Engagement and outcomes of cancer patients referred to a tobacco cessation program at a National Cancer Institute‐designated cancer center
Abstract Introduction Tobacco cessation is a critical but challenging intervention for cancer patients. Our National Cancer Institute‐designated Comprehensive Cancer Center instituted a tobacco cessation program in 2019. This manuscript reports on the first 2 years of our experience. Methods Patient...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-03-01
|
| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.5423 |
| _version_ | 1797854217646374912 |
|---|---|
| author | Sarah A. Westergaard Manali Rupji Lauren E. Franklin Madhusmita Behera Suresh S. Ramalingam Kristin A. Higgins |
| author_facet | Sarah A. Westergaard Manali Rupji Lauren E. Franklin Madhusmita Behera Suresh S. Ramalingam Kristin A. Higgins |
| author_sort | Sarah A. Westergaard |
| collection | DOAJ |
| description | Abstract Introduction Tobacco cessation is a critical but challenging intervention for cancer patients. Our National Cancer Institute‐designated Comprehensive Cancer Center instituted a tobacco cessation program in 2019. This manuscript reports on the first 2 years of our experience. Methods Patients were referred to the program by their care team, and a certified tobacco treatment specialist contacted patients remotely and provided behavioral therapy and coordinated pharmacotherapy. We retrospectively captured data from patients with a cancer diagnosis referred to the tobacco cessation program. Univariate and multivariable logistic regression analyses with the backward elimination approach were performed to determine factors associated with patient acceptance of referral to the tobacco cessation program. Tobacco cessation rates after referral to the program were also captured. Results Between July 2019 and August 2021, 194 patients were referred to the tobacco cessation program. Of the 194 patients referred, 93 agreed to enroll in the tobacco cessation program (47.9%), of which 84 requested pharmacotherapy (90.3%). Twenty‐four were able to cease tobacco use (25.8%). Only 7 patients out of the 101 patients (6.9%) who declined cessation services were successful (p < 0.001). On univariate logistic regression, race (p = 0.027) and marital status (p = 0.020) were associated with referral acceptance. On multivariable analysis, single patients (odds ratio [OR] = 0.33) and Caucasian patients (OR = 0.43) were less likely to accept a referral. Conclusions Access to tobacco cessation services is a critical component of comprehensive cancer care. Our experience highlights the need to understand patient‐specific factors associated with engagement with a tobacco cessation program during cancer treatment. The use of pharmacotherapy is also a critical component of successful tobacco cessation. |
| first_indexed | 2024-04-09T20:02:58Z |
| format | Article |
| id | doaj.art-a2b1f08bf59b49508a2109caf908f457 |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-04-09T20:02:58Z |
| publishDate | 2023-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-a2b1f08bf59b49508a2109caf908f4572023-04-02T20:55:00ZengWileyCancer Medicine2045-76342023-03-011267339734710.1002/cam4.5423Engagement and outcomes of cancer patients referred to a tobacco cessation program at a National Cancer Institute‐designated cancer centerSarah A. Westergaard0Manali Rupji1Lauren E. Franklin2Madhusmita Behera3Suresh S. Ramalingam4Kristin A. Higgins5Winship Cancer Institute of Emory University Atlanta Georgia USAWinship Cancer Institute of Emory University Atlanta Georgia USAWinship Cancer Institute of Emory University Atlanta Georgia USAWinship Cancer Institute of Emory University Atlanta Georgia USAWinship Cancer Institute of Emory University Atlanta Georgia USAWinship Cancer Institute of Emory University Atlanta Georgia USAAbstract Introduction Tobacco cessation is a critical but challenging intervention for cancer patients. Our National Cancer Institute‐designated Comprehensive Cancer Center instituted a tobacco cessation program in 2019. This manuscript reports on the first 2 years of our experience. Methods Patients were referred to the program by their care team, and a certified tobacco treatment specialist contacted patients remotely and provided behavioral therapy and coordinated pharmacotherapy. We retrospectively captured data from patients with a cancer diagnosis referred to the tobacco cessation program. Univariate and multivariable logistic regression analyses with the backward elimination approach were performed to determine factors associated with patient acceptance of referral to the tobacco cessation program. Tobacco cessation rates after referral to the program were also captured. Results Between July 2019 and August 2021, 194 patients were referred to the tobacco cessation program. Of the 194 patients referred, 93 agreed to enroll in the tobacco cessation program (47.9%), of which 84 requested pharmacotherapy (90.3%). Twenty‐four were able to cease tobacco use (25.8%). Only 7 patients out of the 101 patients (6.9%) who declined cessation services were successful (p < 0.001). On univariate logistic regression, race (p = 0.027) and marital status (p = 0.020) were associated with referral acceptance. On multivariable analysis, single patients (odds ratio [OR] = 0.33) and Caucasian patients (OR = 0.43) were less likely to accept a referral. Conclusions Access to tobacco cessation services is a critical component of comprehensive cancer care. Our experience highlights the need to understand patient‐specific factors associated with engagement with a tobacco cessation program during cancer treatment. The use of pharmacotherapy is also a critical component of successful tobacco cessation.https://doi.org/10.1002/cam4.5423C3IcancerNCItobacco cessation |
| spellingShingle | Sarah A. Westergaard Manali Rupji Lauren E. Franklin Madhusmita Behera Suresh S. Ramalingam Kristin A. Higgins Engagement and outcomes of cancer patients referred to a tobacco cessation program at a National Cancer Institute‐designated cancer center Cancer Medicine C3I cancer NCI tobacco cessation |
| title | Engagement and outcomes of cancer patients referred to a tobacco cessation program at a National Cancer Institute‐designated cancer center |
| title_full | Engagement and outcomes of cancer patients referred to a tobacco cessation program at a National Cancer Institute‐designated cancer center |
| title_fullStr | Engagement and outcomes of cancer patients referred to a tobacco cessation program at a National Cancer Institute‐designated cancer center |
| title_full_unstemmed | Engagement and outcomes of cancer patients referred to a tobacco cessation program at a National Cancer Institute‐designated cancer center |
| title_short | Engagement and outcomes of cancer patients referred to a tobacco cessation program at a National Cancer Institute‐designated cancer center |
| title_sort | engagement and outcomes of cancer patients referred to a tobacco cessation program at a national cancer institute designated cancer center |
| topic | C3I cancer NCI tobacco cessation |
| url | https://doi.org/10.1002/cam4.5423 |
| work_keys_str_mv | AT sarahawestergaard engagementandoutcomesofcancerpatientsreferredtoatobaccocessationprogramatanationalcancerinstitutedesignatedcancercenter AT manalirupji engagementandoutcomesofcancerpatientsreferredtoatobaccocessationprogramatanationalcancerinstitutedesignatedcancercenter AT laurenefranklin engagementandoutcomesofcancerpatientsreferredtoatobaccocessationprogramatanationalcancerinstitutedesignatedcancercenter AT madhusmitabehera engagementandoutcomesofcancerpatientsreferredtoatobaccocessationprogramatanationalcancerinstitutedesignatedcancercenter AT sureshsramalingam engagementandoutcomesofcancerpatientsreferredtoatobaccocessationprogramatanationalcancerinstitutedesignatedcancercenter AT kristinahiggins engagementandoutcomesofcancerpatientsreferredtoatobaccocessationprogramatanationalcancerinstitutedesignatedcancercenter |