SHM Converge Scientific Abstract ePoster Gallery-An Opportunity to Improve Tobacco Cessation and Lung Cancer Screening

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This retrospective cohort study examined whether hospitalization is associated with better tobacco cessation treatment and lung cancer screening among adult patients who currently smoke and are followed in a patient-centered medical home.<br /><br />The study included electronic health record data from an 8-year period. The main exposures were hospitalization, and the main outcomes were: (1) receiving at least one nicotine replacement therapy (NRT) prescription, and (2) for patients aged 55–80, completing at least one low-dose computed tomography (LDCT) lung cancer screening scan.<br /><br />Results showed that hospitalization was associated with higher odds of receiving NRT (odds ratio 1.68, 95% CI 1.42–1.99). However, hospitalization was not associated with LDCT completion (odds ratio 0.884, 95% CI 0.680–1.149).<br /><br />Despite hospitalization, many opportunities for prevention were missed. Among 1,844 current smokers hospitalized during the study period, 58% never received an NRT prescription. Among 908 hospitalized smokers aged 55–80, 76% had no completed LDCT screening.<br /><br />The authors conclude that hospitalization is an underused opportunity to improve tobacco cessation treatment and lung cancer screening. They suggest hospital clinicians and primary care providers should work together to deliver evidence-based preventive care that could reduce tobacco-related illness and death.

Asset Subtitle

Ellen N. Espostio

Meta Tag

Author List Andrew Schreiner, Benjamin Toll, Chloe Bays, Ellen N. Espostio, Jingwen Zhang, Justin Marsden, Leslie Lenert, Marc Heincelman, Patrick Mauldin, William Moran

Category Research

Concept Hospitalization

Concept Smoking Cessation

Concept Never Smoker

Concept Nicotine Replacement Therapy

Concept Lung Cancer Screening

Distinguished Non-Finalist

Presenter Organization Medical University of South Carolina

Presenting Author Ellen N. Espostio

Track Quality Improvement

Keywords

hospitalization

tobacco cessation

nicotine replacement therapy

lung cancer screening

low-dose computed tomography

current smokers

patient-centered medical home

electronic health records

preventive care

retrospective cohort study

Hospitalization

Smoking Cessation

Never Smoker

Nicotine Replacement Therapy

Lung Cancer Screening