Design and initial enrollment in the Vascular Physicians Offer and Report (VAPOR) trial
Design and initial enrollment in the Vascular Physicians Offer and Report (VAPOR) trial
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DOI：
10.1016/j.jvs.2015.12.026
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发表时间：
2016-04-01
影响因子：
4.3
通讯作者：
Goodney, Philip P.
中科院分区：
文献类型：
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作者：
Spangler, Emily L.;Brooke, Benjamin S.;Goodney, Philip P.
虽然患者戒烟是血管外科医生的一个关键优先事项，但血管外科医生处理这一关键护理过程的方式存在显著差异。我们描述了一项多中心、随机分组试验，比较了标准化、短暂的戒烟干预与面临血管手术或血管内介入治疗的患者的常规护理。8个中心被随机分配，提供常规戒烟护理或标准化方案，包括（1）医生“非常简短的建议”戒烟，（2）提供尼古丁替代治疗，（3）转介到基于电话的咨询服务。试验入组于2014年9月1日开始。目前，8家研究中心的142例患者已入组试验。与常规治疗组的患者相比，参加戒烟干预组的患者更有可能接受医生建议（98% vs 77%）、尼古丁替代治疗处方（77% vs 13%）和戒烟热线转诊（93% vs 33%;所有P
Although patient smoking cessation is a key priority for vascular surgeons, significant variation exists in the manner in which vascular surgeons address this key process of care. We describe a multicenter, cluster-randomized trial that compares a standardized, brief smoking cessation intervention to usual care for patients facing vascular surgery or endovascular interventions. Eight centers were randomized to provide usual care for smoking cessation or a standardized protocol consisting of (1) physician "very brief advice" to stop smoking, (2) offering nicotine replacement therapy, and (3) referral to a phone-based counseling service. Trial enrollment began on September 1, 2014. At present, 142 patients had been enrolled in the trial across eight sites. Compared with patients in the usual care arm, patients enrolled in the smoking cessation intervention arm were more likely to receive physician advice (98% vs 77%), a prescription for nicotine replacement therapy (77% vs 13%), and quitline referral (93% vs 33%; all P