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Lung cancer screening : does pulmonary nodule detection affect a range of smoking behaviours?

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Journal_of_public_Health_paper_and_tables_combined_.pdf (852.8Kb)
Date
09/2019
Author
Clark, Marcia E.
Young, Ben
Bedford, Laura E.
das Nair, Roshan
Robertson, John F. R.
Vedhara, Kavita
Sullivan, Francis
Mair, Frances S.
Schembri, Stuart
Littleford, Roberta C.
Kendrick, Denise
Keywords
Lung cancer screening
Pulmonary nodules
Smoking behaviour
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
NDAS
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Abstract
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.
Citation
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
Publication
Journal of Public Health
Status
Peer reviewed
DOI
https://doi.org/10.1093/pubmed/fdy158
ISSN
0943-1853
Type
Journal article
Rights
© 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
Description
This work was supported by a National Institute for Health Research School for Primary Care Research funded academic clinical fellowship.
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/18577

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