A smoking cessation intervention with hospitalized surgical cancer patients: a pilot study

Cancer Nurs. 1994 Apr;17(2):81-6.


The purpose of this pilot study was to examine the effect of a structured smoking cessation intervention during hospitalization on short-term smoking abstinence. Hospitalized surgical oncology patients who smoked (n = 26) and were diagnosed with cancer were randomly assigned to either an experimental or control group. Experimental group subjects (n = 12) received a structured smoking cessation intervention during hospitalization followed by five weekly phone calls after discharge. Control group subjects (n = 14) received usual care from their health-care providers during hospitalization. Abstinence from smoking, as determined by saliva cotinine, the primary metabolite of nicotine, was measured at first postdischarge visit. Subjects with a saliva cotinine level of < 10 ng/ml were classified as abstinent. At first postdischarge visit, 75% of experimental group subjects were abstinent compared with 42.9% in the usual care group, a 32% difference. These preliminary findings will assist in the design and further evaluation of cancer rehabilitation strategies promoting cessation in hospitalized postoperative cancer patients who continue to smoke.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Cotinine / analysis
  • Female
  • Humans
  • Inpatients*
  • Male
  • Middle Aged
  • Neoplasms / nursing
  • Neoplasms / surgery*
  • Pilot Projects
  • Saliva / chemistry
  • Smoking / metabolism
  • Smoking Cessation / methods*
  • Smoking Prevention*


  • Cotinine