Department of Oral Medicine and Radiology, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India.
Department of Oral Medicine and Radiology, RV dental College and Hospital, Bengaluru, Karnataka, India.
J Cancer Res Ther. 2023 Apr;19(Supplement):S0. doi: 10.4103/jcrt.JCRT_1029_20.
Tobacco dependence is widely prevalent and a harmful chronic disorder. Achieving long-term tobacco abstinence is an important public health goal. This study aims to assess the long-term effectiveness of moderate-intensity treatment for tobacco cessation in the dental clinic setting.
Out of 1206 subjects registered to the Tobacco cessation clinic (TCC) during this time period, only 999 of them completed the 1-year follow-up period. The mean age was 45.9 ± 9 years. Six hundred and three (60.3%) of these subjects were male and 396 (39.6%) of them were females. Five hundred and fifty-eight (55.8%) used smoking tobacco and 441 (44.1%) used smokeless tobacco. Patients received tailored behavioral counseling, educational material, and pharmacotherapy consisting of nicotine replacement therapy (NRT) and\or NON-NRT. Patients were monitored by phone or clinic visits for 11 months.
Outcomes assessed were complete abstinence, harm reduction (>50% reduction), no change and lost to follow-up. At the end of 12 months the tobacco quit rate was180 (18%), tobacco reduction >50% was 342 (34.2%), no change 415 (41.5%) and relapse 62 (6.2%).
Our study has identified adequate quit-rates in a cohort of dental patients attending a hospital-based TCC.
烟草依赖广泛存在且是一种有害的慢性疾病。实现长期的烟草戒除是一个重要的公共卫生目标。本研究旨在评估在牙科诊所环境中进行中等强度的戒烟治疗对长期戒烟效果。
在这段时间内，共有 1206 名患者登记参加了戒烟诊所（TCC），但只有 999 名患者完成了 1 年的随访期。患者的平均年龄为 45.9 ± 9 岁。其中 603 名（60.3%）为男性，396 名（39.6%）为女性。558 名（55.8%）患者使用吸烟烟草，441 名（44.1%）使用无烟烟草。患者接受了个性化的行为咨询、教育材料和药物治疗，包括尼古丁替代疗法（NRT）和/或非尼古丁替代疗法（NON-NRT）。患者在 11 个月内通过电话或诊所就诊接受监测。
评估的结果包括完全戒烟、减少危害（减少 50%以上）、无变化和失访。在 12 个月结束时，戒烟率为 180 人（18%），减少危害 50%以上的有 342 人（34.2%），无变化的有 415 人（41.5%），复发的有 62 人（6.2%）。
我们的研究在参加医院戒烟诊所的牙科患者队列中确定了足够的戒烟率。
