BMJ Open Respiratory Research (Feb 2025)
Uptake and 4-week outcomes of an ‘opt-out’ smoking cessation referral strategy in a London-based lung cancer screening setting
- Anthony Edey,
- Neal Navani,
- Kitty Chan,
- Graham Robinson,
- Janine Zylstra,
- Paul Robinson,
- Laura Green,
- Anand Devaraj,
- Jane Rowlands,
- Allan Hackshaw,
- Carolyn Horst,
- Arjun Nair,
- Sam M Janes,
- Kate Davies,
- Jeannie Eng,
- Mamta Ruparel,
- Samantha L Quaife,
- Jennifer L Dickson,
- Magali Taylor,
- Angshu Bhowmik,
- Hasti Robbie,
- Joseph Jacob,
- Laura Farrelly,
- Sophie Tisi,
- Tanya Patrick,
- Andrew Creamer,
- Helen Hall,
- Samanjit Hare,
- Jon Teague,
- Samuel M Janes,
- Esther Arthur-Darkwa,
- Thea Buchan,
- Stephen Ellis,
- Thomas Callender,
- Rachael Sarpong,
- John McCabe,
- Zaheer Mangera,
- Ethaar El-Emir,
- Terry O'Shaughnessy,
- Geoff Bellingan,
- Nick Screaton,
- Priyam Verghese,
- William M Ricketts,
- Vicky Bowyer,
- Kylie Gyertson,
- Fanta Bojang,
- Claire Levermore,
- Tania Anastasiadis,
- Ruth Prendecki,
- Amyn Bhamani,
- Malavika Suresh,
- Judy Airebamen,
- Alice Cotton,
- Kaylene Phua,
- Elodie Murali,
- Simranjit Mehta,
- Karen Parry-Billings,
- Columbus Ife,
- April Neville,
- Zahra Hanif,
- Helen Kiconco,
- Ricardo McEwen,
- Dominique Arancon,
- Nicholas Beech,
- Derya Ovayolu,
- Christine Hosein,
- Sylvia Patricia Enes,
- Qin April Neville,
- Aashna Samson,
- Urja Patel,
- Fahmida Hoque,
- Hina Pervez,
- Sofia Nnorom,
- Moksud Miah,
- Julian McKee,
- Mark Clark,
- Anant Patel,
- Sara Lock,
- Rajesh Banka,
- Ugo Ekeowa,
- Charlotte Cash,
- Tunku Aziz,
- Alberto Villanueva,
- Elena Stefan,
- Charlie Sayer,
- Navinah Nundlall,
- Andrew Crossingham,
- Tanita Limani,
- Kate Gowers,
- Andrew Perugia,
- James Rusius,
- Anne-Marie Hacker,
- Monica L Mullin,
- Evangelos Katsampouris,
- Chuen R Khaw,
- Chuen Khaw,
- Sheetal Karavadra,
- Alan Shaw,
- Chris Valerio,
- Ali Mohammed,
- Lynsey Gallagher,
- Mehran Azimbagirad,
- Burcu Ozaltin,
- Maureen Browne,
- Eleanor Hellier,
- Catherine Nestor
Affiliations
- Anthony Edey
- 9 North Bristol NHS Trust, Westbury on Trym, UK
- Neal Navani
- 2 Respiratory Medicine, University College London, London, UK
- Kitty Chan
- Graham Robinson
- Janine Zylstra
- Paul Robinson
- Trauma and Orthopaedics, Peterborough City Hospital, Peterborough, UK
- Laura Green
- NHS Blood & Transplant and Barts Health NHS Trust, London, UK
- Anand Devaraj
- 1 National Heart and Lung Institute, Imperial College, London, UK
- Jane Rowlands
- Allan Hackshaw
- UCL Cancer Institute, University College London, UK
- Carolyn Horst
- Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK
- Arjun Nair
- University College Hospital, London, UK
- Sam M Janes
- Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK
- Kate Davies
- 1 Division of Population Medicine, Cardiff University, Cardiff, Cardiff, UK
- Jeannie Eng
- Stroke Research Centre, Institute of Neurology, University College London, London, UK
- Mamta Ruparel
- Respiratory and Critical Care Medicine, National University Hospital, Singapore
- Samantha L Quaife
- 1 Queen Mary University of London, London, UK
- Jennifer L Dickson
- Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK
- Magali Taylor
- Department of Radiology, University College London Hospitals NHS Foundation Trust, London, London, UK
- Angshu Bhowmik
- Respiratory Medicine, Homerton University Hospital NHS Foundation Trust, London, London, UK
- Hasti Robbie
- 2 Department of Radiology, Kings College Hospital, London, UK
- Joseph Jacob
- 6 Centre for Medical Imaging and Computing, University College London, London, UK
- Laura Farrelly
- Cancer Research UK and UCL Cancer Trials Centre, London, UK
- Sophie Tisi
- Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK
- Tanya Patrick
- 1 Department of Respiratory Medicine, Kings College Hospital, London, UK
- Andrew Creamer
- 2 Brown University Library, Providence, Rhode Island, USA
- Helen Hall
- 2 James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK
- Samanjit Hare
- Royal Free London NHS Foundation Trust, London, UK
- Jon Teague
- Samuel M Janes
- 3 Lungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London, London, UK
- Esther Arthur-Darkwa
- University College CRUK and UCL Cancer Trials Centre, UCL Cancer Institute, London, UK
- Thea Buchan
- Stephen Ellis
- Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA
- Thomas Callender
- Division of Medicine, University College London, London, UK
- Rachael Sarpong
- 4 Surgical and Interventional Trials Unit (SITU), Division of Surgery and Interventional Science, University College London, London, UK
- John McCabe
- Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK
- Zaheer Mangera
- Department of Respiratory Medicine, North Middlesex University Hospital NHS Trust, London, UK
- Ethaar El-Emir
- 2 Harefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust, UK, London, UK
- Terry O'Shaughnessy
- Geoff Bellingan
- University College London, London, UK
- Nick Screaton
- Priyam Verghese
- Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK
- William M Ricketts
- Vicky Bowyer
- Department of Twin Research and Genetic Epidemiology, King`s College London, London, UK
- Kylie Gyertson
- University College London Hospitals NHS Foundation Trust, London, UK
- Fanta Bojang
- University College London Hospitals NHS Foundation Trust, London, UK
- Claire Levermore
- University College London Hospitals NHS Foundation Trust, London, UK
- Tania Anastasiadis
- Tower Hamlets Clinical Commissioning Group, London, UK
- Ruth Prendecki
- Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK
- Amyn Bhamani
- Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK
- Malavika Suresh
- Judy Airebamen
- Alice Cotton
- Kaylene Phua
- Elodie Murali
- Simranjit Mehta
- Karen Parry-Billings
- Columbus Ife
- April Neville
- Zahra Hanif
- Helen Kiconco
- Ricardo McEwen
- Dominique Arancon
- Nicholas Beech
- Derya Ovayolu
- Christine Hosein
- Sylvia Patricia Enes
- Qin April Neville
- Aashna Samson
- Urja Patel
- Fahmida Hoque
- Hina Pervez
- Sofia Nnorom
- Moksud Miah
- Julian McKee
- Mark Clark
- Anant Patel
- Sara Lock
- Rajesh Banka
- Ugo Ekeowa
- Charlotte Cash
- Tunku Aziz
- Alberto Villanueva
- Elena Stefan
- Charlie Sayer
- Navinah Nundlall
- Andrew Crossingham
- Tanita Limani
- Kate Gowers
- 1UCL Cancer Institute, Pre-Cancer Immunology Laboratory, London, UK
- Andrew Perugia
- James Rusius
- Anne-Marie Hacker
- Cancer Research UK and UCL Cancer Trials Centre, University College London, London, UK
- Monica L Mullin
- 1 Respiratory, University College London, London, UK
- Evangelos Katsampouris
- Wolfson Institute of Population Health, Queen Mary University of London, London, UK
- Chuen R Khaw
- Lungs for Living Research Centre, UCL Respiratory, University College London, London, UK
- Chuen Khaw
- Sheetal Karavadra
- Alan Shaw
- Chris Valerio
- Ali Mohammed
- Lynsey Gallagher
- Mehran Azimbagirad
- Burcu Ozaltin
- Maureen Browne
- Eleanor Hellier
- Catherine Nestor
- DOI
- https://doi.org/10.1136/bmjresp-2024-002337
- Journal volume & issue
-
Vol. 12,
no. 1
Abstract
Introduction Lung cancer screening (LCS) enables the delivery of smoking cessation interventions to a population experiencing long-term tobacco dependence, but the optimal delivery method remains unclear. Here, we report uptake and short-term outcomes of an ‘opt-out’ smoking cessation referral strategy in an LCS cohort.Methods Individuals currently smoking tobacco who attended a face-to-face lung health check in the SUMMIT study (NCT03934866) were offered very brief advice on smoking cessation and where possible, an ‘opt-out’ referral to their local stop smoking service (SSS). Aggregate data on referral outcomes were obtained from each SSS individually.Results 33.7% (n=2090/6203) of individuals currently smoking tobacco consented to a practitioner-made ‘opt-out’ smoking cessation referral. 42.7% (n=893/2090) of these individuals resided in boroughs where SSS were not present or required self-referral. Males (adjusted OR (aOR) 1.16), younger individuals (55–59: aOR 1.70, 60–64: aOR 1.71 and 65–69: aOR 1.78) and those of ethnic minority backgrounds (Asian: aOR 1.31, Black: aOR 1.71 and Mixed: aOR 1.72) were more likely to consent, while individuals from the most deprived socioeconomic quintile were less likely to do so (aOR 0.65).High level of motivation to quit within a defined time frame (aOR 1.92), previous quit attempts in the past 12 months (1–4: aOR 1.65 and ≥5: aOR 1.54) and time to first cigarette of ≤60 min (<5: aOR 2.07, 6–30: aOR 1.55 and 31–60: aOR 1.56) were measures of tobacco dependence associated with a higher likelihood of providing consent.Outcomes were available for 742 referrals. An appointment with the service was accepted by 47.3% (n=351/742) of individuals, following which 65.5% (n=230/351) set a quit date. The 4-week quit rate among those setting a quit date and all individuals referred was 57.4% (n=132/230) and 17.8% (n=132/742), respectively.Conclusion A proactive, ‘opt-out’ smoking cessation referral strategy for individuals currently smoking tobacco who interact with an LCS programme may be beneficial.
