Addressing Tobacco Use in Patients With Cancer: A Survey of American Society of Clinical Oncology Members.

Purpose: Assessing tobacco use and providing cessation support is recommended by the American Society for Clinical Oncology (ASCO). The purpose of this study was to evaluate practice patterns and perceptions of tobacco use and barriers to providing cessation support for patients with cancer. Methods...

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Published in:Journal of Oncology Practice Vol. 9; no. 5; pp. 258 - 263
Main Authors: Warren, Graham W., Marshall, James R., Cummings, K. Michael, Toll, Benjamin A., Gritz, Ellen R., Hutson, Alan, Dibaj, Seyedeh, Herbst, Roy, Mulshine, James L., Hanna, Nasser, Dresler, Carolyn A.
Format: research tables/charts Journal Article
Published: American Society of Clinical Oncology Sep2013
Online Access:View this record in EBSCOhost
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      dt: Sep2013
      vid: 9
      iid: 5
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      pub: American Society of Clinical Oncology
      place: Alexandria, Virginia
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        10.1200/JOP.2013.001025
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        atl: Addressing Tobacco Use in Patients With Cancer: A Survey of American Society of Clinical Oncology Members.
      aug:
        au:
          Warren, Graham W.
          Marshall, James R.
          Cummings, K. Michael
          Toll, Benjamin A.
          Gritz, Ellen R.
          Hutson, Alan
          Dibaj, Seyedeh
          Herbst, Roy
          Mulshine, James L.
          Hanna, Nasser
          Dresler, Carolyn A.
        affil: Medical University of South Carolina, Charleston, SC; Roswell Park Cancer Institute, Buffalo, NY; Yale School of Medicine, Yale Cancer Center, New Haven, CT; University of Texas MD Anderson Cancer Center, Houston, TX; Rush University, Chicago, IL; Indiana University School of Medicine, Indianapolis, IN; Arkansas Department of Health, Little Rock, AR
      sug:
        subj:
          Tobacco
          Cancer Patients Psychosocial Factors
          Smoking Psychosocial Factors
          Smoking Risk Factors
          Smoking Cessation
          Human
          Surveys
          Male
          Female
          Descriptive Statistics
          Oncologic Care Psychosocial Factors
          Patient Care
          Funding Source
          Male
          Female
      ab: Purpose: Assessing tobacco use and providing cessation support is recommended by the American Society for Clinical Oncology (ASCO). The purpose of this study was to evaluate practice patterns and perceptions of tobacco use and barriers to providing cessation support for patients with cancer. Methods: In 2012, an online survey was sent to 18,502 full ASCO members asking about their practice patterns regarding tobacco assessment, cessation support, perceptions of tobacco use, and barriers to providing cessation support for patients with cancer. Responses from 1,197 ASCO members are reported. Results: At initial visit, most respondents routinely ask patients about tobacco use (90%), ask patients to quit (80%), and advise patients to stop using tobacco (84%). However, only 44% routinely discuss medication options with patients, and only 39% provide cessation support. Tobacco assessments decrease at follow- up assessments. Most respondents (87%) agree or strongly agree that smoking affects cancer outcomes, and 86% believe cessation should be a standard part of clinical cancer care. However, only 29% report adequate training in tobacco cessation interventions. Inability to get patients to quit (72%) and patient resistance to treatment (74%) are dominant barriers to cessation intervention, but only 8% describe cessation as a waste of time. Conclusion: Among ASCO members who responded to an online survey about their practice patterns regarding tobacco, most believe that tobacco cessation is important and frequently assess tobacco at initial visit, but few provide cessation support. Interventions are needed to increase access to tobacco cessation support for patients with cancer.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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