Korean J Fam Med.  2019 Nov;40(6):373-379. 10.4082/kjfm.18.0094.

Short-Term Success Rates of Smoking Cessation Support Programs and Factors Predicting Smoking Relapse: Using Data from a Smoking Cessation Clinic in a Hospital

• Yu SH
• Kim MJ
• Jeon J
• Park HK
• Hwang HS
• Park KY

• KMID: 2469482
• DOI: http://doi.org/10.4082/kjfm.18.0094

Abstract

BACKGROUND
Although the number of medical institutions running a smoking cessation clinic is on the rise, there remains a paucity of research on the long- and short-term success rates of smoking cessation programs, as well as on smoking relapse rates, before and after project implementation. This study assessed the general characteristics of patients visiting the smoking cessation clinic, success rate of smoking cessation in the short term, and risks of relapse.
METHODS
Medical records from March 2015 to April 2017 were analyzed and telephone surveys were conducted with 151 smokers who visited a hospital smoking cessation clinic from March 2015 to April 2017.
RESULTS
Of the 139 smokers who were eligible for follow-up, 22 (15.8%) failed to quit smoking initially. The clinic's 6-month success rate of smoking cessation was 64.83%. Those with higher medication compliance had a lower risk of primary failure (odds ratio, 0.056; 95% confidence interval, 0.005-0.609), whereas those with higher age (hazard ratio [HR], 0.128; P=0.0252) and a greater number of visits to the clinic (HR, 0.274; P=0.0124) had a lower risk of relapsing.
CONCLUSION
The risk of primary failure to quit was higher with low medication compliance, and that of relapsing was higher with lower age and fewer number of clinic visits. Various evaluation and analysis methods can be carried out in the future based on the accumulated data for maintenance of smoking cessation and relapse prevention.

Keyword

Smoking; Smoking Cessation; Abstinence; Recurrence; Varenicline

MeSH Terms

Ambulatory Care
Follow-Up Studies
Humans
Medical Records
Medication Adherence
Recurrence*
Running
Secondary Prevention
Smoke*
Smoking Cessation*
Smoking*
Telephone
Varenicline
Smoke
Varenicline