Smoking cessation following CT screening for early detection of lung cancer
Smoking cessation following CT screening for early detection of lung cancer
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DOI：
10.1006/pmed.2001.0935
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发表时间：
2001-12-01
影响因子：
5.1
通讯作者：
Henschke, CI
中科院分区：
文献类型：
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作者：
Ostroff, JS;Buckshee, N;Henschke, CI
背景。本研究旨在评估参与肺癌筛查对戒烟的影响。方法。在加入我们的早期肺癌行动计划 (ELCAP) 时报告主动吸烟的个人 (n=134) 完成了简短的后续电话访谈，评估肺癌筛查后吸烟模式的任何变化。通过逻辑回归，我们利用每个参与者的背景信息和计算机断层扫描 (CT) 扫描结果来估计减少或戒烟的概率。结果。大多数受访者 (74%) 同意参与 ELCAP 增加了他们戒烟的动力。在自我报告的吸烟行为变化方面，31 人 (23%) 表示他们已经戒烟，35 人 (27%) 减少了吸烟方式。确定了戒烟的几个显着协变量：戒烟的感知益处（OR 4.02）、癌症焦虑（OR 2.49）、年龄较小（OR 2.47）和异常 CT 发现（1.97）。结论。我们的分析表明，低剂量螺旋 CT 扫描可能成为戒烟的强大催化剂，并且与 CT 扫描一起提供有效的戒烟干预措施代表了提高肺癌筛查的整体癌症预防益处的潜在机会。 (C) 2001 年美国健康基金会和爱思唯尔科学。
Background. This study was conducted to assess the impact of lung cancer screening participation on smoking cessation.Methods. Individuals (n=134) who reported active smoking at the time of enrollment in our Early Lung Cancer Action Program (ELCAP) completed a brief, follow-up telephone interview assessing any changes in smoking patterns following lung cancer screening. Using logistic regression, we estimated the probability of decreasing or quitting smoking using each enrollee's background information and computed tomography (CT) scan results.Results. Most survey respondents (74%) agreed that participation in the ELCAP increased their motivation for quitting smoking. In terms of self-reported changes in smoking behavior, 31 (23%) reported that they had quit and 35 (27%) decreased their smoking patterns. Several significant covariates of smoking cessation were identified: perceived benefit of quitting (OR 4.02), cancer anxiety (OR 2.49), younger age (OR 2.47), and abnormal CT finding (1.97).Conclusions. Our analyses suggest that low-dose helical CT scanning may serve as a strong catalyst for smoking cessation and that delivery of effective smoking cessation interventions along with CT scanning represents a potential opportunity to increase the overall cancer prevention benefit of lung cancer screening. (C) 2001 American Health Foundation and Elsevier Science.