Head and Neck Neoplasms, Nicotine Addiction, Nicotine Dependence, Smoking, Smoking Cessation
Conditions
Keywords
Tobacco abstinence, Head and neck cancer, Smoking cessation, Nicotine dependence, Cancer treatment
Brief summary
The TABAC STOP ORL POUMON study aims to evaluate the factors influencing long-term smoking cessation in patients with head and neck cancer (HNC) or lung cancer undergoing radiotherapy or chemoradiotherapy. This is a single-center observational study, following patients at 1, 6, and 12 months after treatment completion. The primary objective is to determine the proportion of abstinent patients at 6 months, while secondary objectives analyze factors influencing abstinence, smoking trajectories, and reasons for relapse. A total of 100 patients will be included to ensure robust statistical analysis.
Detailed description
The TABAC STOP ORL POUMON study is a prospective, single-center observational study aiming to understand factors influencing long-term smoking cessation in patients treated for head and neck or lung cancer. Tobacco is a leading cause of death and disease, particularly in areas like Hauts-de-France with high smoking rates. Eligible patients, undergoing radiotherapy or chemoradiotherapy, are enrolled during the final week of treatment, completing questionnaires assessing nicotine dependence and alcohol use. Follow-ups are scheduled at 1, 6, and 12 months, through clinic visits or phone interviews. The primary endpoint is the proportion of patients who remain smoke-free at 6 months. Secondary endpoints include factors influencing smoking cessation, reasons for relapse, and changes in nicotine and alcohol dependence. The study will enroll 100 patients, expecting 81 evaluable cases, with data quality ensured through regular checks and source verification.
Interventions
PROCEDUREChemoradiotherapy or radiotherapy alone
Patients included in the study receive standard treatment with chemoradiotherapy or radiotherapy alone for their head and neck cancer or lung cancer. These treatments are part of their routine care and are not part of the observational study.
Sponsors
Centre Oscar Lambret
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
: * Patient aged 18 years or older * Diagnosed with head and neck cancer or lung cancer * Undergoing curative treatment with chemoradiotherapy, radiotherapy alone, or stereotactic radiotherapy * Current or former smoker * Patient covered by a social security scheme * Patient informed and having given consent for data collection Patients with human papillomavirus (HPV) may also be included
Exclusion criteria
: * Patient receiving palliative treatment * Patient under guardianship or curatorship Study Exit Criteria : \- Protocol-defined exit : After the 12-month consultation Early exit : * Withdrawal of consent for data collection * Death of the patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Abstinence at 1 month and 6 months after the end of treatment | 1 and 6 months after the end of treatment. | The primary outcome measure will be abstinence at 1 month (physical consultation or telephone follow-up) and at 6 months after the end of treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients willing to attend a smoking cessation consultation | At the 1-month telephone follow-up after the end of treatment. | Evaluation of patients willing to attend a smoking cessation consultation (assessed among active smokers at the phone follow-up consultation). |
| Abstinence at 1 month after the end of treatment | 1 month after the end of treatment | Proportion of tobacco-abstinent patients 1 month after the end of radiotherapy or chemoradiotherapy |
| Abstinence at 6 months after the end of treatment | 6 months after the end of treatment | Proportion of tobacco-abstinent patients 6 months after the end of radiotherapy or chemoradiotherapy |
| Abstinence at 12 months after the end of treatment | 12 months after the end of treatment | Proportion of tobacco-abstinent patients 12 months after the end of radiotherapy or chemoradiotherapy |
| Cigarette dependence (Cigarette Dependence Scale, CDS) | Baseline | Level of nicotine dependence assessed using the Cigarette Dependence Scale (CDS). The CDS is a validated 12-item scale with scores ranging from 0 to 60, where higher scores indicate dependence. |
| Alcohol use and dependence (Alcohol Use Disorders Identification Test, AUDIT) | Baseline | Alcohol consumption and dependence assessed using the Alcohol Use Disorders Identification Test (AUDIT). The AUDIT is a 10-item scale with scores ranging from 0 to 40, where higher scores indicate higher risk of alcohol-related harm. |
Countries
France
Contacts
STUDY_DIRECTORGautier LEFEBVRE, MD
Centre Oscar Lambret
Outcome results
None listed