Effectiveness of postal smoking cessation advice: a randomized controlled trial in young men with reduced FEV1 and asbestos exposure

Humerfelt, Sjur; Eide, GE; Kvåle, Gunnar; Aaro, LE; Gulsvik, Amund

doi:10.1183/09031936.98.11020284

Cited by 56 publications

(37 citation statements)

References 32 publications

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“…A recent study suggested that spirometry results do impact clinical decision making by general practitioners. 27 Literature on the subject of using spirometry as an aid to smoking cessation is mixed; 15 indeed, only 4 studies have directly addressed the issue; two found that knowledge of FEV 1 enhanced the smoking cessation rate, 28,29 and two found that it did not. 30,31 Another recent study by Gorecka and colleagues 20 suggested that knowledge of spirometry values enhances smoking cessation, but the study did not address the issue directly.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and use of office spirometry for the detection of chronic obstructive pulmonary disease by primary care physicians

Kaminsky

Marcy

Bachand

et al. 2006

Respiratory Medicine: COPD Update

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BACKGROUND: The importance of office spirometry has been strongly advocated in the pulmonary community, but whether its importance is recognized and accepted by primary care physicians is less well established. METHODS: To assess primary care physicians' knowledge and use of office spirometry for the detection of chronic obstructive pulmonary disease, we conducted a brief mail survey on the local practice of office spirometry, barriers to performing office spirometry, and general knowledge about spirometry. We also provided 60-min educational workshops to assess whether such an approach would increase spirometry testing or perceptions about spirometry. RESULTS: Twenty-nine of 57 (51%) primary care offices responded to the survey. Of these, 66% owned their own spirometer. The most common reasons for not performing spirometry were uncertainty about the impact of the test (41%), physician and staff unfamiliarity (38%), and lack of training (34%). Twenty-one respondents participated in the workshops. In the 3 months following the workshops, the number of spirometry tests increased by 59% (p ‫؍‬ 0.004). After the workshops, the proportion of clinics that reported reasons for not performing the test decreased by 13% (p ‫؍‬ 0.01), but important barriers to performing office spirometry were still present, including physician and staff unfamiliarity (22%), uncertain interpretation of results (22%), time (22%), and reimbursement (22%). CONCLUSIONS: The general knowledge and use of office spirometry in the primary care community is poor, but can be improved, at least in the short-term, by a simple educational workshop.

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Section: Discussionmentioning

confidence: 99%

Knowledge and use of office spirometry for the detection of chronic obstructive pulmonary disease by primary care physicians

Kaminsky

Marcy

Bachand

et al. 2006

Respiratory Medicine: COPD Update

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“…36 Similarly, Humerfelt and colleagues found that person-specific information mailed to smokers with a decreased FEV 1 and a history of 46 D.G.Tinkelman et al asbestos exposure led to markedly increased quit rates at one year. 37 In their follow-up of 3,077 smokers participating in a spirometric screening program, Bednarek and colleagues concluded that a diagnosis of airflow limitation motivated smokers to attempt to quit. 38 Conversely, it may be that smokers with COPD are less amenable to intervention than the general population, which would weaken the importance of screening.…”

Section: Why Does Early Diagnosis Matter?mentioning

confidence: 99%

COPD screening efforts in primary care: what is the yield?

Tinkelman

Price

Nordyke

et al. 2007

Primary Care Respiratory Journal

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Introduction:Underdiagnosis of COPD appears to be common, although the degree of underdiagnosis is rarely measured. To document the extent of underdiagnosis in a high risk group of ambulatory patients, we performed spirometry in smokers aged 40 years and over drawn from general practices in two countries. Methods: Subjects were recruited from primary care practices in Aberdeen, Scotland, and Denver, Colorado, via random mailing. Current and former smokers aged 40 or older with no prior diagnosis of chronic obstructive respiratory disease (and no respiratory medications within the past year) were enrolled. Participants underwent pre-and post-bronchodilator spirometry. A study diagnosis of COPD was defined as post-bronchodilator FEV 1 /FVC < 0.70. Results: Spirometric examination was complete in 818 patients, of whom 155 (18.9%) had a study diagnosis of COPD. Using the Global Initiative for Chronic Obstructive Lung Disease (GOLD) severity criteria, the COPD was mild in 57.4%, moderate in 36.8%, and severe in 5.8%. No patients had very severe disease according to GOLD criteria. Discussion: Screening of smokers over 40 in general practice may yield 10 -20% undiagnosed COPD cases, with a substantial proportion of these having moderate to severe disease. Earlier diagnosis through targeted case-finding will allow early, aggressive smoking cessation efforts and may lead to a reduction in the burden of COPD symptoms and a reduced impact of the disease on health-related quality of life in these patients.

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“…biochemical method. However, a study has indicated a deception rate of only 3% in both the control and the intervention group [16]. In calculating our results, we chose to use the intention to treat model.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

The impact of repeated spirometry and smoking cessation advice on smokers with mild COPD

Stratelis

Mölstad

Jakobsson

et al. 2006

Scandinavian Journal of Primary Health Care

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Effectiveness of postal smoking cessation advice: a randomized controlled trial in young men with reduced FEV1 and asbestos exposure

Cited by 56 publications

References 32 publications

Knowledge and use of office spirometry for the detection of chronic obstructive pulmonary disease by primary care physicians

Knowledge and use of office spirometry for the detection of chronic obstructive pulmonary disease by primary care physicians

COPD screening efforts in primary care: what is the yield?

The impact of repeated spirometry and smoking cessation advice on smokers with mild COPD

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