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. 2023 May;55(3):681-691.
doi: 10.1111/jnu.12891. Epub 2023 Mar 14.

Long-term effectiveness of a nurse-led smoking cessation clinic at a comprehensive cancer center

Cristina Martínez  1   2   3   4   5 , Yolanda Castellano  1   2 , Marcela Fu  1   2   3   5 , Anna Riccobene  1   2   5 , Marta Enríquez  1   2 , Maite Narváez  1   2 , Judith Saura  1   2 , Arianda Feliu  1   2   5 , Esteve Fernández  1   2   5   6
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Long-term effectiveness of a nurse-led smoking cessation clinic at a comprehensive cancer center

Cristina Martínez et al. J Nurs Scholarsh. 2023 May.

Abstract

Purpose: Smoking cessation interventions should be promoted in cancer centers to improve clinical outcomes among cancer patients and the quality of life of cancer-free patients and survivors. The aim of the present study was to examine long-term abstinence (1, 3, and 5 years) among smokers who received an intensive nurse-led smoking cessation intervention.

Design: A prospective follow-up study was conducted in a smoking cessation clinic in Barcelona.

Methods: The study included 479 smokers who received a nurse-led smoking cessation intervention that included motivational interviewing, psychological support, behavioral change counseling, promotion of smoke-free policies, and relapse-prevention strategies, as well as pharmacotherapy if necessary, for 12 months. We calculated overall and sex-specific 1-, 3-, and 5-year abstinence probabilities (Kaplan-Meier curves) and adjusted hazard ratios (aHRs) of relapse with 95% confidence intervals (CIs) using Cox regression.

Findings: The overall probability of abstinence at 1 and 5 years was 0.561 (95% CI: 0.516-0.606) and 0.364 (95% CI: 0.311-0.417), respectively. Females had a higher, but not significant, hazard ratio for relapse compared to males (aHR = 1.180; 95% CI: 0.905-1.538). Attending <5 visits was the most remarkable determinant of relapsing compared to attending 5-9 visits or ≥10 visits, both overall and by sex (p for trend: overall, p < 0.001; males, p = 0.007; and females, p < 0.001).

Conclusions: Abstinence probability decreased over the 5-year follow-up but was relatively high. Males had higher abstinence rates than females in all follow-up periods. Completeness of the intensive intervention was the main predictor of cessation.

Clinical relevance: Smoking cessation interventions should consider sex and incorporate strategies to increase adherence to obtain higher long-term abstinence rates.

Keywords: abstinence; cancer; nursing; relapse; smoking cessation.

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References

REFERENCES

    1. Abrams, S. (2016). A sustainable smoking cessation program for patients with lung cancer. Clinical Journal of Oncology Nursing, 20(4), E106-E111. https://doi.org/10.1188/16.CJON.E106-E111
    1. Adami, H.-O., Day, N. E., Trichopoulos, D., & Willett, W. C. (2001). Primary and secondary prevention in the reduction of cancer morbidity and mortality. European Journal of Cancer, 37, 118-127. https://doi.org/10.1016/S0959-8049(01)00262-3
    1. American Cancer Association. (2018). Estimated number of new cancer cases, all EU countries, 2018. doi:https://doi.org/10.1787/health_glance_eur-2018-graph47-en
    1. Armenian, S. H., Xu, L., Ky, B., Sun, C., Farol, L. T., Pal, S. K., Douglas, P. S., Bhatia, S., & Chao, C. (2016). Cardiovascular disease among survivors of adult-onset cancer: A community-based retrospective cohort study. Journal of Clinical Oncology, 34(10), 1122-1130. https://doi.org/10.1200/JCO.2015.64.0409
    1. Bailey, S. R., Stevens, V. J., Fortmann, S. P., Kurtz, S. E., McBurnie, M. A., Priest, E., Puro, J., Solberg, L. I., Schweitzer, R., Masica, A. L., & Hazlehurst, B. (2018). Long-Term Outcomes From Repeated Smoking Cessation Assistance in Routine Primary Care. American Journal of Health Promotion, 32(7), 1582-1590. https://doi.org/10.1177/0890117118761886

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