Intérêt de la spirométrie en médecine générale pour la motivation au sevrage tabagique. Étude pilote de faisabilité et intérêt de l’« âge pulmonaire »

Lorenzo, Alberto; Noël, Frédérique; Lorenzo, Mathieu; Broucke, J. Van Den

doi:10.1016/j.rmr.2016.10.873

Cited by 9 publications

(1 citation statement)

References 13 publications

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“…Providing SCC and general practitioners' offices by spirometry may be very beneficial for patients. It may increase motivation among smokers seeking cessation, change attitudes towards smoking cessation among non-motivated smokers, and also screen COPD for this at risk population [35,36]. It is also advisable to restructure the clinic medical records toward a risk stratification model to predict and distinguish patient with higher risk of withdrawal and customize their rotations in order to enhance the likelihood of their success.…”

Section: Discussionmentioning

confidence: 99%

Spirometry as a motivator for smoking cessation among patients attending the smoking cessation clinic of Monastir

et al. 2022

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Background The choice of spirometry, a biomarker of lung health, as a motivator for smoking cessation is based on its fidelity in emphasizing tobacco adverse effects. Yet, there is a paucity of evidence on its efficacy, and the findings are currently inconclusive. The aim of this study was to determine whether a spirometry and lung age communication has an effect on smoking cessation rates. Methodology We conducted a randomized controlled trial among patients who attended the smoking cessation clinic (SCC) at Fattouma Bourguiba University Hospital in Monastir, from June 2017 to February 2020. Participants were assigned into two groups, a control arm receiving standard program and intervention arm receiving a spirometry and lung age announcement along with usual care. The primary outcomes were the smoking cessation rates after one year of follow-up between the intervention arm and the control arm. Results At one-year endpoint, a total of 456 were reachable for assessment, 236 in control group and 220 in spirometry group, which leads to a loss rate equal to 8.8%. One-year smoking cessation rate was higher among the intervention group than among control group (25.5% versus 16.5%), with a considerable statistical significance (p = 0.019). Lung age was significantly higher at paired comparison with chronological age. Conclusion Smoking cessation is still a challenging procedure with a high risk of relapse, making very valuable any approach that may increase motivation in both unmotivated and motivated smokers. This study is an additional evidence for spirometry and lung age announcement as motivators for smoking cessation. Trial registration Pan African Clinical Trial Registry database (PACTR202110595729653), 06/10/ 2021.

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Section: Discussionmentioning

confidence: 99%