Lucía Gimeno , Juan Rodríguez-López , Concepción Rodríguez-García , Lorena González-Justo , Manuel Ángel Martínez-Muñiz , Jesús Allende-González
{"title":"Ten-Year Real-Life Experience With Varenicline in a Hospital-Based Smoking Cessation Program","authors":"Lucía Gimeno , Juan Rodríguez-López , Concepción Rodríguez-García , Lorena González-Justo , Manuel Ángel Martínez-Muñiz , Jesús Allende-González","doi":"10.1016/j.opresp.2026.100582","DOIUrl":null,"url":null,"abstract":"<div><div>To assess the real-life efficacy and safety of varenicline in a hospital-based smoking cessation program.</div><div>We conducted a longitudinal prospective study including 310 smokers treated with varenicline at our hospital's Smoking Cessation Unit between 2011 and 2021.</div><div>Abstinence rates at 3, 6, and 12 months were 51.3%, 40.0%, and 36.5%, respectively. Smoking the first cigarette within 5<!--> <!-->min of waking was independently associated with treatment failure (OR: 2.516, <em>p</em> <!-->=<!--> <!-->0.02). Adverse events occurred in 27% of patients, leading to treatment discontinuation in 11%.</div><div>Varenicline demonstrated favorable efficacy and safety in real-world clinical practice, regardless of baseline motivation or comorbidities. Active follow-up is essential to optimize adherence and long-term success.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"8 2","pages":"Article 100582"},"PeriodicalIF":0.0000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Respiratory Archives","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2659663626000469","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/15 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
To assess the real-life efficacy and safety of varenicline in a hospital-based smoking cessation program.
We conducted a longitudinal prospective study including 310 smokers treated with varenicline at our hospital's Smoking Cessation Unit between 2011 and 2021.
Abstinence rates at 3, 6, and 12 months were 51.3%, 40.0%, and 36.5%, respectively. Smoking the first cigarette within 5 min of waking was independently associated with treatment failure (OR: 2.516, p = 0.02). Adverse events occurred in 27% of patients, leading to treatment discontinuation in 11%.
Varenicline demonstrated favorable efficacy and safety in real-world clinical practice, regardless of baseline motivation or comorbidities. Active follow-up is essential to optimize adherence and long-term success.
评估伐尼克兰在医院戒烟项目中的实际疗效和安全性。我们进行了一项纵向前瞻性研究,包括2011年至2021年间在我院戒烟部门接受varenicline治疗的310名吸烟者。3、6、12个月的戒断率分别为51.3%、40.0%、36.5%。醒来后5分钟内吸第一支烟与治疗失败独立相关(OR: 2.516, p = 0.02)。27%的患者发生不良事件,11%的患者停止治疗。在现实世界的临床实践中,无论基线动机或合并症如何,伐尼克兰都显示出良好的疗效和安全性。积极的随访对于优化依从性和长期成功至关重要。