PT  - JOURNAL ARTICLE
AU  - C.M. van der Aalst
AU  - R.J. van Klaveren
AU  - K.A.M. van den Bergh
AU  - M.C. Willemsen
AU  - H.J. de Koning
TI  - The impact of a lung cancer CT screening result on smoking abstinence
AID  - 10.1183/09031936.00035410
DP  - 2010 Jan 01
TA  - European Respiratory Journal
PG  - erj00354-2010
4099  - http://erj.ersjournals.com/content/early/2010/12/09/09031936.00035410.short
4100  - http://erj.ersjournals.com/content/early/2010/12/09/09031936.00035410.full
AB  - Receiving a lung cancer CT screening result might be a teachable moment for smoking cessation, but it might also unintentionally reassure smokers to continue smoking.The objective was to investigate whether the test result was associated with smoking abstinence in the Dutch-Belgian randomised controlled lung cancer screening trial (NELSON trial).Two random samples of male smokers who had received either only negative test results (n=550) or one or more indeterminate test result (n=440) were sent a questionnaire two years after randomization.Smokers with an indeterminate result reported more quit attempts (p=0.02), but the prolonged abstinence rate in smokers receiving a negative test (8.9%; 46/519) was comparable with the abstinence rate in smokers with one or more indeterminate results (11.5%; 48/419) (p=0.19). A statistically insignificant increase was found after one or >1 indeterminate test results (10.9% and 15.0% respectively) compared with receiving only negative test results (8.9%) (p=0.26).In conclusion, the outcome of the screening test had no impact on future smoking abstinence in male smokers, although all results suggests more favourable implications after one or more follow-up recommendations. Screening test outcomes could be used as a teachable moment for smoking cessation.