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A thoracic surgeon-directed tobacco cessation intervention.
Benjamin D Kozower1, Christine L Lau, Jennifer V Phillips
1Department of Surgery, University of Virginia Health System, Charlottesville, Virginia 22908-0679, USA. bdk8g@virginia.edu
The Annals of Thoracic Surgery
|February 23, 2010
Summary
Thoracic surgeons can implement brief tobacco cessation interventions, achieving a 35% abstinence rate. This study highlights the potential for surgeons to aid patients in quitting smoking.
Area of Science:
- Medical Research
- Public Health
- Thoracic Surgery
Background:
- Limited training exists for thoracic surgeons in tobacco cessation despite its impact on patient outcomes.
- Few prospective studies document tobacco cessation efforts by thoracic surgeons.
Purpose of the Study:
- To prospectively evaluate a brief tobacco cessation intervention delivered by surgeons in an outpatient thoracic surgery clinic.
Main Methods:
- A single-arm prospective pilot trial involved adult smokers from a thoracic surgery clinic.
- A 10-minute intervention included motivation discussion, medication offers, and quitline promotion.
- The primary outcome was 3-month abstinence, with logistic regression identifying associated factors.
Main Results:
- 35% (14 of 40) of participants achieved 3-month abstinence.
- Malignant diagnosis and being the sole household smoker were associated with successful cessation.
- Quitline utilization was low (7.5%), but all users successfully quit.
Conclusions:
- Thoracic surgeons can effectively implement tobacco cessation programs, achieving high abstinence rates.
- Further research with larger samples and longer follow-up is recommended.
- Improving quitline utilization is crucial for enhanced program effectiveness.
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