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头颈部癌症患者的戒烟干预措施:随机对照试验的系统评价

Smoking cessation interventions in patients diagnosed with head and neck cancers: A systematic review of randomized controlled trials.

作者信息

Gaikwad Rahul N, Alqifari Faisal, Alnasser Mujahid, Bajad Payal, Jain Preet, Gondivkar Shailesh

机构信息

Department of Community Dentistry and Oral Epidemiology, College of Dentistry, Qassim University, Buraydah, Saudi Arabia.

Deanship of Educational Services, Qassim University. Buraydah, Qassim, Kingdom of Saudi Arabia.

出版信息

Int J Health Sci (Qassim). 2023 Sep-Oct;17(5):45-53.

Abstract

OBJECTIVE

According to findings from the previous studies, quitting smoking can significantly reduce mortality from all causes and is linked to better treatment results. Even though quitting smoking has many benefits, little is known about the evidence supporting the particular quit services offered to smokers after a cancer diagnosis.

METHODS

To find the articles related to area in question, different electronic databases including PubMed/Medline, Google Scholar, and EBSCO were searched on April 1, 2023. All full text randomized controlled trials with one or more intervention and control groups that assessed the outcomes of smoking cessation interventions were included. Participants of included studies were adults diagnosed with head and neck cancer (HNC) and current smokers or those who had recently quit. There were interventions (pharmacological and/or pharmacological) that aimed to help patients with HNC succeed in quitting smoking.

RESULTS

We identified 15352 papers from the initial search from different electronic databases, 2560 remained after excluding duplicates. After screening titles and abstracts for relevance, 2345 articles were removed. Full text articles of remaining 215 papers were assessed in depth by two reviewers for their eligibility, amongst which, 210 articles were excluded. Finally, we included five papers that met the inclusion criteria in the present systematic review.

CONCLUSION

According to the findings of this review, a multi - component strategy might very well benefit patients with HNC who smoke cigarettes after diagnosis. More studies with high methodological quality and standardized outcome measures must be conducted in this population to inform the development of smoking cessation program.

摘要

目的

根据先前研究的结果,戒烟可显著降低全因死亡率,并与更好的治疗效果相关。尽管戒烟有诸多益处,但对于癌症诊断后为吸烟者提供的特定戒烟服务所依据的证据,我们却知之甚少。

方法

为查找与该问题领域相关的文章,于2023年4月1日检索了不同的电子数据库,包括PubMed/Medline、谷歌学术和EBSCO。纳入所有具有一个或多个干预组和对照组的全文随机对照试验,这些试验评估了戒烟干预的效果。纳入研究的参与者为被诊断患有头颈癌(HNC)的成年人以及当前吸烟者或近期戒烟者。存在旨在帮助头颈癌患者成功戒烟的干预措施(药物和/或非药物)。

结果

我们从不同电子数据库的初始搜索中识别出15352篇论文,排除重复项后还剩2560篇。在筛选标题和摘要的相关性后,删除了2345篇文章。两名评审员对其余215篇论文的全文进行了深入评估以确定其是否符合资格,其中210篇文章被排除。最后,我们在本系统评价中纳入了五篇符合纳入标准的论文。

结论

根据本评价的结果,多成分策略很可能使诊断后吸烟的头颈癌患者受益。必须针对该人群开展更多方法学质量高且结局测量标准化的研究,以为戒烟计划的制定提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/843d/10484062/ce042ccb7463/IJHS-17-45-g001.jpg

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