The influence of a cancer diagnosis on smoking cessation efforts and outcomes
We will review hospital charts of patients who were diagnosed with lung cancer and referred to a smoking cessation clinic. We will compile data on all patients scheduled for appointments in the clinic, which patients kept their appointments, which patients made follow up appointments and which patients remained abstinent.
Extensive review of patient and amp;apos;s medical record including demographics for purposes of obtaining census tract-based income and education data, cancer diagnosis, dates of diagnosis, disease stage, treatment modality, laboratory data (for purposes of obtaining surrogate markers of tobacco use), smoking status], alcohol consumption, smoking habits and status, co-morbidities (will be classified as smoking-related or not]), presence of other smokers in household, dates of smoking cessation referral and appointments, hospitalization dates and durations, smoking quit date, duration of smoking cessation, smoking cessation methods, number of appointments scheduled and kept with smoking cessation program [as a marker of compliance], UTSW and PHHS pharmacy records [to determine if prescriptions for smoking cessation drugs and devices are filled by patient]. We will likely require review of a maximum of 1500 charts to compile data to address our research question, and data collected will be obtained and used for research purposes only.
Our hypothesis is that patients who had early stage cancer, used smoking cessation aids, had less alcohol or illicit drug use, had support at home, and had no smokers in the household, were more likely to contact the smoking cessation clinic requesting help in abstaining from tobacco use. The information gathered on why and how some patients abstain from smoking after a cancer diagnosis could be useful, and help with increasing the percentage of patients who adhere to smoking cessation, hereby decreasing the morbidity and mortality associated with smoking.
Current smokers with a cancer diagnosis referred to the Parkland Health and Hospital System (PHHS) Smoking Cessation Clinic from 1990-2010