Strategies to improve smoking cessation rates in primary care

Lindson, Nicola; Pritchard, Gillian; Hong, Bosun; Fanshawe, Thomas R; Pipe, Andrew; Papadakis, Sophia

doi:10.1002/14651858.cd011556.pub2

Cited by 27 publications

(36 citation statements)

References 338 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Smokers were advised more often than non-smokers. Our data confirm previous findings indicating that MAI advice is given infrequently [ 36 , 37 , 38 ].…”

Section: Discussionsupporting

confidence: 91%

The Frequency of Tobacco Smoking and E-Cigarettes Use among Primary Health Care Patients—The Association between Anti-Tobacco Interventions and Smoking in Poland

Znyk

Wężyk-Caba

Kaleta

2022

IJERPH

View full text Add to dashboard Cite

The aim of this study was to assess the prevalence of smoking and e-cigarette use among primary care patients during the COVID-19 pandemic and to assess the frequency of minimal anti-tobacco interventions by family doctors. A cross-sectional study was conducted from January 2020 to December 2021 encompassing 896 patients over 18 years of age who used primary health care in the city of Lodz, Poland. In total, 21.2% of the respondents were smokers, 11.6% were e-cigarette users, and 7.3% dual users. In addition, 68.4% of smokers had been asked about smoking, while 62.9% of non-smokers and 33.7% of smokers were advised to quit smoking; furthermore, 71.1% of e-cigarette users and 72.3% of dual users were asked about tobacco use, and 17.3% and 21.5%, respectively, had been advised to quit smoking. Multivariate logistic regression analysis found men and alcohol users to receive more minimal anti-tobacco advice than women and non-alcohol users (OR = 1.46; p < 0.05 and OR = 1.45; p < 0.05), socio-demographic and health correlates did not increase the chances of obtaining minimal anti-tobacco interventions among smokers. People with a medium level of education had a higher chance of receiving minimal anti-tobacco intervention from their family doctor when using e-cigarettes and when they were dual users (OR = 2.06; p < 0,05 and OR = 2.51; p < 0.05). Smokers were less likely to receive minimal anti-tobacco interventions than reported in previous studies. Measures should be implemented to increase the minimum interventions provided by GPs in their daily work among all patients, not only those who use tobacco. Non-smokers should be encouraged to abstain.

show abstract

“…Smokers were advised more often than non-smokers. Our data confirm previous findings indicating that MAI advice is given infrequently [ 36 , 37 , 38 ].…”

Section: Discussionsupporting

confidence: 91%

The Frequency of Tobacco Smoking and E-Cigarettes Use among Primary Health Care Patients—The Association between Anti-Tobacco Interventions and Smoking in Poland

Znyk

Wężyk-Caba

Kaleta

2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…While evidence concerning the role of provider incentives and performance feedback when delivered as stand-alone strategies is unclear, performance measurement is key to identifying practice gaps and supporting quality improvement 71 86 87 90. The most promising strategies for increasing performance in the delivery of tobacco-dependence treatment in primary care settings are multicomponent interventions designed to address the multiple barriers that impede treatment delivery 71 86 87 90 91…”

Section: Smoking Cessation In Primary Care and General Practice Settingsmentioning

confidence: 99%

Smoking cessation: health system challenges and opportunities

2022

Self Cite

View full text Add to dashboard Cite

The systematic integration of evidence-based tobacco treatment has yet to be broadly viewed as a standard-of-care. The Framework Convention on Tobacco Control recommends the provision of support for tobacco cessation. We argue that the provision of smoking cessation services in clinical settings is a fundamental clinical responsibility and permits the opportunity to more effectively assist with cessation. The role of clinicians in prioritising smoking cessation is essential in all settings. Clinical benefits of implementing cessation services in hospital settings have been recognised for three decades—but have not been consistently provided. The Ottawa Model for Smoking Cessation has used an ‘organisational change’ approach to its introduction and has served as the basis for the introduction of cessation programmes in hospital and primary care settings in Canada and elsewhere. The significance of smoking cessation dwarfs that of many preventive interventions in primary care. Compelling evidence attests to the importance of providing cessation services as part of cancer treatment, but implementation of such programmes has been slow. We recognise that the provision of such services must reflect the realities and resources of a particular health system. In low-income and middle-income countries, access to treatment facilities pose unique challenges. The integration of cessation programmes with tuberculosis control services may offer opportunities; and standardisation of peri-operative care to include smoking cessation may not require additional resources. Mobile phones afford unique opportunities for interactive cessation programming. Health system change is fundamental to improving the provision of cessation services; clinicians can be powerful advocates for such change.

show abstract

“…Brindar un consejo breve para dejar de fumar puede incrementar esta tasa de 1 a 3% y, en combinación con tratamiento farmacológico, el éxito es mayor. 19 En la actualidad, la estrategia más rentable para reducir la mortalidad por CP es reducir el consumo de tabaco. En el contexto de tamizaje de CP, la abstinencia tabáquica ofrece un beneficio adicional de 15% en sobrevida y es una oportunidad de incentivar a los fumadores a recibir tratamiento y de evitar recaídas en los exfumadores.…”

Section: Recomendaciones (Figura 1)unclassified

Guía de Práctica Clínica para el diagnóstico temprano y la referencia oportuna del cáncer de pulmón

et al. 2022

View full text Add to dashboard Cite

Objetivo. Proporcionar recomendaciones para la detección temprana de pacientes con alto riesgo de desarrollar cáncer de pulmón (CP) en el primer nivel de atención y su referencia oportuna. Material y métodos. Se realizó una búsqueda detallada de la evidencia científica disponible para responder las preguntas de investigación clínica y se utilizó el Panel Delphi modificado para lograr un consenso entre expertos. Resultados. Se generaron 14 recomendaciones siguiendo los estándares de una GPC. Conclusión. El CP representa un problema de salud pública en México; por ello, esta guía establece recomendaciones que apoyan la toma de decisiones sobre la detección precoz y la referencia de pacientes con sospecha de CP en el primer nivel de atención.

show abstract

Strategies to improve smoking cessation rates in primary care

Abstract: Strategies to improve smoking cessation rates in primary care.

Cited by 27 publications

References 338 publications

The Frequency of Tobacco Smoking and E-Cigarettes Use among Primary Health Care Patients—The Association between Anti-Tobacco Interventions and Smoking in Poland

The Frequency of Tobacco Smoking and E-Cigarettes Use among Primary Health Care Patients—The Association between Anti-Tobacco Interventions and Smoking in Poland

Smoking cessation: health system challenges and opportunities

Guía de Práctica Clínica para el diagnóstico temprano y la referencia oportuna del cáncer de pulmón

Contact Info

Product

Resources

About