Provision of Smoking Cessation Resources in the Context of in-person Shared Decision Making for Lung Cancer Screening

Chest. 2021 Mar 18:S0012-3692(21)00493-1. doi: 10.1016/j.chest.2021.03.016. Online ahead of print.ABSTRACTBACKGROUND: Lung cancer screening (LCS) is effective at reducing mortality for high-risk smokers. Mortality benefits go beyond early cancer detection, as shared-decision making (SDM) may present a "teachable moment" to reinforce cessation and provide resources.RESEARCH QUESTION: How well is smoking cessation performed during LCS SDM encounters and what patient and provider characteristics associated with smoking cessation assistance?STUDY DESIGN AND METHODS: This is a retrospective cohort study of current smokers participating in initial LCS SDM through a multisite program in Seattle, Washington between 2015-2018. The LCS tracking database and EHR were reviewed for demographics, comorbidity data and clinical encounter information. The primary outcome was provision of a smoking cessation resource, defined as: referral to cessation resources, recommendation for nicotine replacement and/or prescription for cessation medication. Participant and provider factor associations with the outcome were evaluated using χ2 testing and multivariable logistic regression.RESULTS: The majority of the 423 study participants were men (70%), with a median age of 61 (IQR 58-66) years and median of 50 (41-72) pack-years of smoking. Only 26% of encounters had documentation consistent with SDM. Thirty-nine percent of participants received at least one smoking cessation resource, and only 5% rece...
Source: Chest - Category: Respiratory Medicine Authors: Source Type: research