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Setting up a smoking cessation service - what can we expect from the first year?

Session Poster Session III - Friday 08:30 - 12:30

Speaker Thilo Burkard

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2015

  • Topic : preventive cardiology
  • Sub-topic : Tobacco
  • Session type : Poster Session

Authors : D Schneider (Basel,CH), A Meienberg (Basel,CH), A Deman (Basel,CH), T Burkard (Basel,CH)

Authors:
D Schneider1 , A Meienberg1 , A Deman1 , T Burkard1 , 1University Hospital Basel - Basel - Switzerland ,

Citation:

Purpose: According to the WHO, smoking is the single most important preventable cause for premature death worldwide. Since different guidelines support to offer specialised tobacco treatment programs to smokers, we started a physician-led smoking cessation service (SCS) at a tertiary university hospital in 2012. SCS consultations on an individual basis were done by junior-physicians, supervised by senior physicians with special interest in smoking cessation. The present study presents our results of the first year of the SCS according to self-reported quit-rate and patient satisfaction.
Methods: In this cross-sectional study we included all patients (pts) consulting our SCS between 1.6.2012 – 31.5.2013. Baseline and treatment characteristics were obtained from pts charts. Pts were contacted by telephone or if not possible by letter for a standardized interview or questionnaire in February 2014 and self-reported smoking status and satisfaction with consultations (0=low, 10=high) were asked.
Results: 80 pts had their first SCS consultation during the first year. Follow-up (FU) data could be obtained from 68 pts, the remaining 12 were considered to be smokers. Mean FU was 430±95 days after their first SCS consultation. 41% of pts were male, mean age was 54±12 years, median Fagerström Dependency Level was 5 [4-7], 79% of pts had at least 1 smoking-associated comorbidity. Mean number of consultations was 2.9±2.3. 28.8% of all pts reported to be persistent abstinent (PA) over the past 7 days. Factors associated with PA were number of consultations and use of vareniclin.  Comparing pts with =2 vs. >2 consultations PA rates were 20% vs. 40% (p=0.05).  Median patient satisfaction was 8 [6-10], with 86.8% of pts stating that they would recommend the SCS to other smokers.
Conclusion: Our results show, that it is feasible to achieve persistent abstinence rates of 30% after a mean FU of 61 weeks and a high patient acceptance of the SCS - even in the first year. Our outcome in real-life pts is comparable to results of smoking cessation trials and could encourage further centers to set up a SCS.

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