Division of Urology, Department of Surgery, Cook County Hospital, Cook County Health and Hospitals System, Chicago, Illinois 60612, USA.
J Urol. 2013 May;189(5):1843-9. doi: 10.1016/j.juro.2012.11.075. Epub 2012 Nov 15.
Urologists have an important role in the treatment of tobacco related diseases, such as kidney and bladder cancer. Despite this role, urologists receive little training in promoting tobacco cessation. We prospectively evaluated a brief smoking cessation intervention offered by a urologist at an outpatient clinic.
Between 2009 and 2011 adult smokers from a single institution urology clinic were enrolled in a prospective, brief intervention trial or in usual care as controls. All patients were assessed by the validated Fagerström test for nicotine dependence and the readiness to quit questionnaire. Trial patients received a 5-minute brief smoking cessation intervention. The primary outcome was abstinence at 1 year and the secondary outcome was the number of attempts to quit. Multivariate logistic regression was used to identify factors associated with the quit rate and quit attempts.
A total of 179 patients were enrolled in the study, including 100 in the brief smoking cessation intervention, 41 in the brief smoking cessation intervention plus nicotine replacement therapy and 38 usual care controls. Of the participants 81.0% were 40 years old or older with a mean ± SD 11.26 ± 7.23 pack-year smoking history. Mean readiness to quit and tobacco dependence scores were similar in the 2 arms (p = 0.25 and 0.92, respectively). The 1-year quit rate in the brief smoking cessation intervention group was 12.1% vs 2.6% in the usual care group (OR 4.44, p = 0.163) Adding nicotine replacement therapy increased the quit rate to 19.5% (vs usual care OR 9.91, p = 0.039). Patients who received the brief smoking cessation intervention were significantly more likely to attempt to quit (OR 2.31, p = 0.038). Increased readiness scores were associated with an increased quit rate and increased quit attempts.
Urologists can successfully implement a brief smoking cessation intervention program. Our study highlights the role of the urologist in providing smoking cessation assistance and the significant impact of brief, simple advice about quitting smoking on the smoker quit rate.
泌尿科医生在治疗与烟草有关的疾病（如肾癌和膀胱癌）方面发挥着重要作用。尽管泌尿科医生在这方面发挥着重要作用，但他们在促进戒烟方面接受的培训却很少。我们前瞻性地评估了一名泌尿科医生在门诊诊所提供的简短戒烟干预措施。
2009 年至 2011 年，来自一家机构泌尿科诊所的成年吸烟者被纳入前瞻性简短干预试验或常规护理对照组。所有患者均接受了尼古丁依赖的 Fagerström 测试和戒烟准备度问卷评估。试验组患者接受了 5 分钟的简短戒烟干预。主要结局是 1 年时的戒烟率，次要结局是戒烟尝试次数。多变量逻辑回归用于确定与戒烟率和戒烟尝试次数相关的因素。
共有 179 名患者入组研究，其中 100 名接受简短戒烟干预，41 名接受简短戒烟干预加尼古丁替代疗法，38 名接受常规护理对照组。参与者中 81.0%年龄在 40 岁或以上，平均 ± 7.23 ± 7.23 包年吸烟史。两个治疗组的戒烟准备度和烟草依赖评分相似（p = 0.25 和 0.92）。简短戒烟干预组的 1 年戒烟率为 12.1%，常规护理组为 2.6%（OR 4.44，p = 0.163）。添加尼古丁替代疗法可将戒烟率提高至 19.5%（与常规护理相比，OR 9.91，p = 0.039）。接受简短戒烟干预的患者更有可能尝试戒烟（OR 2.31，p = 0.038）。准备度评分的增加与戒烟率的增加和戒烟尝试次数的增加有关。
泌尿科医生可以成功实施简短的戒烟干预计划。我们的研究强调了泌尿科医生在提供戒烟帮助方面的作用，以及关于戒烟的简单建议对吸烟者戒烟率的显著影响。
