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• W3207578719 abstract "Lung cancer screening provides an opportunity for clinicians to captialize on a teachable moment for patients who continue to smoke. Limited data remain on the impact of lung cancer screening (LCS) on tobacco cessation. It is widely known that there is a relationship between intensity of counseling as well as frequency of counseling sesssion and tobacco cessation rates. However no data exists to describe the impact of repetative counseling over time in the lung cancer screening trajectory of current smokers. This study aims to identify tobacco cessation and cut back rates among a cohort of patients, who were current smokers at the inital visit, undergoing LCS over the course of at least three years. Evaluation of timing of quit in patient who adhere to lung cancer screening will be described. Data were collected between 2013 and 2018 among 254 patients undergoing lung cancer screening who identified themselves as current smokers. Tobacco cessation rates were defined as self-reported abstinece for at least 6 consecutive months after the beginning of cessation and was idetified as Quit Rates (QR). Cut back rates (CBR) were defined as self-reported reduction in smoking frequency in those continuing to smoke by at least one cigarette daily for at least 6 consecutive months. Positive change rates (PCR) were the combination of quit rates and cut back rates in the patient population described. QR, CBR and PCR were evaluated at annual LCS intervals. QR, CBR and PCR were calcuated for each year of screening. Additional data was collected through 2020 for smoking status in cohort with additional 50% of patients who were identified as in CB group moving to quit groups. Patients ranged in age 50 - 77 with 52% male/48% female. Average pack years: 50.7. The QR within the first 2 years of screening were 29.5%(n=75), CBR were 9.44%(n=24) and PCR were 38.98%(n=99). Although PCR were 38.98%, 90% of patients expressed willingness to decrease frequency of smoking at visit one. When addiitonal analysis was conducted through 2020, 90% of patients in the Quit group remained tobacco free and 50% in the Cut Back group had progressed to quit. Certified lung cancer screening programs are required to provide tobacco cessation(1). The details of what should be included however are vague. Current data on tobacco cessation rates among patients undergoing LCS has been reported to be 10-13%(2). This retrospective review reports higher cessation rates, potentially attributed to extensive cessation counseling at the time of CT results. This tobacco cessation study considered CBR and PCR as vital data in this patient population. Additional analysis of this patient group idenitifed that patients in the CBR group progressed to quit groups in 50% of the cases indicating that CBR and PCR are suggestive of future quit success. We propose that CBR and PCR be strongly considered in future reviews given the well described relationship between frequency of smoking and disease burden. The study is limited by self-reported cessation and lack of randomization. Further research is warranted." @default.
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• W3207578719 date "2021-10-01" @default.
• W3207578719 modified "2023-09-26" @default.
• W3207578719 title "OA03.02 Tobacco Cessation Among Patients Undergoing Lung Cancer Screening: Success with Repetition" @default.
• W3207578719 doi "https://doi.org/10.1016/j.jtho.2021.08.042" @default.
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