HCA Florida Brandon Hospital Department of Internal Medicine, 119 Oakfield Drive, Brandon, FL 33511, USA; University of Kansas School of Medicine Department of Population Health, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
University of Kansas School of Medicine Department of Population Health, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA; University of Kansas Cancer Center, 4000 Cambridge Street, Kansas City, KS 66160, USA.
Cancer Epidemiol. 2022 Jun;78:102123. doi: 10.1016/j.canep.2022.102123. Epub 2022 Mar 12.
To describe treatment engagement and outcomes of patients who smoke with cancer and received tobacco cessation treatment during hospitalization.
We analyzed treatment engagement and cessation outcomes for hospitalized patients who smoke with a current or former history of cancer receiving treatment from an inpatient tobacco treatment service between July, 2018 to October, 2019.
The service treated 407 inpatients. Patients had an overall high level of interest in quitting (7.6, 0-10 scale). One in three accepted cessation pharmacotherapies during hospitalization or at discharge (35%) and/or referral to the state tobacco quitline (37%). Of 189 patients reached at one-month post-discharge, 73 (39%) reported tobacco abstinence (18% intent to treat-ITT-quit rate); 35.5% had used cessation pharmacotherapy and 6.5% had engaged in quitline counseling. Of 151 patients reached at 6 months post-discharge, 29% reported abstinence (11%, ITT).
Inpatients with a history of cancer are interested in quitting. Post-discharge quit rates and pharmacotherapy use were high but quitline use was low. Hospitalization is an under-utilized, prime treatment opportunity and teachable moment for people with a history of cancer who continue to use tobacco.
描述在住院期间接受烟草戒断治疗的患有癌症且吸烟的患者的治疗参与度和治疗结果。
我们分析了 2018 年 7 月至 2019 年 10 月期间，在住院烟草治疗服务机构接受治疗的有当前或既往癌症史的吸烟住院患者的治疗参与度和戒烟结果。
该服务共治疗了 407 名住院患者。患者对戒烟非常感兴趣（7.6，0-10 分制）。三分之一的患者在住院期间或出院时接受了戒烟药物治疗（35%）和/或转介到州立戒烟热线（37%）。在出院后一个月内联系到的 189 名患者中，有 73 名（39%）报告了烟草戒断（18%的意向治疗-ITT-戒烟率）；35.5%使用了戒烟药物治疗，6.5%接受了戒烟热线咨询。在出院后 6 个月内联系到的 151 名患者中，有 29%报告了戒断（11%，ITT）。
有癌症病史的住院患者有戒烟意愿。出院后的戒烟率和药物治疗使用率较高，但戒烟热线使用率较低。住院是一个未充分利用的、主要的治疗机会，也是一个可教育的时刻，可以帮助那些继续吸烟的有癌症病史的人。
