Lung cancer screening : does pulmonary nodule detection affect a range of smoking behaviours?
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Background: Lung cancer screening can reduce lung cancer mortality by 20%. Screen-detected abnormalities may provide teachable moments for smoking cessation. This study assesses impact of pulmonary nodule detection on smoking behaviours within the first UK trial of a novel auto-antibody test, followed by chest x-ray and serial CT scanning for early detection of lung cancer (Early Cancer Detection Test–Lung Cancer Scotland Study). Methods: Test-positive participants completed questionnaires on smoking behaviours at baseline, 1, 3 and 6 months. Logistic regression compared outcomes between nodule (n = 95) and normal CT groups (n = 174) at 3 and 6 months follow-up. Results: No significant differences were found between the nodule and normal CT groups for any smoking behaviours and odds ratios comparing the nodule and normal CT groups did not vary significantly between 3 and 6 months. There was some evidence the nodule group were more likely to report significant others wanted them to stop smoking than the normal CT group (OR across 3- and 6-month time points: 3.04, 95% CI: 0.95, 9.73; P = 0.06). Conclusion: Pulmonary nodule detection during lung cancer screening has little impact on smoking behaviours. Further work should explore whether lung cancer screening can impact on perceived social pressure and promote smoking cessation.
Clark , M E , Young , B , Bedford , L E , das Nair , R , Robertson , J F R , Vedhara , K , Sullivan , F , Mair , F S , Schembri , S , Littleford , R C & Kendrick , D 2019 , ' Lung cancer screening : does pulmonary nodule detection affect a range of smoking behaviours? ' , Journal of Public Health , vol. 41 , no. 3 , pp. 600–608 . https://doi.org/10.1093/pubmed/fdy158
Journal of Public Health
© The Author(s) 2018. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. This work has been made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1093/pubmed/fdy158
DescriptionThis work was supported by a National Institute for Health Research School for Primary Care Research funded academic clinical fellowship.
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