CHEST Guidelines-Provision-of-Smoking-Cessation-Resources-in-the-Co

Provision-of-Smoking-Cessation-Resources-in-the-Co

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The study, conducted by Jolie Shen and colleagues, analyzes smoking cessation practices during lung cancer screening (LCS) shared decision-making (SDM) encounters in Seattle. LCS helps reduce mortality among high-risk smokers, aided by SDM which can serve as a teachable moment to encourage smoking cessation. The study reviewed a multisite program's database to assess how smoking cessation resources are provided during LCS encounters, focusing on referrals to cessation services, nicotine replacement recommendations, and cessation medications prescribed.<br /><br />The retrospective cohort study involved 423 current smokers who participated in LCS SDM encounters between 2015 and 2018. The researchers found that only 39% of these participants received some form of smoking cessation resource, and just 5% received both counseling referrals and medication. Further, the provision of cessation resources was less prevalent among patients with higher comorbidities or when the provider was not the patient's primary care physician or a specialist familiar with their medical history.<br /><br />The study highlights a moderate overall provision of smoking cessation resources during LCS SDM encounters, with significant gaps, especially among patients with more complex medical backgrounds. The authors suggest that more effective interventions need to be implemented to enhance smoking cessation resources during LCS encounters. They propose considering additional support mechanisms, like centralized cessation resources or telephone counseling, to relieve individual providers from the burden of time constraints during consultations.<br /><br />The research underscores the importance of integrating structured smoking cessation interventions in LCS to leverage the opportunity of SDM as a teachable moment for encouraging quit attempts among smokers, proposing further study to refine cessation strategies in the clinical setting.

Keywords

smoking cessation

lung cancer screening

shared decision-making

Jolie Shen

Seattle

cessation resources

nicotine replacement

retrospective cohort study

counseling referrals

medication