Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Spirometry to increase smoking cessation rate : A systematic review

Westerdahl, Elisabeth ; Engman, Kjell Ola ; Arne, Mats and Larsson, Matz LU (2019) In Tobacco Induced Diseases 17(April).
Abstract

INTRODUCTION Addressing tobacco use is an important issue in general health care. In order to improve smoking cessation advice, spirometry values can be displayed to the smoker to demonstrate possible lung function impairment. The estimate of so-called lung age may show a decrease in lung function associated with smoking. It has been suggested that performing spirometry on patients who smoke but are asymptomatic can be a useful way to show the adverse effects of smoking. The aim of this systematic review was to determine if providing spirometry results in combination with smoking cessation counselling can increase smoking cessation rates compared to what is achieved through counselling alone. METHODS In this systematic review, we... (More)

INTRODUCTION Addressing tobacco use is an important issue in general health care. In order to improve smoking cessation advice, spirometry values can be displayed to the smoker to demonstrate possible lung function impairment. The estimate of so-called lung age may show a decrease in lung function associated with smoking. It has been suggested that performing spirometry on patients who smoke but are asymptomatic can be a useful way to show the adverse effects of smoking. The aim of this systematic review was to determine if providing spirometry results in combination with smoking cessation counselling can increase smoking cessation rates compared to what is achieved through counselling alone. METHODS In this systematic review, we included randomized controlled trials (RCTs) evaluating smoking cessation interventions for adult smokers. The systematic search was performed in PubMed, Medline, Cochrane Library, Cinahl, Embase, Amed and PsycInfo. RESULTS The literature search resulted in 946 studies, which, after reading by two independent reviewers, were reduced to seven trials that matched the inclusion criteria. Two RCTs showed significant improvement in smoking cessation when giving patients feedback on spirometry results in combination with smoking cessation counselling, compared to patients who received only smoking cessation counselling. In both studies, the spirometry results were expressed as lung age. In the other five studies no difference was found. Five further published study protocols for ongoing RCT studies in the field have been found, and therefore this systematic overview will likely need to be updated within a few years. CONCLUSIONS Few studies have been undertaken to examine the efficacy of spirometry in increasing smoking quit rates. Studies conducted to date have shown mixed results, and there is currently limited evidence in the literature that smoking cessation counselling that includes feedback from spirometry and a demonstration of lung age promotes quit rates.

(Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Prevention, Smoking cessation, Spirometry
in
Tobacco Induced Diseases
volume
17
issue
April
article number
31
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85068177633
  • pmid:31516474
ISSN
1617-9625
DOI
10.18332/tid/106090
language
English
LU publication?
yes
id
dc681905-ecd8-43b7-a541-e2ff536e1666
date added to LUP
2019-07-10 13:03:53
date last changed
2024-06-11 21:41:25
@article{dc681905-ecd8-43b7-a541-e2ff536e1666,
  abstract     = {{<p>INTRODUCTION Addressing tobacco use is an important issue in general health care. In order to improve smoking cessation advice, spirometry values can be displayed to the smoker to demonstrate possible lung function impairment. The estimate of so-called lung age may show a decrease in lung function associated with smoking. It has been suggested that performing spirometry on patients who smoke but are asymptomatic can be a useful way to show the adverse effects of smoking. The aim of this systematic review was to determine if providing spirometry results in combination with smoking cessation counselling can increase smoking cessation rates compared to what is achieved through counselling alone. METHODS In this systematic review, we included randomized controlled trials (RCTs) evaluating smoking cessation interventions for adult smokers. The systematic search was performed in PubMed, Medline, Cochrane Library, Cinahl, Embase, Amed and PsycInfo. RESULTS The literature search resulted in 946 studies, which, after reading by two independent reviewers, were reduced to seven trials that matched the inclusion criteria. Two RCTs showed significant improvement in smoking cessation when giving patients feedback on spirometry results in combination with smoking cessation counselling, compared to patients who received only smoking cessation counselling. In both studies, the spirometry results were expressed as lung age. In the other five studies no difference was found. Five further published study protocols for ongoing RCT studies in the field have been found, and therefore this systematic overview will likely need to be updated within a few years. CONCLUSIONS Few studies have been undertaken to examine the efficacy of spirometry in increasing smoking quit rates. Studies conducted to date have shown mixed results, and there is currently limited evidence in the literature that smoking cessation counselling that includes feedback from spirometry and a demonstration of lung age promotes quit rates.</p>}},
  author       = {{Westerdahl, Elisabeth and Engman, Kjell Ola and Arne, Mats and Larsson, Matz}},
  issn         = {{1617-9625}},
  keywords     = {{Prevention; Smoking cessation; Spirometry}},
  language     = {{eng}},
  number       = {{April}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Tobacco Induced Diseases}},
  title        = {{Spirometry to increase smoking cessation rate : A systematic review}},
  url          = {{http://dx.doi.org/10.18332/tid/106090}},
  doi          = {{10.18332/tid/106090}},
  volume       = {{17}},
  year         = {{2019}},
}