2024 Asia Conference on Lung Cancer (ACLC) - Poster & ePosters-PP01.39

PP01.39 - Jueun Choi

Pdf Summary

The Korean National Lung Cancer Screening (KNLCS) Satisfaction Survey investigated personal and systemic factors affecting smoking cessation among participants in Korea's National Lung Cancer Screening program. Conducted between 2021 and 2022, the survey involved 1,000 participants per year who were heavy smokers (30 or more pack-years). <br /><br />The study found that effective counseling and active physician recommendations greatly contributed to successful smoking cessation. Of the 1,525 current smokers surveyed, 47.7% who received physician counseling reduced or quit smoking compared to those who did not receive counseling, with improved odds of quitting smoking ([OR 2.17, 95% CI 1.27-3.70]). Additionally, participants who found the counseling helpful were more likely to quit or cut down ([OR 3.53, 95% CI 2.00-6.22] and [OR 2.05, 95% CI 1.54-2.71], respectively). Moreover, active physician recommendations to quit also positively influenced smoking cessation odds ([OR 2.20, 95% CI 1.25-3.87]).<br /><br />Interestingly, the presence of abnormal findings in screening played a significant role in smoking cessation success. Those with abnormal findings were notably more responsive to counseling and physician recommendations. Participants without abnormal findings, despite receiving active recommendations, did not significantly alter smoking habits.<br /><br />The study underscores the need for tailored interventions, emphasizing counseling's effectiveness in smoking cessation, especially among those identified with abnormal findings. Further research is recommended to optimize strategies for those with no abnormal findings.<br /><br />In conclusion, physician involvement through effective counseling and proactive recommendations is vital in promoting smoking cessation post-screening. Addressing both personal and systemic factors can enhance lung cancer screening programs' effectiveness in reducing lung cancer mortality in South Korea.

Keywords

Korean National Lung Cancer Screening

smoking cessation

physician counseling

abnormal findings

tailored interventions

lung cancer mortality

systemic factors

active recommendations

smoking habits

South Korea