Smoking relapse during the first year after treatment for early-stage non-small-cell lung cancer.

Smoking relapse during the first year after treatment for early-stage non-small-cell lung cancer. Research Abstract Details 

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Smoking relapse during the first year after treatment for early-stage non-small-cell lung cancer. Abstract Text:

Mark S Walker,Damon J Vidrine,Ellen R Gritz,Randy J Larsen,Yan Yan,Ramaswamy Govindan,Edwin B Fisher,

BACKGROUND: Non-small-cell lung cancer patients who continue to smoke after cancer diagnosis are more likely to experience disease recurrence, decreased treatment efficacy, and treatment complications. Despite this, many continue to smoke, with estimates ranging from 13% to approximately 60%. METHODS: Participants were 154 early-stage, non-small-cell lung cancer patients who had smoked within 3 months before surgery. Patients were followed for 12 months after surgery to assess smoking status and duration of continuous abstinence after surgery. Predictors included medical, smoking history, psychosocial, and demographic characteristics. RESULTS: At some point after surgery, 42.9% of patients smoked; at 12 months after surgery, 36.9% were smoking. Sixty percent of patients who lapsed did so during the first 2 months after surgery. Smoking at follow-up was predicted by shorter quit duration before surgery, more intense Appetitive cravings (expectation of pleasure from smoking), lower income, and having a higher level of education. Time until the first smoking lapse was predicted by shorter quit duration before surgery, more intense Appetitive cravings to smoke, and lower income. Among those who lapsed, greater delay before the lapse was associated with abstinence at the 12-month follow-up assessment. CONCLUSIONS: Nearly half of non-small-cell lung cancer patients return to smoking after surgery if they have recent smoking histories. Most initial lapses happen within 2 months and occur in response to more recent smoking and more intense cravings. Findings suggest that interventions to prevent relapse should target those who wait until cancer surgery to quit smoking and should be started as soon as possible after treatment.

Smoking relapse during the first year after treatment for early-stage non-small-cell lung cancer. Publishing Authors By Initials

MS Walker,DJ Vidrine,ER Gritz,RJ Larsen,Y Yan,R Govindan,EB Fisher,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Smoking relapse during the first year after treatment for early-stage non-small-cell lung cancer. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Cancer epidemiology, biomarkers & prevention : a p

VOLUME: 15

Page Numbers: 2370-7

Journal Abbreviation: Cancer Epidemiol. Biomarkers P

ISSN: 1055-9965

DAY: 28

MONTH: 11

YEAR: 2006

Smoking relapse during the first year after treatment for early-stage non-small-cell lung cancer. Information

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LANGUAGE: eng

NlmUniqueID: 9200608

Smoking relapse during the first year after treatment for early-stage non-small-cell lung cancer. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: epidemiology

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Grant and Affiliation Information for Smoking relapse during the first year after treatment for early-stage non-small-cell lung cancer.

AFFILIATION: Department of Medicie, Washingon University School of Medicine, St. Louis, Missouri, USA. mwalker@im.wustl.edu

Country: United States

AGENCY: United States NCI

GRANT: R01 CA85920

ACRONYM: CA

MEDLINETA: Cancer Epidemiol Biomarkers Pr

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