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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| Format: | Article |
| Language: | English |
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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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| author | Dilek Karadoğan Tahsin Gökhan Telatar İlknur Kaya Siahmet Atlı Neslihan Köse Kabil Feride Marım Merve Yumrukuz Şenel Aycan Yüksel Burcu Yalçın Ökkeş Gültekin Merve Erçelik Metin Akgün |
| author_facet | Dilek Karadoğan Tahsin Gökhan Telatar İlknur Kaya Siahmet Atlı Neslihan Köse Kabil Feride Marım Merve Yumrukuz Şenel Aycan Yüksel Burcu Yalçın Ökkeş Gültekin Merve Erçelik Metin Akgün |
| author_sort | Dilek Karadoğan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1074c783ae7248beb9c4e1a2b85fd19e |
| institution | Kabale University |
| issn | 1617-9625 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj-art-1074c783ae7248beb9c4e1a2b85fd19e2025-08-20T03:30:44ZengEuropean PublishingTobacco Induced Diseases1617-96252025-06-0123June1810.18332/tid/204254204254Immediately scheduled for an appointment to smoking cessation clinics: Key to quitting smoking in chronic airway disease – a multicenter randomized studyDilek Karadoğan0https://orcid.org/0000-0001-5321-3964Tahsin Gökhan Telatar1https://orcid.org/0000-0002-3261-3464İlknur Kaya2https://orcid.org/0000-0002-0227-9215Siahmet Atlı3https://orcid.org/0000-0001-6283-181XNeslihan Köse Kabil4https://orcid.org/0000-0001-5241-4043Feride Marım5https://orcid.org/0000-0002-5677-7842Merve Yumrukuz Şenel6https://orcid.org/0000-0003-0205-5075Aycan Yüksel7https://orcid.org/0000-0003-0183-6232Burcu Yalçın8https://orcid.org/0000-0002-9281-871XÖkkeş Gültekin9https://orcid.org/0000-0001-9753-8744Merve Erçelik10https://orcid.org/0000-0003-4597-7168Metin Akgün11https://orcid.org/0000-0003-3404-4274Department of Chest Diseases, Recep Tayyip Erdoğan University, School of Medicine, Rize, TürkiyeDepartment of Public Health, Recep Tayyip Erdoğan University, School of Medicine, Rize, TürkiyeDepartment of Chest Diseases, Faculty of Medicine, Kütahya Health Sciences University, Kütahya, TürkiyeDepartment of Chest Diseases, Health Sciences University, Van Education and Research Hospital, Van, TürkiyeDepartment of Chest Diseases, Yalova Training and Research Hospital, Yalova University, Yalova, TürkiyeDepartment of Chest Diseases, Faculty of Medicine, Kütahya Health Sciences University, Kütahya, TürkiyeDepartment of Chest Diseases, Faculty of Medicine, Balıkesir University, Balıkesir, TürkiyeDepartment of Chest Diseases, Faculty of Medicine, Başkent University, Ankara, TürkiyeDepartment of Chest Diseases, Merzifon Karamustafapasa State Hospital, Amasya, TürkiyeDepartment of Chest Diseases, Kemalpaşa State Hospital, İzmir, TürkiyeDepartment of Chest Diseases, Faculty of Medicine, Süleyman Demirel University, Isparta, TürkiyeDepartment of Chest Diseases, School of Medicine, Ağrı İbrahim Çeçen University, Ağrı, TürkiyeIntroduction 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.https://www.tobaccoinduceddiseases.org/Immediately-scheduled-for-an-appointment-to-smoking-cessation-clinics-Key-to-quitting,204254,0,2.htmlsmoking cessationlung diseasesobstructive |
| spellingShingle | Dilek Karadoğan Tahsin Gökhan Telatar İlknur Kaya Siahmet Atlı Neslihan Köse Kabil Feride Marım Merve Yumrukuz Şenel Aycan Yüksel Burcu Yalçın Ökkeş Gültekin Merve Erçelik Metin Akgün Immediately scheduled for an appointment to smoking cessation clinics: Key to quitting smoking in chronic airway disease – a multicenter randomized study Tobacco Induced Diseases smoking cessation lung diseases obstructive |
| title | Immediately scheduled for an appointment to smoking cessation clinics: Key to quitting smoking in chronic airway disease – a multicenter randomized study |
| title_full | Immediately scheduled for an appointment to smoking cessation clinics: Key to quitting smoking in chronic airway disease – a multicenter randomized study |
| title_fullStr | Immediately scheduled for an appointment to smoking cessation clinics: Key to quitting smoking in chronic airway disease – a multicenter randomized study |
| title_full_unstemmed | Immediately scheduled for an appointment to smoking cessation clinics: Key to quitting smoking in chronic airway disease – a multicenter randomized study |
| title_short | Immediately scheduled for an appointment to smoking cessation clinics: Key to quitting smoking in chronic airway disease – a multicenter randomized study |
| title_sort | immediately scheduled for an appointment to smoking cessation clinics key to quitting smoking in chronic airway disease a multicenter randomized study |
| topic | smoking cessation lung diseases obstructive |
| url | https://www.tobaccoinduceddiseases.org/Immediately-scheduled-for-an-appointment-to-smoking-cessation-clinics-Key-to-quitting,204254,0,2.html |
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