RESULTS of SMOKING CESSATION CLINICS (SCC) of TURKEY

1. RESULTS of SMOKING CESSATION CLINICS (SCC) of TURKEY ESRA UZASLAN

2. METHOD • Searching national and international publication • Turkish Thoracic Society network • Re-evalutaion of data gained during Turkish Thoracic Society Tobacco and Control Symposium 2005 • Questionnaire

4. Questionnaire • Name-city • Establishment • Total number of the cases • Number of cases in 2005 • Number of cases in 2008 • Quitting rates ( one year) • Treatment modalities • Structure • Methods • Others

5. ESTABLISHMENT YEARS of SMOKING CESSATION CLINICS

6. Konak 1 nolu Toplum Sağlığı Merkezi, Buca 1 nolu Toplum Sağlığı Merkezi, • Çiğli Toplum Sağlığı Merkezi, Alaybey Ana Çocuk Sağlığı Merkezi, Bornova Aile Sağlığı Merkezi, Toplum Sağlığı Merkezi

7. ESTABLISHMENTS of SMOKING CESSATION CLINICS ACCORDING YEARS 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1992

8. TOTAL NUMBER of PATIENTS EVALUATED IN SCC

9. TOTAL NUMBER of PATIENTS EVALUATED IN SCC * Kuruluş yılı: 2009 (Ocak ayı itibariyle olgu sayıları)

10. FROM 2005 TO 2008

11. TOTAL NUMBER OF THE CASES ACCORDING TO YEARS

12. 2005 -2008

14. WHO WORKS IN SMOKING CESSATION CLINICS

15. STRUCTURE OF SMOKING CESSATION CLINICS physician nurse pyscholog dietician Social worker

16. TREATMENT MODALITIES

17. TREATMENT MODALITIES

18. Methods used for the identification of addiction and monitorization of the cessation

19. METHODS IN SCC

20. SMOKING CESSATION RATES 2008

21. PUBLICATIONS

22. Results of Uludag University Medical Faculty Smoking Cessation Clinic • First Year Results of Uludag University Medical Faculty Smoking Cessation Out-Patient Department Tüberküloz ve Toraks Dergisi 1994 • 89 cases, 52 % quitting rate • Second Year Results of Uludag University Medical Faculty Smoking Cessation Out-Patient Department Bursa Devlet Hastanesi Bülteni 1998 • 87 cases, 40 % quitting rate • The Physician’s Role in Smoking Cessation: Results of the five years of smoking cessation clinic Annals of Medical Sciences 2000 • 296 cases , 40% quitting rate

23. Toraks Dergisi, 2003;4(1):73-77

24. The evaluation of outpatient smoking cessation clinic resultsGamze Çan, Funda Öztuna, Tevfik Özlü • The out-patient smoking cessation clinic started working in April 2000 • It has been servicing once a week • 226 people, 97 (42.9%) women and 129 (57.1 %) men, visited the clinic • The average age was 37.8 ±11.8 years • The rate of the smoking cessation was 43.4% at the end of the year • There were no relations between smoking cessation and • initial age duration of smoking • number of daily cigarette • nicotine addiction level • education level Tuberk Toraks. 2004; 52(1): 69-74

25. One Year Follow up Results of Smoking Cessation ClinicTunçalp Demir, Bülent Tutluoğlu Nihal Koç, Leman Bilgin • The outpatient smoking cessation clinic has been working for five years • 839 cases were re-evaluated • For 634 case, they had one year smoking cessation follow up results • 634 people, 316 women and 318 men, • The average age was 43.5 ± 12 years • The rate of the smoking cessation was 33.6 % for NRT at the end of the year Tüberküloz ve Toraks Dergisi2004  Cilt: 52  Sayı: 1  63-68

26. Tüberküloz ve Toraks Dergisi 2005; 53(4): 354-361

28. Factors effecting success rates • Elder cases • Cases with children • Working in a non-smoking environment • Factors not effecting quitting rates • Gender • Occupation • educational status • respiratory symptoms • Comorbidity • family history • smoking habits of household • alcohol consumption • smoking duration • age of starting smoking • daily number of cigarettes smoked • Fagerström scores

29. Tüberküloz ve Toraks Dergisi 2006; 54(1): 43-50

31. Complaints related to smoking cessation • One hundred and two (52.6%) of the 194 patients quitting smoking had various complaints • One of the most frequently experienced problems was weight gain • Other complaints • 8.7% patients complain of increased appetite • 19.6% patients complain of lesions in the mouth, gums or tongue • 6.1% patients had complaints of tension, restlessness, nervousness or sleeplessnes • 4.6% of a desire to smoke • 4.6% of headache • 4.1% of constipation, • 3.6% of drowsiness numbness or concentration impairment • Forty-five (44.1%) of the 102 patients with smoking cessation related complaints and 57 (62%) of 92 patients with no complaints recommenced smoking

32. Three hundred and fifty patients were referred to smoking cessation program between September 2002 and July 2003 • 131patients fulfilled the trial criteria • The patients were randomized into nicotine patch (n=50), bupropion (n=50) and control groups (n=31) • Cases were followed up for 24 weeks • At the end of the 24th week success rates were • 26% for nicotine patch group • 26%for bupropion • 16% for control group • Mean body weight at baseline and change at 6 months did not differ significantly between the groups • Sleep disturbance was significantly more common in nicotine patch and bupropion groups than the control group

33. Respirology 2007; 12: 911–915

34. Success of a smoking cessation program among smoking relatives of patients with serious smoking related pulmonary disordersSolak ZA, Goksel T, Telli CG, Erdinç E. • The aim of the study was to investigate the success of a smoking cessation program among the smoking relatives of patients with serious smoking-related disorders • The relatives of patients with chronic obstructive pulmonary disease (COPD) and lung cancer who wanted to quit smoking were included in the smoking cessation program (group I, n = 34) • During the same period, the same number of subjects with relatives free of any smoking-related diseases were included as a control group (group II, n = 34) • Intensive behavioral therapy and motivational support was given to all subjects • Having a relative with serious smoking-related disorders did not motivate smokersto quit smoking Eur Addict Res. 2005;11(2):57-61

35. Toraks Dergisi 2007; 8(2):110-114

36. Tüberküloz ve Toraks Dergisi 2008; 56(3): 283-290

37. ONE YEAR FOLLOW UP RESULTS OF OUR SMOKING CESSATION CLINIC Cengiz ÖZGEMersin University Medical Faculty • Seventy subjects, followed from September 2003 to September 2004 were included in this study • Each subject was interviewed by the following procedures; first 2 month 2 times per month, after than one time in each month • Medical treatments have been given 64.3% of the subjects • One year quitting ratio was 24.3% for all subjects and this ratio was 26.7% for having medication and 20.0% for others • The comparison of quitting ratio did not show any statistically significant difference between the medicated and non-medicated groups Mersin Üniversitesi Dergisi 2008

39. Toraks Dergisi, 2005;6(3):221-227

40. CONCLUSION • The number of smoking cessation clinics are increasing • Number of health units which provides smoking cessation services is over 95

43. CONCLUSION • The number of smoking cessation clinics are increasing • Number of health units which provides smoking cessation services is over 95 • 25000 cases were evaluated in 21 centers • For a healthier population in our country, every physician should provide help to their patients for smoking cessation during their daily pracitice

44. THANK YOU • Turkish Thoracic Society Tobacco Control Task Force tutun-toraks form • Repliers to questionnaire • Turkish Thoracic Society network Başak Burgazlıoğlu and Arzu Ertem