Evidence map›Paper›PMID 31019369›Full record

ArticleTobacco use insights2019

A Brief Report of Smoking Behaviors in Patients with Incidental Pulmonary Nodules: Associations with Communication and Risk Perception.

Anne C Melzer, Sara E Golden, Renda Soylemez Wiener, Jonathan M Iaccarino, Christopher G Slatore

Open access · goldAbstract read
In one paragraph

Article in Tobacco use insights, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Anne C MelzerCenter for Chronic Disease Outcomes Research, Minneapolis VA Healthcare System, Minneapolis, MN, USA.
Sara E GoldenCenter to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, USA.ORCID https://orcid.org/0000-0003-0536-5853
Renda Soylemez WienerCenter for Healthcare Organization and Implementation Research, Bedford VA Medical Center, Bedford, MA, USA.
Jonathan M IaccarinoDivision of Pulmonary and Critical Care, Department of Medicine, School of Medicine, Boston University, Boston, MA, USA.
Christopher G SlatoreCenter to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, USA.
Boston University · USOregon Health & Science University · USUniversity of Minnesota · USVA Portland Health Care System · US

Funding

BIOLOGY OF THE LUNG--MULTIDISCIPLINARY PROGRAMT32HL007035 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Darrell N. Kotton, JOSEPH P MIZGERD · 1985 to 2026
$24.3M
Improving decisions about evaluating pulmonary nodules for lung cancerK07CA138772 · NCI · DARTMOUTH COLLEGE · PI WIENER, RENDA SOYLEMEZ · 2009 to 2013
$860k
HSRD VA CDA 09-025NCI NIH HHS K07 CA138772NHLBI NIH HHS T32 HL007035
6 · The paper itself

Abstract

introductionIncidental pulmonary nodules (IPNs) are commonly found on routine chest imaging. Little is known about smoking behaviors among patients with IPNs or characteristics of patient-clinician communication that may contribute to these behaviors. We assessed the association of patient characteristics and communication quality with smoking behaviors and stage of change for tobacco cessation among patients with IPNs. MATERIALS AND

methodsProspective, repeated-measures, cohort study of current smokers and past-year quitters with IPNs treated within the Veterans Affairs Portland Health Care System. Eligible patients had newly reported, incidental nodules <3 cm planned for non-urgent computed tomography (CT) follow-up. Our primary outcomes were changes in amount smoked and stage of change for tobacco cessation throughout the follow-up period. We used multivariable-adjusted generalized estimating equations for analyses.

resultsWe identified 37 current smokers and 9 recent quitters. By the final visit, 8 of 36 (22%) baseline smokers had quit and 2 of 7 (29%) recent quitters had resumed smoking. Of 40 respondents, 23 (58%) reported receiving any tobacco treatment (recommendation to quit, medication, and/or behavioral treatment) at least once during follow-up. We found no significant associations of high-quality communication, patient distress, self-perceived risk of lung cancer, and self-reported clinician-recommended smoking cessation interventions with decrease in amount smoked or positive stage of change.

conclusionsMany smokers and recent quitters with IPNs quit during follow-up, though nearly half reported no quit support. We found no association between communication quality or quit support and decreased smoking. The intensity of tobacco treatment offered may have been insufficient to affect behavior.

Indexed as

health communicationlung cancerpulmonary noduletobacco cessation

Identifiers

PMID31019369
PMCPMC6466466
OpenAlexW2936940822

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.