Abstract
Objective: This study aimed to investigate the influence of the underlying disease on short-term smoking cessation among patients at our smoking cessation clinic.
Subjects and Methods: We included 98 patients (77 men and 21 women; mean age, 58.5 ± 1.4 years) who visited the smoking cessation clinic at the National Hospital Organization Kure Medical Center and Chugoku Cancer Center, from April 2009 to March 2013. We investigated the predictive factors for short-term smoking cessation, including the type of underlying disease.
Results: Presence of dyslipidemia and high concentration of carbon monoxide (CO) in the exhaled air at the first visit were significant predictive factors for unsuccessful smoking cessation. Attending the clinic on five occasions was significant predictive factor for successful smoking cessation.
Discussion and Conclusions: Patient’s adherence to the smoking cessation program and the number and regularity of clinic visits for this purpose can only be known retrospectively. However, information regarding the concentration of CO in the exhaled air and presence of dyslipidemia can be obtained at the first visit. We must pay attention to the high possibility of unsuccessful smoking cessation in patients with high concentration of CO in the exhaled air and patients with underlying dyslipidemia at the first visit. Detailed guidance and support should be provided to such patients in order to improve outcomes of smoking cessation.