RESEARCH

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PICOT Question:

A patient of age 40 years is diagnosed with some lung problems and admitted to hospital. How effective will be the strategy of cessation of smoking for the period of two months to overcome the lung problems as compared to chemotherapy and inhalers

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A 40year-old patient diagnosed with lung cancer

The most common cancer-related cause of death in the United States is malignant lung tumors. As many as 83 percent of lung cancer patients continue to smoke after being diagnosed with the disease, according to a recent study. People with early-stage lung cancer who smoke have an almost twofold increased risk of dying from the condition if they continue to smoke. Cigarette smoking is responsible for as many as 90 percent of all lung cancer cases, according to current estimates. Lung cancer is diagnosed in 24–60% of patients, compared to 12–29% of the general population in the United States. Up to 83% of people with lung cancer who have been diagnosed with smoking after obtaining the diagnosis, continue to smoke. (Cataldo, et al, 2010)

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cessation of smoking

Preparation, intervention, and maintenance make up the three components of smoking cessation therapy (Stead, et al, 2013). In order to boost both a smoker's desire to stop and his or her belief in one's own ability to succeed in their efforts, it is important to take actions to prepare. Intervention can come in a variety of forms to help smokers kick the habit. Long-term sobriety involves the practice of maintenance, which may include encouragement, coping techniques, and the use of behavioral substitutions. Smokers who want to completely quit smoking typically follow the advice of a medical practitioner. Quitting smoking can be made easier with the help of public or private smoking cessation kits, books, recordings, and over-the-counter medications, as well as private smoking cessation packages. An example of how one group might benefit from the assistance of another is the Great American Smoke out and other mass media and community-based campaigns. Many choices are available, including free and commercial clinics, counseling, and more. For the vast majority of smokers, this is the most effective and cost-efficient method for quitting. Quitting smoking can be accomplished in a variety of ways, including on one's own, with the help of a health professional, or with the aid of a quit-smoking guide. It is possible to effectively quit smoking, but sustaining that status requires assistance from others and additional measures like relapse prevention.

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chemotherapy and inhalers

(Etter, et al, 2002) explains that, Additional treatments to stop smoking, such as nicotine inhalers and chemotherapy, are also available. Smoking cessation is the most popular technique of stopping smoking, and it is also the most effective. The puffing motion of a nicotine inhaler might cause irritation of the tongue and throat. As well as causing stomach pain and headaches, it can induce coughing. In addition, the cost is considerably high. Cigarette smokers are more likely to experience side effects from chemotherapy and radiation such as infection, weariness, heart and lung difficulties, and weight loss than nonsmokers, according to the American Society for Clinical Oncology (ASCO).

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Outcome of cessation of smoke are immediate benefits such as improved oxygenation and lower blood pressure, improved senses of smell and taste, improved circulation and breathing, greater energy and an improved immune response after quitting smoking. Health advantages include; risk of developing multiple primary lung cancer tumors decreases. (Cataldo, et al, 2010) remaining life expectancy has been lengthened. Patients who quit smoking after being diagnosed with lung cancer have shown to have a considerable improvement in their quality of life. primary lung tumor increased the risk of death by around 20%, but adjusted estimates showed that continuing smoking increased that risk by more than twofold. There are fewer complications following surgery than there are before. Postoperative problems are more common in smokers, whereas nonsmokers are at a lower risk. NSCLC patients who had surgery for sleeve lobotomies were studied for surgical morbidity and mortality. Postoperative complications, including infection and bronchopleural fistula, as well as morbidity and death, were significantly influenced by current smoking in the research participants.

citation

Research statement

Sample size and method

Results

limitation

Final summary

Cataldo, J. K., Dubey, S., & Prochaska, J. J. (2010). Smoking cessation: an integral part of lung cancer treatment. Oncology78(5-6), 289-301.

The paper reports on

the benefits of smoking cessation for lung cancer patients

Descriptive

Quantitative analysis

immediate benefits such as improved oxygenation and lower blood pressure, improved senses of smell and taste.

Patients have a considerable improvement in their quality of life

More study is required in order to design smoking cessation strategies that are successful and personalized.

lung cancer patients who smoke are extremely dependent on tobacco during a life-threatening situation; study is needed to provide effective and targeted smoking cessation therapies for these patients

Stead, L. F., Buitrago, D., Preciado, N., Sanchez, G., Hartmann‐Boyce, J., & Lancaster, T. (2013). Physician advice for smoking cessation. Cochrane database of systematic reviews, (5).

To assess the effectiveness of advice from physicians in promoting smoking cessation

analytical

Randomized trials

Preparation, intervention, and maintenance make up the three components of smoking cessation therapy

Although more intensive therapies have an advantage over very brief interventions, simple guidance has no influence on quitting rates.

The development of techniques to increase the frequency with which smokers are identified and offered guidance and help presents a significant challenge.

Etter, J. F., Laszlo, E., Zellweger, J. P., Perrot, C., & Perneger, T. V. (2002). Nicotine replacement to reduce cigarette consumption in smokers who are unwilling to quit: a randomized trial. Journal of clinical psychopharmacology22(5), 487-495.

To evaluate if nicotine replacement treatment, provided in a real-world setting, could reduce cigarette consumption among smokers who were unwilling to stop.

analytical

Randomized trials.

Sample-20 Cigarette smokers who had no intention of quitting in 6 months

The puffing motion of a nicotine inhaler might cause irritation of the tongue and throat.

Cigarette smokers will experience side effects from chemotherapy and radiation such as infection

A placebo effect was responsible for a large portion of this reduction. Treatment with nicotine to reduce smoking had no negative effects on quitting.

It is costly to conduct tests for specific markers like anabasine or any of the other non-specific indicators seen in the blood after exposure to smoke from a cigarette.

References

Cataldo, J. K., Dubey, S., & Prochaska, J. J. (2010). Smoking cessation: an integral part of lung cancer treatment. Oncology78(5-6), 289-301.

https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=Smoking+Cessation%3A+An+Integral+Part+of+Lung+Cancer+Treatment&btnG=

Etter, J. F., Laszlo, E., Zellweger, J. P., Perrot, C., & Perneger, T. V. (2002). Nicotine replacement to reduce cigarette consumption in smokers who are unwilling to quit: a randomized trial. Journal of clinical psychopharmacology22(5), 487-495.

https://journals.lww.com/psychopharmacology/Abstract/2002/10000/Nicotine_Replacement_to_Reduce_Cigarette.8.aspx

Stead, L. F., Buitrago, D., Preciado, N., Sanchez, G., Hartmann‐Boyce, J., & Lancaster, T. (2013). Physician advice for smoking cessation. Cochrane database of systematic reviews, (5).

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000165.pub4/full