Interest in Cessation Treatment Among People Who Smoke in a Community-Based Multidisciplinary Thoracic Oncology Program.

Autor:	Meadows-Taylor M; Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center, Memphis, Tennessee., Ward KD; Division of Social & Behavioral Sciences, School of Public Health, The University of Memphis, Memphis, Tennessee., Chen W; Division of Social & Behavioral Sciences, School of Public Health, The University of Memphis, Memphis, Tennessee., Faris NR; Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center, Memphis, Tennessee., Fehnel C; Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center, Memphis, Tennessee., Ray MA; Division of Epidemiology, Biostatistics, and Environmental Health, School of Public Health, The University of Memphis, Memphis, Tennessee., Ariganjoye F; Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center, Memphis, Tennessee., Berryman C; Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center, Memphis, Tennessee., Houston-Harris C; Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center, Memphis, Tennessee., McHugh LM; Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center, Memphis, Tennessee., Pacheco A; Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center, Memphis, Tennessee., Osarogiagbon RU; Multidisciplinary Thoracic Oncology Program, Baptist Cancer Center, Memphis, Tennessee.
Jazyk:	angličtina
Zdroj:	JTO clinical and research reports [JTO Clin Res Rep] 2021 May 07; Vol. 2 (6), pp. 100182. Date of Electronic Publication: 2021 May 07 (Print Publication: 2021).
DOI:	10.1016/j.jtocrr.2021.100182
Abstrakt:	Introduction: To evaluate the need for tobacco cessation services within a multidisciplinary clinic (MDC), we surveyed patients on their smoking status, interest in quitting, and willingness to participate in a clinic-based cessation program. We further evaluated the association between interest in cessation or willingness to participate in a cessation program and overall survival (OS). Methods: From 2014 to 2019, all new patients with lung cancer in the MDC at Baptist Cancer Center (Memphis, TN) were administered a social history questionnaire to evaluate their demographic characteristics, smoking status, tobacco dependence, interest in quitting, and willingness to participate in a cessation program. We used chi-square tests and logistic regression to compare characteristics of those who would participate to those who would not or were unsure and Kaplan-Meier curves and Cox regression to evaluate the association between cessation interest or willingness to quit and OS. Results: Of 641 total respondents, the average age was 69 years (range: 32-95), 47% were men, 64% white, 34% black, and 17% college graduates. A total of 90% had ever smoked: 34% currently and 25% quit within the past year. Among the current smokers, 60% were very interested in quitting and 37% would participate in a cessation program. Willingness to participate in a cessation program was associated with greater interest in quitting ( p < 0.0001), better OS ( p  = 0.02), and reduced hazard of death (hazard ratio = 0.52, 95% confidence interval: 0.30-0.88), but no other characteristics. Conclusions: Patients with lung cancer in an MDC expressed considerable interest in tobacco cessation services; patients willing to participate in a clinic-based cessation program had improved survival. (© 2021 The Authors.)
Databáze:	MEDLINE
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