies have reported smoking cessation rates of 11% to 24% in the first 2 years of screening versus a 5% to 7% annual rate among all smokers in the general population. 23…”

Section: Discussionmentioning

confidence: 99%

Differences in smoking prevalence and eligibility for low-dose computed tomography (LDCT) lung cancer screening among older U.S. adults: role of sexual orientation

Matthews

McCabe

Lee

et al. 2018

Cancer Causes Control

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The purpose of this study was to determine the past-year prevalence estimates of cigarette smoking and eligibility for low-dose computed tomography (LDCT) lung cancer screening among older U.S. adults and examine potential variations in these estimates by sexual orientation. Data were from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III) and included in-person interviews with a nationally representative sample of non-institutionalized adults aged 18 and older. Eligibility for LDCT was based on U.S. Centers for Medicare and Medicaid Services (CMS) guidelines. Analyses included participants aged 55-77 (n = 9,635). Overall, 17.5% of older adult respondents reported past-year smoking. Overall rates of past-year cigarette smoking were influenced by sex and sexual orientation with males reporting higher rates compared to females. Among both males and females, smoking was most prevalent among bisexual individuals. Eligibility for LDCT was also higher among males compared to females and among bisexually identified adults relative to homosexual and heterosexual-identified adults. Overall, 11.2% of older U.S. adults met eligibility for LDCT lung cancer screening. Eligibility for LDCT lung screening is associated with sexual orientation; the highest rates of eligibility are among bisexual women and men (26.9 and 24.5%, respectively). The current study found variations in cigarette smoking and eligibility for LDCT lung cancer screening (a proxy for chronic high-risk smoking) among older U.S. adults based on sexual orientation. Efforts to increase screening should take into account these differences.

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“…Other successful studies were focused on specific group of patients, mainly affected by tobacco related cancers. 26 , 27 This latter approach, in our opinion, is completely different from ours, since it aims to a narrower target of patients and its goal is tertiary prevention.…”

Section: Discussionmentioning

confidence: 87%

Effectiveness and feasibility of smoking counselling: a randomized controlled trial in an Italian emergency department

Castello

Airoldi

Baldrighi

et al. 2021

European Journal of Public Health

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Background 5A’s counselling is recommended for screening and treating patients with smoking addiction. The emergency department (ED) setting might be a suitable environment for conducting interventions for smoking cessation. The present study aims to determine the feasibility and effectiveness on smoking cessation of 5A’s counselling administered to ED patients by nurses. Methods Parallel group randomized trial assessing 5A’s counselling for smoking cessation vs. usual care at a University Hospital in the North of Italy. The primary end-point was prevalence of tobacco-free patients. The secondary outcomes at 6- and 12-month follow-up were (i) consecutive past 30-day smoking abstinence; (ii) past 7-day 50%, or more, decrease in daily tobacco consumption over baseline; and (iii) number of attempts to quit smoking. Results A total of 480 patients were randomized to intervention (n = 262) or usual care (n = 218). Intention to treat analysis displayed no differences in primary and secondary outcomes between groups. A slight but not statistically significant enhancement in cessation was recorded in the intervention group [relative risk (RR) = 1.04, 95% confidence interval (CI) = 0.58–1.87] at 6 months, whereas a reversed observation at 12 months (RR = 0.86, 95% CI = 0.50–1.47). Similar results were obtained for the secondary outcomes. Per protocol analysis increased the size of the results. Of the 126 smokers receiving counselling, 18 were visited and treated at the local smoking cessation centre, with 12 of them successfully completing the treatment. Conclusion The results of this study indicate that the ED is not a suited environment for 5A’s counselling.

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Smoking cessation results in a clinical lung cancer screening program

Cited by 24 publications

References 18 publications

Current Smokers’ Preferences for Receiving Cessation Information in a Lung Cancer Screening Setting

Current Smokers’ Preferences for Receiving Cessation Information in a Lung Cancer Screening Setting

Differences in smoking prevalence and eligibility for low-dose computed tomography (LDCT) lung cancer screening among older U.S. adults: role of sexual orientation

Effectiveness and feasibility of smoking counselling: a randomized controlled trial in an Italian emergency department

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