Immediately scheduled for an appointment to smoking cessation clinics: Key to quitting smoking in chronic airway disease – a multicenter randomized study
Introduction A significant proportion of patients with chronic airway diseases continue to smoke even after the diagnosis. In addition, smoking cessation support continues to be a neglected issue in real-life settings by physicians for that patient group. Therefore, in our search for a solution to t...
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| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2025-06-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/Immediately-scheduled-for-an-appointment-to-smoking-cessation-clinics-Key-to-quitting,204254,0,2.html |
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| Summary: | Introduction
A significant proportion of patients with chronic airway diseases
continue to smoke even after the diagnosis. In addition, smoking cessation support
continues to be a neglected issue in real-life settings by physicians for that patient
group. Therefore, in our search for a solution to this issue, we conducted our
study to evaluate the effect of arranging immediate appointments to smoking
cessation outpatient clinics on smoking cessation success in patients with chronic
airway disease.
Methods
This multicenter, randomized, parallel-arm prospective study
(NCT05764343) was conducted in pulmonary outpatient clinics between
November 2022 and June 2023. Current smoker patients aged ≥18 years
diagnosed with COPD, asthma, or bronchiectasis for at least 6 months were
included and sequentially randomized in a 1:1 ratio. Both arms received brief
smoking cessation interventions, and the intervention arm had immediate access
to a smoking cessation clinic appointment. In contrast, the control arm received a
standard quitline appointment for routine service. The primary endpoint was the
self-reported smoking cessation rate at 3 months, analyzed using an intentionto-
treat approach.
Results
The study comprised 198 patients in the immediate appointment arm and
199 in the usual care arm. The quit rate was significantly higher in the immediate
appointment arm (26.7%) than in the usual care arm (16.5%, p=0.014). Access
to smoking cessation medication was 69.3% in the intervention group against
22.0% in the control group (p<0.001). Multivariable analysis identified access to
smoking cessation medication as the sole significant predictor of cessation success
at 3 months (adjusted odds ratio, AOR=5.64; 95% CI: 2.89–11.03).
Conclusions
Our study revealed that access to evidence-based smoking cessation
support is positively associated with successful quitting. Compared to the usual
care arm, the immediately appointment-scheduled arm has a higher access
rate of cessation support. Therefore, smoking cessation support, including
pharmacotherapy, should be part of routine care for patients with chronic airway
diseases. |
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| ISSN: | 1617-9625 |