National Cancer Control Institute, National Cancer Center, Goyang, Korea.
Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea.
Cancer Res Treat. 2024 Jan;56(1):92-103. doi: 10.4143/crt.2022.1598. Epub 2023 Aug 7.
Smoking cessation intervention is one of the key components of successful lung cancer screening program. We investigated the effectiveness and related factors of smoking cessation services provided to the participants in a population-based lung cancer screening trial.
The Korean Lung Cancer Screening Project (K-LUCAS) is a nationwide, multi-center lung cancer screening trial that evaluates the feasibility of implementing population-based lung cancer screening. All 5,144 current smokers who participated in the K-LUCAS received a mandatory smoking cessation counseling. Changes in smoking status were followed up using a telephone survey in 6 months after lung cancer screening participation. The lung cancer screening's impact on smoking cessation is analyzed by variations in the smoking cessation interventions provided in screening units.
Among 4,136 survey responders, participant's motivation to quit smoking increased by 9.4% on average after lung cancer screening. After 6 months from the initial screening, 24.3% of participants stopped smoking, and 10.6% of participants had not smoked continuously for at least 6 months after screening. Over 80% of quitters stated that participation in lung cancer screening motivated them to quit smoking. Low-cost public smoking cessation program combined with lung cancer screening increased the abstinence rates. The smokers were three times more likely to quit smoking when the smoking cessation counseling was provided simultaneously with low-dose computed tomography screening results than when provided separately.
A mandatory smoking cessation intervention integrated with screening result counselling by a physician after participation in lung cancer screening could be effective for increasing smoking cessation attempts.
戒烟干预是成功开展肺癌筛查项目的关键组成部分之一。本研究旨在调查一项基于人群的肺癌筛查试验中为参与者提供的戒烟服务的有效性及其相关因素。
韩国肺癌筛查项目（K-LUCAS）是一项全国性、多中心的肺癌筛查试验，旨在评估在人群中开展肺癌筛查的可行性。所有参加 K-LUCAS 的 5144 名现吸烟者均接受了强制性戒烟咨询。在肺癌筛查后 6 个月，通过电话调查随访吸烟状况的变化。通过分析筛查单位提供的戒烟干预措施的变化，来评估肺癌筛查对戒烟的影响。
在 4136 名接受调查的应答者中，平均而言，参与者在肺癌筛查后戒烟的动机增加了 9.4%。初次筛查后 6 个月，24.3%的参与者戒烟，10.6%的参与者在筛查后至少连续 6 个月未吸烟。超过 80%的戒烟者表示，参加肺癌筛查促使他们戒烟。将低成本公共戒烟项目与肺癌筛查相结合，可以提高戒烟率。与单独提供相比，当同时提供低剂量计算机断层扫描筛查结果和戒烟咨询时，吸烟者戒烟的可能性增加了三倍。
在参加肺癌筛查后，通过医生提供强制性的戒烟干预措施，并结合筛查结果咨询，可能会有效地增加戒烟尝试。
