Improving referral rates for smoking cessation: A multifaceted intervention aimed at radiation oncologists
Objective: Continuation of smoking after a cancer diagnosis increases the burdensome side effects from cancer treatment, and decreases the chances of cure. Smoking cessation may improve oncological outcomes in cancer patients. This study aims to evaluate if radiation oncologists can be motivated by...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Technical Innovations & Patient Support in Radiation Oncology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405632423000252 |
| _version_ | 1797262892176769024 |
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| author | Iris Bronsema Luc van Lonkhuijzen Peter Scholten Janna Laan Henrike Westerveld Lukas Stalpers |
| author_facet | Iris Bronsema Luc van Lonkhuijzen Peter Scholten Janna Laan Henrike Westerveld Lukas Stalpers |
| author_sort | Iris Bronsema |
| collection | DOAJ |
| description | Objective: Continuation of smoking after a cancer diagnosis increases the burdensome side effects from cancer treatment, and decreases the chances of cure. Smoking cessation may improve oncological outcomes in cancer patients. This study aims to evaluate if radiation oncologists can be motivated by a smoking cessation awareness intervention to discuss smoking status more frequently and increase the referral rate for smoking cessation-support.Study design and Setting:A multifaceted approach was used to improve awareness: First, current practice was evaluated by a retrospective chart review of 282 patients referred for radiotherapy to ascertain smoking status, discussion of smoking cessation support and referral rates. Secondly, radiation oncologists were interviewed about their motives and barriers to discuss smoking status and smoking cessation support. The results were fed back in a teaching lecture to the doctors involved. Finally, the effect of this smoking cessation awareness intervention was prospectively evaluated in 100 patients. Results: After the smoking cessation awareness intervention, smoking cessation was more frequently discussed compared to baseline (77% (10/13)) and 39.5% (17/43) respectively. The referral rate for smoking cessation increased from 2.3% (1/43) to 69.2% (9/13) Conclusion: Without an active smoking prevention awareness policy, referral for smoking cessation support for cancer patients by radiation oncologists is low. A relatively short and simple smoking awareness intervention for radiation oncologist may result in a more frequent discussion with patients about smoking cessation and an even larger increase in referrals for smoking cessation support. |
| first_indexed | 2024-03-08T23:12:02Z |
| format | Article |
| id | doaj.art-f8a8cd03c96d48ca8f0e659b3503344f |
| institution | Directory Open Access Journal |
| issn | 2405-6324 |
| language | English |
| last_indexed | 2024-04-25T00:04:20Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Technical Innovations & Patient Support in Radiation Oncology |
| spelling | doaj.art-f8a8cd03c96d48ca8f0e659b3503344f2024-03-14T06:15:10ZengElsevierTechnical Innovations & Patient Support in Radiation Oncology2405-63242024-03-0129100225Improving referral rates for smoking cessation: A multifaceted intervention aimed at radiation oncologistsIris Bronsema0Luc van Lonkhuijzen1Peter Scholten2Janna Laan3Henrike Westerveld4Lukas Stalpers5Department of Radiotherapy, Amsterdam UMC, University of Amsterdam, Location AMCMeibergdreef 9, 1105 AZ Amsterdam, the NetherlandsDepartment of Gynaecology, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Location AMC, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands; Corresponding authors at: Center for Gynecologic Oncology Amsterdam, Amsterdam UMC, Location AMC, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands (L. van Lonkhuijzen); Department of Radiotherapy, Amsterdam UMC, University of Amsterdam, location AMC, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands (L. Stalpers).Department of Radiotherapy, Amsterdam UMC, University of Amsterdam, Location AMCMeibergdreef 9, 1105 AZ Amsterdam, the Netherlands; Department of Gynaecology, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Location AMC, Meibergdreef 9, 1105 AZ Amsterdam, the NetherlandsDepartment of Radiotherapy, Amsterdam UMC, University of Amsterdam, Location AMCMeibergdreef 9, 1105 AZ Amsterdam, the NetherlandsDepartment of Radiotherapy, Amsterdam UMC, University of Amsterdam, Location AMCMeibergdreef 9, 1105 AZ Amsterdam, the Netherlands; Department of Radiotherapy, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, the NetherlandsDepartment of Radiotherapy, Amsterdam UMC, University of Amsterdam, Location AMCMeibergdreef 9, 1105 AZ Amsterdam, the Netherlands; Corresponding authors at: Center for Gynecologic Oncology Amsterdam, Amsterdam UMC, Location AMC, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands (L. van Lonkhuijzen); Department of Radiotherapy, Amsterdam UMC, University of Amsterdam, location AMC, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands (L. Stalpers).Objective: Continuation of smoking after a cancer diagnosis increases the burdensome side effects from cancer treatment, and decreases the chances of cure. Smoking cessation may improve oncological outcomes in cancer patients. This study aims to evaluate if radiation oncologists can be motivated by a smoking cessation awareness intervention to discuss smoking status more frequently and increase the referral rate for smoking cessation-support.Study design and Setting:A multifaceted approach was used to improve awareness: First, current practice was evaluated by a retrospective chart review of 282 patients referred for radiotherapy to ascertain smoking status, discussion of smoking cessation support and referral rates. Secondly, radiation oncologists were interviewed about their motives and barriers to discuss smoking status and smoking cessation support. The results were fed back in a teaching lecture to the doctors involved. Finally, the effect of this smoking cessation awareness intervention was prospectively evaluated in 100 patients. Results: After the smoking cessation awareness intervention, smoking cessation was more frequently discussed compared to baseline (77% (10/13)) and 39.5% (17/43) respectively. The referral rate for smoking cessation increased from 2.3% (1/43) to 69.2% (9/13) Conclusion: Without an active smoking prevention awareness policy, referral for smoking cessation support for cancer patients by radiation oncologists is low. A relatively short and simple smoking awareness intervention for radiation oncologist may result in a more frequent discussion with patients about smoking cessation and an even larger increase in referrals for smoking cessation support.http://www.sciencedirect.com/science/article/pii/S2405632423000252Smoking cessationCancerRadiotherapyReferralConsultation |
| spellingShingle | Iris Bronsema Luc van Lonkhuijzen Peter Scholten Janna Laan Henrike Westerveld Lukas Stalpers Improving referral rates for smoking cessation: A multifaceted intervention aimed at radiation oncologists Technical Innovations & Patient Support in Radiation Oncology Smoking cessation Cancer Radiotherapy Referral Consultation |
| title | Improving referral rates for smoking cessation: A multifaceted intervention aimed at radiation oncologists |
| title_full | Improving referral rates for smoking cessation: A multifaceted intervention aimed at radiation oncologists |
| title_fullStr | Improving referral rates for smoking cessation: A multifaceted intervention aimed at radiation oncologists |
| title_full_unstemmed | Improving referral rates for smoking cessation: A multifaceted intervention aimed at radiation oncologists |
| title_short | Improving referral rates for smoking cessation: A multifaceted intervention aimed at radiation oncologists |
| title_sort | improving referral rates for smoking cessation a multifaceted intervention aimed at radiation oncologists |
| topic | Smoking cessation Cancer Radiotherapy Referral Consultation |
| url | http://www.sciencedirect.com/science/article/pii/S2405632423000252 |
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