546P - Randomised controlled trial comparing nicotine replacement therapy (NRT) plus brief counselling and brief counselling alone on smoking cessation in...
|Date||18 December 2016|
|Event||ESMO Asia 2016 Congress|
|Topics|| Cancer Aetiology, Epidemiology, Prevention
Lung and other Thoracic Tumours
|Citation||Annals of Oncology (2016) 27 (suppl_9): ix177-ix178. 10.1093/annonc/mdw600|
Tobacco use in any modality is the greatest preventable morbidity and mortality in developing world. Cessation interventions require an equal balance of pharmacotherapy and behavioural supportive care. Studies of nicotine replacement therapy (NRT) in patients to date have been relatively small, and although suggestive of a beneﬁcial effect, have not shown signiﬁcant differences relative to placebo, results supported by a systematic review of the subject. We have therefore conducted a pragmatic open randomised controlled trial to determine whether a brief cessation counselling intervention suitable for widespread use, or the same counselling intervention given with NRT, is more effective than usual care in promoting smoking cessation.
Patients who were prone to lung cancer were randomised to receive either usual care (no additional advice at admission), counselling alone (20-minute intervention with written materials), or NRT plus counselling (counselling intervention with a 6 week course of NRT). Inclusion Criteria-Previous lung disease, a family history of lung cancer, Past cancer treatment, Lowered immunity, Previous smoking related cancers, Exposure to certain chemicals and radon gas. Continuous and point prevalence abstinence from smoking (validated by exhaled carbon monoxide
300 smokers were enrolled. Abstinence was higher in the NRT plus counselling group (n = 100) than in the counselling alone (n = 100) or usual care (n = 100) groups. The difference between the groups was significant for validated point prevalence abstinence at 3 months (65%,33%, 27% respectively, p = 0.045) and at 12 months (27%, 16%, 14%, p = 0.03). There was no significant difference between counselling alone and usual care, or in reduction in cigarette consumption between the treatment groups.
NRT given with brief counselling to patients prone to lung cancer is an effective routine smoking cessation intervention.
Clinical trial indentification
Legal entity responsible for the study
DM wayanad institute of Medical Science
All authors have declared no conflicts of interest.