Klemp Ingrid, Steffenssen Mia, Bakholdt Vivi, Thygesen Torben, Sørensen Jens Ahm
University of Southern Denmark, Odense, Denmark.
University of Southern Denmark, Odense, Denmark.
J Oral Maxillofac Surg. 2016 Aug;74(8):1687-94. doi: 10.1016/j.joms.2016.02.003. Epub 2016 Feb 18.
The purpose of this systematic review was to describe the efficacy of smoking cessation counseling and the resulting quit rate in patients with head and neck cancer.
A systematic literature search was conducted in the PubMed, Embase, and Cochrane databases. Predictor variables were smoking cessation counseling and smoking cessation interventions. The outcome was smoking cessation. Data collection and quality assessment were performed independently by 2 of the authors. Selected publications were assessed for potential risk of bias, and the level of evidence was evaluated using National Health and Medical Research Council guidelines. Review Manager 5.3 was used to conduct the meta-analysis.
Eight studies involving 1,239 patients were included (3 randomized controlled trials, 3 cohorts, and 2 case series). Smoking cessation was achieved considerably more often in patients who received smoking cessation counseling compared with those who received usual care.
This review shows that counseling supplemented with nicotine replacement therapy increases the possibility for smoking cessation in patients with head and neck cancer.
本系统评价旨在描述戒烟咨询对头颈部癌患者的疗效以及由此产生的戒烟率。
在PubMed、Embase和Cochrane数据库中进行了系统的文献检索。预测变量为戒烟咨询和戒烟干预措施。结果为戒烟情况。由两位作者独立进行数据收集和质量评估。对选定的出版物评估潜在的偏倚风险，并使用澳大利亚国家卫生与医学研究委员会指南评估证据水平。使用Review Manager 5.3进行荟萃分析。
纳入了八项研究，涉及1239名患者（3项随机对照试验、3项队列研究和2个病例系列）。与接受常规护理的患者相比，接受戒烟咨询的患者更常实现戒烟。
本综述表明，辅以尼古丁替代疗法的咨询增加了头颈部癌患者戒烟的可能性。
