Nomogram to predict successful smoking cessation in a Chinese outpatient population

Introduction The study aimed to establish and internally validate a nomogram to predict successful smoking cessation in a Chinese outpatient population. Methods A total of 278 participants were included, and data were collected from March 2016 to December 2018. Predictors for successful smoking ces...

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Main Authors: Ning Zhu<sup>#</sup>, Shanhong Lin<sup>#</sup>, Chao Cao, Ning Xu, Xiaopin Yu, Xueqin Chen
Format: Article
Language:English
Published: European Publishing 2020-10-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Nomogram-to-predict-successful-smoking-cessation-in-a-Chinese-outpatient-population,127736,0,2.html
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author Ning Zhu<sup>#</sup>
Shanhong Lin<sup>#</sup>
Chao Cao
Ning Xu
Xiaopin Yu
Xueqin Chen
author_facet Ning Zhu<sup>#</sup>
Shanhong Lin<sup>#</sup>
Chao Cao
Ning Xu
Xiaopin Yu
Xueqin Chen
author_sort Ning Zhu<sup>#</sup>
collection DOAJ
description Introduction The study aimed to establish and internally validate a nomogram to predict successful smoking cessation in a Chinese outpatient population. Methods A total of 278 participants were included, and data were collected from March 2016 to December 2018. Predictors for successful smoking cessation were evaluated by 3-month sustained abstinence rates. Least absolute shrinkage and selection operator (LASSO) regression was used to select variables for the model to predict successful smoking cessation, and multivariable logistic regression analysis was performed to establish a novel predictive model. The discriminatory ability, calibration, and clinical usefulness of the nomogram were determined by the concordance index (C-index), calibration plot, and decision curve analysis, respectively. Internal validation with bootstrapping was performed. Results The nomogram included living with a smoker or experiencing workplace smoking, number of outpatient department visits, reason for quitting tobacco, and varenicline use. The nomogram demonstrated valuable predictive performance, with a C-index of 0.816 and good calibration. A high C-index of 0.804 was reached with interval validation. Decision curve analysis revealed that the nomogram for predicting successful smoking cessation was clinically significant when intervention was conducted at a successful cessation of smoking possibility threshold of 19%. Conclusions This novel nomogram for successful smoking cessation can be conveniently used to predict successful cessation of smoking in outpatients.
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spelling doaj.art-e02b2485b11f4a1bb1657d77bc7287ac2022-12-21T19:05:32ZengEuropean PublishingTobacco Induced Diseases1617-96252020-10-0118October11110.18332/tid/127736127736Nomogram to predict successful smoking cessation in a Chinese outpatient populationNing Zhu<sup>#</sup>0Shanhong Lin<sup>#</sup>1Chao Cao2Ning Xu3Xiaopin Yu4Xueqin Chen5Department of Respiratory and Critical Care Medicine, Ningbo First Hospital, Ningbo, ChinaDepartment of Ultrasound, Ningbo First Hospital, Ningbo, ChinaDepartment of Respiratory and Critical Care Medicine, Ningbo First Hospital, Ningbo, ChinaDepartment of Respiratory and Critical Care Medicine, Ningbo First Hospital, Ningbo, ChinaDepartment of Prevention and Health Care, Ningbo First Hospital, Ningbo, ChinaDepartment of Traditional Medicine, Ningbo First Hospital, Ningbo, ChinaIntroduction The study aimed to establish and internally validate a nomogram to predict successful smoking cessation in a Chinese outpatient population. Methods A total of 278 participants were included, and data were collected from March 2016 to December 2018. Predictors for successful smoking cessation were evaluated by 3-month sustained abstinence rates. Least absolute shrinkage and selection operator (LASSO) regression was used to select variables for the model to predict successful smoking cessation, and multivariable logistic regression analysis was performed to establish a novel predictive model. The discriminatory ability, calibration, and clinical usefulness of the nomogram were determined by the concordance index (C-index), calibration plot, and decision curve analysis, respectively. Internal validation with bootstrapping was performed. Results The nomogram included living with a smoker or experiencing workplace smoking, number of outpatient department visits, reason for quitting tobacco, and varenicline use. The nomogram demonstrated valuable predictive performance, with a C-index of 0.816 and good calibration. A high C-index of 0.804 was reached with interval validation. Decision curve analysis revealed that the nomogram for predicting successful smoking cessation was clinically significant when intervention was conducted at a successful cessation of smoking possibility threshold of 19%. Conclusions This novel nomogram for successful smoking cessation can be conveniently used to predict successful cessation of smoking in outpatients.http://www.journalssystem.com/tid/Nomogram-to-predict-successful-smoking-cessation-in-a-Chinese-outpatient-population,127736,0,2.htmlsmokingsmoking cessationpredictorsnomogram
spellingShingle Ning Zhu<sup>#</sup>
Shanhong Lin<sup>#</sup>
Chao Cao
Ning Xu
Xiaopin Yu
Xueqin Chen
Nomogram to predict successful smoking cessation in a Chinese outpatient population
Tobacco Induced Diseases
smoking
smoking cessation
predictors
nomogram
title Nomogram to predict successful smoking cessation in a Chinese outpatient population
title_full Nomogram to predict successful smoking cessation in a Chinese outpatient population
title_fullStr Nomogram to predict successful smoking cessation in a Chinese outpatient population
title_full_unstemmed Nomogram to predict successful smoking cessation in a Chinese outpatient population
title_short Nomogram to predict successful smoking cessation in a Chinese outpatient population
title_sort nomogram to predict successful smoking cessation in a chinese outpatient population
topic smoking
smoking cessation
predictors
nomogram
url http://www.journalssystem.com/tid/Nomogram-to-predict-successful-smoking-cessation-in-a-Chinese-outpatient-population,127736,0,2.html
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