Register for email alerts and news feeds:
This journal | BMJ Group
rss
Published Online First: 29 June 2006. doi:10.1136/thx.2006.059071
Thorax 2006;61:869-873
Copyright © 2006 BMJ Publishing Group Ltd & British Thoracic Society.

SMOKING

Smokers with airway obstruction are more likely to quit smoking

M Bednarek1, D Gorecka1, J Wielgomas2, M Czajkowska-Malinowska3, J Regula4, G Mieszko-Filipczyk5, M Jasionowicz6, R Bijata-Bronisz7, M Lempicka-Jastrzebska8, M Czajkowski9, G Przybylski10, J Zielinski1

1 2nd Department of Respiratory Medicine, National Research Institute of Tuberculosis and Lung Diseases, Warsaw, Poland
2 Outpatient Chest Clinic, Wloclawek, Poland
3 Outpatient Chest Clinic, Bydgoszcz, Poland
4 Outpatient Chest Clinic, Dzialdowo, Poland
5 Outpatient Chest Clinic, Bytom, Poland
6 Outpatient Chest Clinic, Lublin, Poland
7 Outpatient Chest Clinic, Inowroclaw, Poland
8 Outpatient Chest Clinic, Warsaw (Ochota), Poland
9 Outpatient Chest Clinic, Warsaw (Saska Kepa), Poland
10 Outpatient Chest Clinic, Swiecie, Poland

Correspondence to:
Professor J Zielinski
National Research Institute of Tuberculosis and Lung Diseases, 2nd Department of Respiratory Medicine, 26 Plocka Street, 01-138 Warsaw, Poland;j.zielinski{at}igichp.edu.pl

Background: Chronic obstructive pulmonary disease (COPD), usually caused by tobacco smoking, is one of the leading causes of morbidity and mortality. Smoking cessation at an early stage of the disease usually stops further progression. A study was undertaken to determine if diagnosis of airway obstruction was associated with subsequent success in smoking cessation, as advised by a physician.

Methods: 4494 current smokers (57.4% men) with a history of at least 10 pack-years of smoking were recruited from 100 000 subjects screened by spirometric testing for signs of airway obstruction. At the time of screening all received simple smoking cessation advice. 1177 (26.2%) subjects had airway obstruction and were told that they had COPD and that smoking cessation would halt rapid progression of their lung disease. No pharmacological treatment was proposed. After 1 year all subjects were invited for a follow up visit. Smoking status was assessed by history and validated by exhaled carbon monoxide level.

Results: Nearly 70% attended a follow up visit (n = 3077): 61% were men, mean (SD) age was 52 (10) years, mean (SD) tobacco exposure 30 (17) pack-years, and 33.3% had airway obstruction during the baseline examination. The validated smoking cessation rate in those with airway obstruction was 16.3% compared with 12.0% in those with normal spirometric parameters (p = 0.0003). After correction for age, sex, nicotine dependence, number of cigarettes smoked daily, and lung function, success in smoking cessation was predicted by lower lung function, lower nicotine dependence, and lower tobacco exposure.

Conclusions: Simple smoking cessation advice combined with spirometric testing resulted in good 1 year cessation rates, especially in subjects with airway obstruction.

Abbreviations: CO, carbon monoxide; COPD, chronic obstructive pulmonary disease; FEV1, forced expiratory volume in 1 second; FTND, Fagerström test for nicotine dependence; FVC, forced vital capacity

Keywords: lung function testing; counselling; smoking cessation; chronic obstructive pulmonary disease


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

Relevant Article

Airwaves
Wisia Wedzicha
Thorax 2006 61: 831. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

  • Sundblad, B.-M., Larsson, K., Nathell, L. (2009). Lung function testing influences the attitude toward smoking cessation. Nicotine Tob Res 0: ntp170v1-ntp170 [Abstract] [Full Text]  
  • Young, R. P., Hopkins, R. J., Christmas, T., Black, P. N., Metcalf, P., Gamble, G. D. (2009). COPD prevalence is increased in lung cancer, independent of age, sex and smoking history. Eur Respir J 34: 380-386 [Abstract] [Full Text]  
  • Soriano, J. B., Parkes, G. (2009). Remember elephants and icebergs... "Your lung function should be here, but it is there!". Eur Respir J 33: 715-716 [Full Text]  
  • Kotz, D., Wesseling, G., Huibers, M. J. H., van Schayck, O. C. P. (2009). Efficacy of confronting smokers with airflow limitation for smoking cessation. Eur Respir J 33: 754-762 [Abstract] [Full Text]  
  • McClure, J. B., Ludman, E., Grothaus, L., Pabiniak, C., Richards, J., Mohelnitzky, A. (2009). Immediate and short-term impact of a brief motivational smoking intervention using a biomedical risk assessment: The Get PHIT trial. Nicotine Tob Res 11: 394-403 [Abstract] [Full Text]  
  • White, P. (2009). Prevalence of COPD in primary care: no room for complacency. Fam Pract 26: 1-2 [Full Text]  
  • Cerveri, I, Corsico, A G, Accordini, S, Niniano, R, Ansaldo, E, Anto, J M, Kunzli, N, Janson, C, Sunyer, J, Jarvis, D, Svanes, C, Gislason, T, Heinrich, J, Schouten, J P, Wjst, M, Burney, P, de Marco, R (2008). Underestimation of airflow obstruction among young adults using FEV1/FVC <70% as a fixed cut-off: a longitudinal evaluation of clinical and functional outcomes. Thorax 63: 1040-1045 [Abstract] [Full Text]  
  • Petty, T. L., Mannino, D. M. (2008). Will Recommendations against Spirometry Make Chronic Obstructive Pulmonary Disease Harder to Treat?. ANN INTERN MED 149: 512-513 [Full Text]  
  • Albert, P., Calverley, P. M. A. (2008). Drugs (including oxygen) in severe COPD. Eur Respir J 31: 1114-1124 [Abstract] [Full Text]  
  • Enright, P. (2008). Provide GPs with spirometry, not spirometers. Thorax 63: 387-388 [Full Text]  
  • Bednarek, M, Maciejewski, J, Wozniak, M, Kuca, P, Zielinski, J (2008). Prevalence, severity and underdiagnosis of COPD in the primary care setting. Thorax 63: 402-407 [Abstract] [Full Text]  
  • Parkes, G., Greenhalgh, T., Griffin, M., Dent, R. (2008). Effect on smoking quit rate of telling patients their lung age: the Step2quit randomised controlled trial. BMJ 336: 598-600 [Abstract] [Full Text]  
  • Bize, R., Cornuz, J. (2008). Incentives to quit smoking in primary care. BMJ 336: 567-568 [Full Text]  
  • Antoniou, K. M., Hansell, D. M., Rubens, M. B., Marten, K., Desai, S. R., Siafakas, N. M., Nicholson, A. G., du Bois, R. M., Wells, A. U. (2008). Idiopathic Pulmonary Fibrosis: Outcome in Relation to Smoking Status. Am. J. Respir. Crit. Care Med. 177: 190-194 [Abstract] [Full Text]  
  • Calverley, P. (2008). Fulfilling the promise of primary care spirometry. Eur Respir J 31: 8-10 [Full Text]  
  • Derom, E., van Weel, C., Liistro, G., Buffels, J., Schermer, T., Lammers, E., Wouters, E., Decramer, M. (2008). Primary care spirometry. Eur Respir J 31: 197-203 [Abstract] [Full Text]  
  • Mannino, D. M, Buist, A S., Vollmer, W. M (2007). Authors' reply. Thorax 62: 1108-1109 [Full Text]  
  • Viegi, G., Pistelli, F., Sherrill, D. L., Maio, S., Baldacci, S., Carrozzi, L. (2007). Definition, epidemiology and natural history of COPD. Eur Respir J 30: 993-1013 [Abstract] [Full Text]  
  • Young, R. P., Hopkins, R., Eaton, T. E. (2007). Forced expiratory volume in one second: not just a lung function test but a marker of premature death from all causes. Eur Respir J 30: 616-622 [Abstract] [Full Text]  
  • Mannino, D. M., Braman, S. (2007). The Epidemiology and Economics of Chronic Obstructive Pulmonary Disease. Proc Am Thorac Soc 4: 502-506 [Abstract] [Full Text]  
  • Kotz, D, van Schayck, C P, Huibers, M J H, Wesseling, G J, Bednarek, M., Gorecka, D., Zielinski, J. (2007). Assessing the efficacy of spirometry for smoking cessation. Thorax 62: 742-742 [Full Text]  
  • White, P., Bednarek, M., Gorecka, D., Zielinski, J. (2007). Spirometric screening for COPD: wishful thinking, not evidence. Thorax 62: 742-743 [Full Text]  
  • Mannino, D M (2006). Spirometric screening: does it work?. Thorax 61: 834-835 [Full Text]  

This Article

Services
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Chest Medicine Jobs

Chest Medicine Jobs