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

Interest in Cessation Treatment Among People Who Smoke in a Community-Based Multidisciplinary Thoracic Oncology Program.
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在社区多学科胸部肿瘤学项目中吸烟者对戒烟治疗的兴趣。

DOI:
10.1016/j.jtocrr.2021.100182
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发表时间:
2021-06
影响因子:
--
通讯作者:
Osarogiagbon RU
Osarogiagbon RU
中科院分区:
其他
文献类型:
--
作者:
Meadows-Taylor M;Ward KD;Chen W;Faris NR;Fehnel C;Ray MA;Ariganjoye F;Berryman C;Houston-Harris C;McHugh LM;Pacheco A;Osarogiagbon RU

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为了评估在多学科诊所(MDC)内戒烟服务的需求,我们调查了患者的吸烟状况、戒烟兴趣和参与基于诊所的戒烟计划的意愿。我们进一步评估了戒烟兴趣或参与戒烟计划的意愿与总生存率(OS)之间的关系。从2014年到2019年,在浸信会癌症中心(孟菲斯,田纳西州)的MDC中,对所有新的肺癌患者进行了社会史问卷调查,以评估他们的人口统计学特征、吸烟状况、烟草依赖、戒烟兴趣和参与戒烟计划的意愿。我们使用卡方检验和逻辑回归来比较那些愿意参加和不愿意参加或不确定的人的特征,使用Kaplan-Meier曲线和考克斯回归来评估戒烟兴趣或戒烟意愿与OS之间的关系。在641名受访者中,平均年龄为69岁(范围:32-95岁),47%为男性,64%为白色,34%为黑人,17%为大学毕业生。共有90%的人曾经吸烟:34%的人目前吸烟,25%的人在过去一年内戒烟。在目前的吸烟者中,60%的人对戒烟非常感兴趣,37%的人会参加戒烟计划。参与戒烟计划的意愿与更大的戒烟兴趣(p < 0.0001),更好的OS(p = 0.02)和降低死亡风险(风险比= 0.52,95%置信区间:0.30-0.88)相关,但没有其他特征。MDC中的肺癌患者对戒烟服务表现出相当大的兴趣;愿意参加以诊所为基础的戒烟计划的患者的生存率有所提高。
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). 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. 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. 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.
DOI: 10.1002/cncr.25828
发表时间: 2011-07-01
期刊: CANCER
影响因子: 6.2
作者:
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发表时间: 2010-10-01
影响因子: 4.7
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DOI: 10.1097/jto.0000000000000578
发表时间: 2015-07
期刊: Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer
影响因子: --
作者:
Dobson Amato KA;Hyland A;Reed R;Mahoney MC;Marshall J;Giovino G;Bansal-Travers M;Ochs-Balcom HM;Zevon MA;Cummings KM;Nwogu C;Singh AK;Chen H;Warren GW;Reid M
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