DOES SMOKING CESSATION ADVICE WORK IN THE CONTEXT OF FRACTURE LIAISON SERVICE? RESULTS FROM A SERVICE AUDIT

Dale, Nicola; Proctor, Janet; Bardsley, Sarah; Leese, Rose; Adams, Elizabeth; Paskins, Zoe

Abstract

Background: Smoking is an important risk factor for fracture as it suppresses osteoblastic activity. Patients at high risk of fracture should be given smoking cessation advice as part of a package of lifestyle management/advice. Previous research in smoking cessation generally shows that advice from doctors, structured interventions from nurses, and individual and group counselling are effective interventions to promote smoking cessation. However, it is unknown how patients with a fragility fracture respond to advice to stop smoking in the context of Fracture Liaison Services (FLSs).

Objective: To determine the proportion of smokers who self-reported smoking cessation at 3 month review, when given smoking cessation advice in FLS.

Methods: All patients who reported smoking attending FLS between 01/09/2017 and 31/12/2017 were given smoking cessation advice and asked in their subsequent 3 month telephone follow-up review if they had managed to give up smoking. Patient demographics and self-reported smoking status were recorded. Results were analysed using descriptive statistics and percentages.

Results: In the observation period 600 patients were seen in total in FLS. 211(35.1%) patients received treatment recommendations, and required follow-up, 20 (9.4%) were smokers. Of the smokers, 12(60%) were female and 8(40%) were male and the mean age was 65. At their 3 month review, 3 (12%) self-reported smoking cessation.

Discussion: These results suggest, albeit a small proportion, advice to stop smoking may be effective in the context of FLS. Limitations of this small audit include the small numbers, self-reported smoking status, the lack of information on patients’ motivation to stop (i.e. whether the FLS encounter was an important motivator or catalyst in the decision to stop). Conclusion: Although relatively few patients attending FLS smoke, these findings suggest that attending FLS may be a trigger to stop smoking in a small percentage. Further questions remain about the impact of FLS lifestyle advice on other health behaviours e.g. reducing alcohol consumption and adoption of weight bearing exercise. The FLS community could engage with specialists in other areas to share best practice in promoting lifestyle change.

Citation

Dale, N., Proctor, J., Bardsley, S., Leese, R., Adams, E., & Paskins, Z. (2018, December). DOES SMOKING CESSATION ADVICE WORK IN THE CONTEXT OF FRACTURE LIAISON SERVICE? RESULTS FROM A SERVICE AUDIT

• Presentation Conference Type: Conference Paper (unpublished)
• Start Date: Dec 2, 2018
• End Date: Dec 4, 2018
• Deposit Date: Jun 22, 2023
• Public URL: https://keele-repository.worktribe.com/output/503147
• Publisher URL: https://link.springer.com/article/10.1007/s00198-018-4738-8