1
|
Karadoğan D, Kaya İ, Yumrukuz Şenel M, Konyalıhatipoğlu EB, Telatar TG, Akgün M. Neglecting the neglected: Tobacco cessation support is essential for the management of asthma and COPD. Tob Induc Dis 2024; 22:TID-22-22. [PMID: 38264187 PMCID: PMC10804862 DOI: 10.18332/tid/176228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 11/22/2023] [Accepted: 12/01/2023] [Indexed: 01/25/2024] Open
Abstract
INTRODUCTION Asthma and COPD management have a broad framework, and smoking cessation plays an essential role. We examine the management of asthma and COPD patients not only for inhaler treatment options but also for essential interventions, such as smoking cessation support. METHODS Data were collected cross-sectionally from pulmonology departments of three government hospitals in Türkiye between May and September 2022. Patients aged ≥18 years who had been diagnosed with asthma or COPD for at least a year, were included in the study. The demographic and clinical characteristics of the patients were investigated. Routine cessation interventions were implemented for current smokers, and they were followed via phone calls after one month regarding their quit status and access to cessation clinics. RESULTS Data from 145 patients with asthma and 148 patients with COPD were analyzed. The rate of current smoking among patients with asthma and COPD was 18.8% and 34.5%, respectively. Current smoking was negatively associated with age (<65 years) and disease duration (years) for both diseases (p<0.05). In addition, for asthmatics, presence of pulmonary disease in the family (OR:0.28, 95% CI: 0.10-0.79) and for COPD patients presence of hospitalization (OR: 0.26, 95% CI: 0.07-0.93) were negatively associated with current smoking. After one month, 85.1% of current asthmatic smokers had not tried to call a quitline, while 14.8% had tried to contact a quitline. Among current smoker COPD patients, only 1.9% had visited a smoking cessation clinic. CONCLUSIONS Tobacco cessation support seems to be neglected in asthma and COPD management. Instead, pulmonologists and patients focus on pharmaceutical treatments, which constitute the other component of care.
Collapse
Affiliation(s)
- Dilek Karadoğan
- Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - İlknur Kaya
- Department of Chest Diseases, School of Medicine, Kütahya Health Sciences University, Kütahya, Türkiye
| | - Merve Yumrukuz Şenel
- Department of Chest Diseases, School of Medicine, Balıkesir University, Balıkesir, Türkiye
| | | | - Tahsin Gökhan Telatar
- Department of Public Health, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Metin Akgün
- Department of Chest Diseases, School of Medicine, Ağrı İbrahim Çeçen University, Ağrı, Türkiye
| |
Collapse
|
2
|
Karadoğan D, Ardıç C, Telatar TG, Kanbay Y, Kayaalp E, Dedecan MA, Puşuroğlu M, Özyurt S, Özçelik N, Kara BY, Emlek N, Topçu A, Saral S, Uzun K, Konyalıhatipoğlu EB, Madran EK, Kavak İ, Göksun H, Şahin Ü, Ravara SB. Towards a comprehensive tobacco-cessation approach: A pilot-training using simulation based-learning among medical students in Türkiye. Tob Induc Dis 2023; 21:118. [PMID: 37753195 PMCID: PMC10519128 DOI: 10.18332/tid/170278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Revised: 08/01/2023] [Accepted: 08/04/2023] [Indexed: 09/28/2023] Open
Affiliation(s)
- Dilek Karadoğan
- Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Cüneyt Ardıç
- Department of Family Medicine, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Tahsin Gökhan Telatar
- Department of Public Health, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Yalçın Kanbay
- Department of Psychiatric Nursing, Faculty of Health Sciences, Artvin Coruh University, Artvin, Türkiye
| | - Ekrem Kayaalp
- School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | | | - Meltem Puşuroğlu
- Department of Psychiatry, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Songül Özyurt
- Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Neslihan Özçelik
- Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Bilge Yılmaz Kara
- Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Nadir Emlek
- Department of Cardiology, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Atilla Topçu
- Department of Pharmacology, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Sinan Saral
- Department of Physiology, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Kerem Uzun
- Department of Family Medicine, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | | | | | - İsmail Kavak
- Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Hasan Göksun
- Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Ünal Şahin
- Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
| | - Sofia Belo Ravara
- Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, Türkiye
- University Hospital Center of Cova da Beira, Covilha, Portugal
- Public Health Research Center (CISP), Nova University, Lisbon, Portugal
| |
Collapse
|