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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Post-discharge smoking abstinence in cancer patients

Hideo Tanaka, M.D., Seiko Hasuo, MS, Chihiro Nishimura, MS, and Akira Oshima, M.D. Department of Cancer Control and Statistics, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari-ku, Osaka, 537-8511, Japan

Objective: Continued smoking may contribute to poorer cancer treatment outcome and additional illness. However, limited attention has been given to addressing smoking cessation in caner patients in Japan. We assessed the post-discharge smoking status in cancer patients and elucidated behavioral factors associated with the smoking status.

Methods: This study included 316 cancer patients who were admitted to the surgical and otorhinolaryngological serrvices at one academic cancer center in Osaka. They had smoked at least 1 cigarette in the month before the admission. They were given an advice with a leaflet to stop smoking by nurses at the admission. Post-discharge abstinence defined as he/she didn't smoke past week was assessed using a self-administered questionnaire that was mailed to the patients 6 months after discharge from the hospital. To patients who failed to reply within 10 days, we mailed a reminder and the questionnaire.

Results: The response rate was 78% (246). The post-discharge abstinence rate was 64% (202/316) when the non-responders were included as post-discharge smokers. The rate varied by cancer site (esophagus: 71%, lung: 70%, pharynx: 60%, colon and rectum: 52%, oral cavity: 40%, breast: 28%, liver: 21%, uterus: 13%). Multivariate logistic regression analysis showed that advanced readiness to quit and high self-confidence for the cessation at the admission were significant predictors of the post-discharge abstinence. Score of the Fagerström Test for Nicotine Dependence was not related to the abstinence rate.