دورية أكاديمية

Long-Term Consequences of Spirometry During Military Routine Medical Examinations on Smoking Cessation Compared to Minimal Advice.

التفاصيل البيبلوغرافية
العنوان: Long-Term Consequences of Spirometry During Military Routine Medical Examinations on Smoking Cessation Compared to Minimal Advice.
المؤلفون: Perisse A; 9th Military Medical Center, Service de Santé des Armées, Toulon Cedex 9 83800, France., Dao MC; 13th Military Medical Center, Service de Santé des Armées, Rochefort Air 17133, France., Butty D; 3rd Military Medical Center, Service de Santé des Armées, Lille Cedex 59001, France., Derkenne C; Fire brigade, Service de Santé des Armées, Paris 75017, France., Charton F; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Fabre N; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Grosset-Janin A; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Lutringer M; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Chanet A; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Diop E; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Attia C; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Coudert A; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Courson A; 9th Military Medical Center, Service de Santé des Armées, Toulon Cedex 9 83800, France., Maillot G; 9th Military Medical Center, Service de Santé des Armées, Toulon Cedex 9 83800, France., Augen AS; 9th Military Medical Center, Service de Santé des Armées, Toulon Cedex 9 83800, France., Bagary P; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Sahuguet E; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Remond O; 1st Military medical center, Service de Santé des Armées, PARIS Cedex 12 75614, France., Paleiron N; Department of Pneumology, Military hospital Sainte-Anne, Toulon 83800, France., Bylicki O; Department of Pneumology, Military hospital Sainte-Anne, Toulon 83800, France.
المصدر: Military medicine [Mil Med] 2023 Dec 18. Date of Electronic Publication: 2023 Dec 18.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2018- : Oxford : Oxford University Press
Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955-
مستخلص: Background: Smoking kills 8 million people a year worldwide. It is the most prevalent cause of death in France by cancer, cardiovascular, or respiratory diseases. Minimal advice consists in asking patients who smoke if they are interested in quitting. It is effective in reducing smoking. The French High Health Authority recommends its systematic use with patients, whatever their reason for seeking treatment. The beneficial effect of spirometry on smoking cessation is controversial. The objective of our study was to measure the consequences of spirometry associated with minimal advice, compared with only minimal advice in soldiers seen during a routine medical examination.
Methods: Our prospective, longitudinal, open, multicenter, controlled, randomized study was conducted among French military smokers presenting for an occupational medicine visit. Each participant received, depending on their group (intervention or control), either minimal advice associated with an evaluation of lung function by mini-spirometer, or only minimal advice. Follow-up visits were performed at 6 and 12 months. The primary objective was self-reported tobacco use cessation at 6 months.
Results: A total of 267 participants (126 in the intervention group and 141 for the control arm) were included in 10 centers between June 2019 and June 2020. The response rate was 75.6% at 6 months. The cessation rates were 17% and 18% in the intervention and control groups, respectively, with no significant difference between the two groups (P = 0.9). The cessation rate in the general population was 13% at 6 months.
Conclusions: Spirometry does not seem to influence smoke cessation on a military population at 6 months. The overall cessation rate in our study was well in excess of the 3-6% expected from only providing minimal which is underused in general practice and should be encouraged.
(© The Association of Military Surgeons of the United States 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
تواريخ الأحداث: Date Created: 20231218 Latest Revision: 20231218
رمز التحديث: 20231219
DOI: 10.1093/milmed/usad473
PMID: 38109715
قاعدة البيانات: MEDLINE
الوصف
تدمد:1930-613X
DOI:10.1093/milmed/usad473