- More than 40% of current smokers have not discussed stopping smoking with their healthcare provider.
- Even among patients who underwent lung cancer screening (LCS), ~15% did not have these conversations.
Why this matters
- According to clinical guidelines and LCS reimbursement policies, smoking cessation should be the priority for all current smokers.
- 30,132 current smokers from the National Health Interview Survey.
- Funding: Florida Consortium of National Cancer Institute Centers Program.
- Frequency of discussions with a clinician about smoking increased from 2011 to 2015 (51.3% vs 55.4%; P<.0001>
- Clinician-patient conversations about smoking were more common in patients who were eligible for LCS than in those not eligible (69.5% vs 57.9%; P<.0001>
- Among patients who underwent LCS, 84.0% of patients who received a CT and 86.0% of those who received an X-ray had discussions with a clinician about smoking.
- Having a discussion with a healthcare provider about smoking was more likely in patients surveyed in 2015 vs the 2011 referent group (aOR, 1.16; 95% CI, 1.04-1.30 for 2015) and those who were LCS-eligible (aOR, 1.53; 95% CI, 1.32-1.77).
- Clinician discussions are self-reported by patients and subject to recall problems.