Smoking-Cessation Interventions After Lung Cancer Screening Guideline Change.
Jiang Li1, Sukyung Chung1, Meghan C Martinez1
1Center for Health Systems Research, Sutter Health, Palo Alto Medical Foundation Research Institute, Palo Alto, California.
American Journal of Preventive Medicine
|May 18, 2020
Summary
New lung cancer screening guidelines increased smoking-cessation interventions for eligible and ineligible smokers. These interventions, crucial for public health, saw significant uptake post-guideline changes.
Area of Science:
- Public Health
- Respiratory Medicine
- Clinical Guidelines
Background:
- Recent lung cancer screening guidelines advocate for concurrent smoking-cessation interventions.
- Smoking remains a leading cause of preventable morbidity and mortality.
Purpose of the Study:
- To evaluate the impact of updated lung cancer screening guidelines on smoking-cessation intervention rates.
- To compare intervention rates between patients eligible and ineligible for lung cancer screening.
Main Methods:
- Retrospective analysis of electronic health records from 2010-2017 in a large Northern California health system.
- Identified current smokers aged 55-80, categorizing them by lung cancer screening eligibility (heavy, moderate, light smokers).
- Compared smoking-cessation intervention receipt (counseling, pharmacotherapy) before and after guideline changes using statistical models.
Main Results:
- Following guideline updates, there was a significant increase in overall smoking-cessation interventions (OR=1.44).
- Increases were observed in informal counseling (OR=1.29) and pharmacotherapy (OR=1.24) across all smoking levels.
- Formal counseling showed a greater increase for screening-eligible heavy smokers (OR=3.15) and moderate smokers (OR=3.58).
Conclusions:
- Updated lung cancer screening guidelines correlate with increased smoking-cessation intervention rates.
- Even modest increases in intervention implementation can yield substantial public health benefits due to smoking's impact.
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