ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019
Design, implementation, and evaluation of an intervention to improve referral to smoking cessation services in breast cancer patients.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Systematic Review of Smoking Cessation Interventions for Smokers Diagnosed with Cancer.International journal of environmental research and public health · 2022Pooled it
- No Smoker Left Behind: Evaluation of a Population-Based, Opt-Out Smoking Cessation Program for Patients With Cancer Who Smoke.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026Article
- Design of a randomized tobacco cessation trial among FDNY World Trade Center responders in a lung cancer screening program.Addiction science & clinical practice · 2025Article
- Perspectives on an Intensive Hospital-Based Smoking Cessation Intervention in Relation to Transurethral Resection of the Bladder Tumour (TURBT): Interviews with Patients, Relatives, and Clinicians.International journal of environmental research and public health · 2025Article
- Stakeholder perceptions of using "opt-out" for tobacco use treatment in a cancer care setting: a qualitative evaluation of patients, providers, and desk staff.Implementation science communications · 2023Article
- Integrating Tobacco Treatment Into Oncology Care: Reach and Effectiveness of Evidence-Based Tobacco Treatment Across National Cancer Institute-Designated Cancer Centers.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023Article
- Article
- Implementing a 3As and 'Opt-Out' Tobacco Cessation Framework in an Outpatient Oncology Setting.Current oncology (Toronto, Ont.) · 2021Article
- Presumed Consent With Opt-Out: An Ethical Consent Approach to Automatically Refer Patients With Cancer to Tobacco Treatment Services.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021Article
- Healthy Behaviors: Prevalence of Uptake Among Cancer Survivors.Clinical journal of oncology nursing · 2020Review
- Strategies for Referring Cancer Patients in a Smoking Cessation Program.International journal of environmental research and public health · 2020Observational
- Integration of Tobacco Treatment Services into Cancer Care at Stanford.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSmoking is a risk factor for poor outcomes following breast reconstructive surgery. This project aimed to design and implement an intervention to consistently refer all breast cancer patients to tobacco treatment services.
methodsIn formative work, a set of processes for providers to consistently refer patients to a tobacco treatment specialist at the Nicotine Dependence Center (NDC) was designed. Elements included consistent documentation of smoking status, provider advice specific to the benefits of quitting to cancer care, referral to NDC using an "opt-out" strategy that emphasized smoking cessation as a standard part of breast cancer treatment, and reinforcement of the importance of the referral by multiple personnel. The number of referrals to the NDC and number of patients who attended their scheduled NDC appointment were measured before and 1 year after implementation. Qualitative evaluation was performed using semi-structured interviews with participating providers and patients regarding acceptability.
resultsThe proportion of smoking patients referred to the NDC increased from 29% (22/75) before the intervention to 74% (20/27) afterward. Among those referred, attendance at the consultation increased from 41% (9/22) to 75% (15/20). This occurred despite provider interviews revealing knowledge gaps about the referral process and evidence of provider adaptation to accommodate personal practice. Feasibility and acceptability of the intervention were high.
conclusionThese findings suggest that similar referral interventions for all cancer patients should be pursued with the aim of embedding tobacco dependence treatment seamlessly and consistently into the cancer treatment plan of every patient who smokes cigarettes.
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