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

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, follow...

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Main Authors: Clark, Marcia E., Young, Ben, Bedford, Laura E., Robertson, John F.R., das Nair, Roshan, Vedhara, Kavita, Sullivan, Francis, Mair, Frances S., Schembri, Stuart, Littleford, Roberta, Kendrick, Denise
Format: Article
Language:English
Published: Oxford University Press 2018
Online Access:https://eprints.nottingham.ac.uk/55003/
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author Clark, Marcia E.
Young, Ben
Bedford, Laura E.
Robertson, John F.R.
das Nair, Roshan
Vedhara, Kavita
Sullivan, Francis
Mair, Frances S.
Schembri, Stuart
Littleford, Roberta
Kendrick, Denise
author_facet Clark, Marcia E.
Young, Ben
Bedford, Laura E.
Robertson, John F.R.
das Nair, Roshan
Vedhara, Kavita
Sullivan, Francis
Mair, Frances S.
Schembri, Stuart
Littleford, Roberta
Kendrick, Denise
author_sort Clark, Marcia E.
building Nottingham Research Data Repository
collection Online Access
description 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.
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spelling nottingham-550032019-08-20T04:30:17Z https://eprints.nottingham.ac.uk/55003/ Lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours? Clark, Marcia E. Young, Ben Bedford, Laura E. Robertson, John F.R. das Nair, Roshan Vedhara, Kavita Sullivan, Francis Mair, Frances S. Schembri, Stuart Littleford, Roberta Kendrick, Denise 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. Oxford University Press 2018-08-20 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/55003/1/Main%20paper%20revised%209July18%20no%20track%20changes%2001.pdf Clark, Marcia E., Young, Ben, Bedford, Laura E., Robertson, John F.R., das Nair, Roshan, Vedhara, Kavita, Sullivan, Francis, Mair, Frances S., Schembri, Stuart, Littleford, Roberta and Kendrick, Denise (2018) Lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours? Journal of Public Health . ISSN 1741-3842 (In Press)
spellingShingle Clark, Marcia E.
Young, Ben
Bedford, Laura E.
Robertson, John F.R.
das Nair, Roshan
Vedhara, Kavita
Sullivan, Francis
Mair, Frances S.
Schembri, Stuart
Littleford, Roberta
Kendrick, Denise
Lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours?
title Lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours?
title_full Lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours?
title_fullStr Lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours?
title_full_unstemmed Lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours?
title_short Lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours?
title_sort lung cancer screening: does pulmonary nodule detection affect a range of smoking behaviours?
url https://eprints.nottingham.ac.uk/55003/