title: Feasibility and Efficacy of an Addiction Treatment Program in Patients With Upper Aerodigestive Tract Cancer.
abstract: BACKGROUND
  Continuing to smoke or to drink after the treatment of an upper aerodigestive tract (UADT) cancer is known to worsen the prognosis. We assessed the feasibility and efficacy of an addiction treatment program integrated into the cancer treatment.
  
  
  METHODS
  In four units devoted to UADT tumors, we proposed an addiction treatment to all patients still drinking or smoking at the end of the cancer treatment; the abstinence rate was assessed 6 and 12 months later.
  
  
  RESULTS
  One hundred and sixteen patients were included. Among the 73 patients still drinking and/or smoking at the end of the cancer treatment, 46.6% accepted an addiction treatment. In the latter, abstinence rate was increased, 52.2% versus 31.03% ( p = .07) at M12. In patients both drinking and smoking, addiction treatment doubled the rate of abstinence of both products (31% vs. 14%).
  
  
  CONCLUSIONS
  Offering addiction treatment to patients with UADT cancer improves abstinence rate and helps maintain long-term withdrawal.
authors.affiliation: a 1 Service d'Addictologie, CHU Caremeau , Place du Pr R. Debré, Nîmes, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Perney
authors.affiliation: a 1 Service d'Addictologie, CHU Caremeau , Place du Pr R. Debré, Nîmes, France.
authors.forename: Yohan
authors.initials: Y
authors.lastname: Duny
authors.affiliation: a 1 Service d'Addictologie, CHU Caremeau , Place du Pr R. Debré, Nîmes, France.|b 2 Inserm U 1016, Institut Cochin , 14 rue Méchain, Paris, France.
authors.forename: Bertrand
authors.initials: B
authors.lastname: Nalpas
authors.affiliation: c 3 Service ORL, CHU Caremeau , Place du Pr R. Debré, Nîmes, France.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Lallemant
authors.affiliation: d 4 Service de Médecine Interne , Hôpital St Eloi, Montpellier, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Rigole
authors.affiliation: e 5 Service ORL, Hôpital Gui de Chauliac , Montpellier, France.
authors.forename: César
authors.initials: C
authors.lastname: Cartier
authors.affiliation: e 5 Service ORL, Hôpital Gui de Chauliac , Montpellier, France.
authors.forename: Renaud
authors.initials: R
authors.lastname: Garrel
authors.affiliation: e 5 Service ORL, Hôpital Gui de Chauliac , Montpellier, France.
authors.forename: The Addict-Orl Study Group David
authors.initials: TASGD
authors.lastname: Azria
authors.affiliation: d 4 Service de Médecine Interne , Hôpital St Eloi, Montpellier, France.
authors.forename: François
authors.initials: F
authors.lastname: Blanc
authors.affiliation: f 6 Hôpital de Béziers , Béziers, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Duhamel
authors.affiliation: a 1 Service d'Addictologie, CHU Caremeau , Place du Pr R. Debré, Nîmes, France.
authors.forename: Meissa
authors.initials: M
authors.lastname: Neka
authors.affiliation: e 5 Service ORL, Hôpital Gui de Chauliac , Montpellier, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Ichou
authors.affiliation: a 1 Service d'Addictologie, CHU Caremeau , Place du Pr R. Debré, Nîmes, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Le Bars
authors.affiliation: a 1 Service d'Addictologie, CHU Caremeau , Place du Pr R. Debré, Nîmes, France.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Pelletier
authors.affiliation: e 5 Service ORL, Hôpital Gui de Chauliac , Montpellier, France.
authors.forename: Xavier
authors.initials: X
authors.lastname: Quantin
authors.affiliation: e 5 Service ORL, Hôpital Gui de Chauliac , Montpellier, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Stoebner
keywords: addiction; alcohol; cancer; tobacco; treatment