Practice patterns and perceptions of thoracic oncology providers on tobacco use and cessation in cancer patients.
Introduction: Tobacco use is associated with poor outcomes in cancer patients, but there is little information from oncology providers on their practice patterns or perceptions regarding tobacco use and smoking cessation in these patients.Methods: An online survey of practices, perceptions, and barr...
| Publicado en: | Journal of Thoracic Oncology Vol. 8; no. 5; pp. 543 - 549 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
2013 May
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107904406&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107904406 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15560864 4Z2B jtl: Journal of Thoracic Oncology issn: 15560864 maglogo: N pubinfo: dt: 2013 May vid: 8 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 107904406 107904406 NLM23529191 2012131211 10.1097/JTO.0b013e318288dc96 NLM23529191 PMC3628367 107904406 ppf: 543 ppct: 6 formats: tig: atl: Practice patterns and perceptions of thoracic oncology providers on tobacco use and cessation in cancer patients. aug: au: Warren, Graham W Marshall, James R Cummings, K Michael Toll, Benjamin Gritz, Ellen R Hutson, Alan Dibaj, Seyedeh Herbst, Roy Dresler, Carolyn affil: Department of Radiation Oncology, Cell and Molecular Pharmacology and Experimental Therapeutics, Medical University of South Carolina, Charleston, South Carolina 29425, USA. warrengw@musc.edu sug: subj: Attitude of Health Personnel Neoplasms Therapy Practice Patterns Smoking Prevention and Control Smoking Cessation Clinical Competence Data Collection Counseling Human Perception Industry ab: Introduction: Tobacco use is associated with poor outcomes in cancer patients, but there is little information from oncology providers on their practice patterns or perceptions regarding tobacco use and smoking cessation in these patients.Methods: An online survey of practices, perceptions, and barriers to tobacco assessment and cessation in cancer patients was conducted in members of the International Association for the Study of Lung Cancer (IASLC). Responses of physician-level respondents were analyzed and reported.Results: Responses from 1507 IASLC members who completed the survey are reported as representing 40.5% of IASLC members. More than 90% of physician respondents believe current smoking affects outcome and that cessation should be a standard part of clinical care. At the initial patient visit, 90% ask patients about tobacco use, 79% ask patients whether they will quit, 81% advise patients to stop tobacco use, but only 40% discuss medication options, 39% actively provide cessation assistance, and fewer yet address tobacco at follow-up. Dominant barriers to physician cessation effort are pessimism regarding their ability to help patients stop using tobacco (58%) and concerns about patient resistance to treatment (67%). Only 33% report themselves to be adequately trained to provide cessation interventions.Conclusion: Physicians who care for lung cancer patients recognize the importance of tobacco cessation as a necessary part of clinical care, but many still do not provide assistance to their patients as a routine part of cancer care. Increasing tobacco cessation activities will require increased assessment and cessation at diagnosis and during follow-up, increased clinician education, and improved tobacco cessation methods. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|