BACKGROUND: Hospitalization is an opportune time for smoking cessation support; cessation interventions delivered by hospital physicians are effective. While general practitioners' and outpatients' knowledge and attitudes towards smoking cessation have been studied in great detail, in-patient cessation programmes have received less attention. DESIGN: Questionnaire-based survey of a convenience sample of hospital physicians and in-patients at Göttingen University Hospital, Germany. METHODS: All 159 physicians directly involved in bedside care on medical and surgical wards received a three-page questionnaire examining smoking status, knowledge of smoking-attributable morbidity and mortality, and their understanding of the effectiveness of methods to achieve long-term smoking cessation. Perceived barriers to the delivery of counselling and cessation services to smoking patients were identified. One thousand randomly selected patients on medical (N = 400) and surgical (N = 600) wards were invited to complete a similar questionnaire. RESULTS: Seventy-seven physicians (response rate 48.4%) and 675 patients (67.5%) completed the questionnaire. Patients and physicians alike underestimated the smoking-attributable risk of developing smoking-related cancers and chronic obstructive lung disease. In addition, severe misperceptions regarding the effectiveness of cessation methods were noted in both populations with 'willpower' being thought to be most effective in achieving abstinence. Only one-third of smoking patients recalled having been counselled to quit. Physicians identified lack of time as a central barrier to counselling smoking patients. CONCLUSIONS: These findings suggest that hospitalized smokers in a large German university hospital might not be treated according to international guidelines.
BACKGROUND: Hospitalization is an opportune time for smoking cessation support; cessation interventions delivered by hospital physicians are effective. While general practitioners' and outpatients' knowledge and attitudes towards smoking cessation have been studied in great detail, in-patient cessation programmes have received less attention. DESIGN: Questionnaire-based survey of a convenience sample of hospital physicians and in-patients at Göttingen University Hospital, Germany. METHODS: All 159 physicians directly involved in bedside care on medical and surgical wards received a three-page questionnaire examining smoking status, knowledge of smoking-attributable morbidity and mortality, and their understanding of the effectiveness of methods to achieve long-term smoking cessation. Perceived barriers to the delivery of counselling and cessation services to smoking patients were identified. One thousand randomly selected patients on medical (N = 400) and surgical (N = 600) wards were invited to complete a similar questionnaire. RESULTS: Seventy-seven physicians (response rate 48.4%) and 675 patients (67.5%) completed the questionnaire. Patients and physicians alike underestimated the smoking-attributable risk of developing smoking-related cancers and chronic obstructive lung disease. In addition, severe misperceptions regarding the effectiveness of cessation methods were noted in both populations with 'willpower' being thought to be most effective in achieving abstinence. Only one-third of smoking patients recalled having been counselled to quit. Physicians identified lack of time as a central barrier to counselling smoking patients. CONCLUSIONS: These findings suggest that hospitalized smokers in a large German university hospital might not be treated according to international guidelines.
Authors: Karina Newhall; Bjoern Suckow; Emily Spangler; Benjamin S Brooke; Andres Schanzer; Tze-Woei Tan; Mary Burnette; Maria Orlando Edelen; Alik Farber; Philip Goodney Journal: Ann Vasc Surg Date: 2016-08-10 Impact factor: 1.466
Authors: N Abdelmutti; J Brual; J Papadakos; S Fathima; D Goldstein; L Eng; T Papadakos; G Liu; J Jones; M Giuliani Journal: Curr Oncol Date: 2019-12-01 Impact factor: 3.677
Authors: Sabrina Kastaun; Verena Leve; Jaqueline Hildebrandt; Christian Funke; Stephanie Klosterhalfen; Diana Lubisch; Olaf Reddemann; Hayden McRobbie; Tobias Raupach; Robert West; Stefan Wilm; Wolfgang Viechtbauer; Daniel Kotz Journal: ERJ Open Res Date: 2021-07-26