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Smoking Cessation in a Chronic Pancreatitis Population
Samuel Han1, Joan Kheder, Lisa Bocelli
1From the Departments of *Gastroenterology, and †Psychiatry, University of Massachusetts Medical School, Worcester, MA.
Pancreas
|April 22, 2016
Summary
Smoking cessation is extremely challenging for individuals with chronic pancreatitis, with a 0% success rate observed in this study over 18 months. Despite difficulties, encouraging smoking cessation is vital due to its negative impact on quality of life.
Area of Science:
- Gastroenterology
- Public Health
- Behavioral Science
Background:
- Smoking is a significant risk factor for chronic pancreatitis development and progression.
- Smoking cessation is recommended but its efficacy in chronic pancreatitis patients is understudied.
- Chronic pancreatitis patients who smoke experience diminished quality of life.
Purpose of the Study:
- To evaluate the effectiveness of a smoking cessation program in patients with chronic pancreatitis.
- To assess the impact of smoking cessation on the quality of life for these patients.
Main Methods:
- A smoking cessation program (QuitWorks and individual counseling) was implemented for 27 chronic pancreatitis smokers.
- Smoking cessation rates were compared to a control group of 200 general smoking inpatients.
- Quality of life indicators were compared between smokers and 25 non-smokers with chronic pancreatitis.
Main Results:
- No patients with chronic pancreatitis quit smoking at 6, 12, or 18 months post-intervention.
- The control group achieved a 19% quit rate at 6 months.
- Smokers with chronic pancreatitis reported worse quality of life, higher depression/anxiety, and poorer coping skills than non-smokers.
Conclusions:
- Smoking cessation is exceptionally challenging in the chronic pancreatitis population.
- The findings underscore the critical need for enhanced smoking cessation strategies for this patient group.
- Addressing smoking cessation is crucial for improving the quality of life in patients with chronic pancreatitis.
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