Predictive factors of 6 month continuous abstinence at the beginning of treatment
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National Fund of Resources, Uruguay
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A880
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ABSTRACT
Background:
National Fund of Resources (FNR), public
non-state agency of Uruguay, finances highly-specialized medical procedures and
high-cost drugs. Given the impact of tobacco use as a serious Public Health
problem and as a risk management strategy, in 2004 FNR implemented a Tobacco
Dependence Treatment Program. It provides professional training, financing
pharmacological treatment with nicotine substitutes and bupropion, provides a
computerized clinical record system and performs periodic analysis of process
and outcome indicators. The present work analyzes the samples studied in two
consecutive evaluations.
Methods:
The objective is to detect variables, at the onset of the program, that predict
the probability of success, measured in continuous abstinence for 6 months.
A logistic regression was performed with: sex,
age at the beginning of treatment, age at onset of tobacco use, daily
consumption, maximum consumption, medication use, educational level and number
of controls in the first 30 days of treatment.
Results:
824 patients were included in the
analysis, the variables retained by the model were the number of controls as a
factor that favors abstinence (OR = 1.33, 1.17-1.51), and mean daily
consumption at admission (OR = 0.97, 0.95-0.99) and the maximum consumption (OR
= 0.99, 0.97-1.0) as the factors that do not favor. Significant effect was
obtained for abstinence rate, from 4 contact with the team (OR = 1.94,
1.10-3.41).
Conclusions:
The magnitude
of consumption at admission is a well-known predictor, which is related to
dependence degree, however the fact that in the model was maintained
independently of maximum consumption, suggests that consumption at admission
reflects if there are control measures implemented before onset program,
indirect indicator of motivation. On the other hand, the results suggest
that it is justified to concentrate time and resources necessary to increase
adherence in the first month, to achieve at least 4 patients' contacts with the
program.