ArticleTranslational behavioral medicine2020
Care-paradigm shift promoting smoking cessation treatment among cancer center patients via a low-burden strategy, Electronic Health Record-Enabled Evidence-Based Smoking Cessation Treatment.
Article in Translational behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed.
- Smoking Cessation and Mortality Risk in Cancer Survivorship: Real-World Data From a National Cancer Institute-Designated Cancer Center.Journal of the National Comprehensive Cancer Network : JNCCN · 2025Observational
- A Comparison of Australian Oncology Clinicians' Smoking Cessation Care Practices for People Who Currently Smoke Versus Those Who Report Recently Stopping Smoking.Asia-Pacific journal of clinical oncology · 2025Article
- Low-Burden Electronic Health Record Strategies for Engaging Oncologists in Digital Health Behavior Change Interventions: Qualitative Interview Study.Journal of medical Internet research · 2025Article
- Specialty Tobacco Treatment Implementation in Oncology: A Qualitative Study.JCO oncology practice · 2025Article
- Characteristics of Quality Improvement Projects in Health Services: A Systematic Scoping Review.Journal of evidence-based medicine · 2025Article
- Patient-generated health data: Impact on promoting patient-centered point of care tobacco treatment in patients with cancer.Journal of clinical and translational science · 2025Article
- Enabling tobacco treatment for gastroenterology patients via a novel low-burden point-of-care model.BMC health services research · 2024Article
- Total versus Partial Workplace Tobacco Use Bans in Texas Behavioral Health Centers and their Associations with Employees' Report of Clear Signage, Policy Enforcement, Policy Awareness, and Their Beliefs, Training, and Practices Conducive to Addressing Clients' Tobacco Use.Health behavior and policy review · 2024Article
- Genomic medicine to reduce tobacco and related disorders: Translation to precision prevention and treatment.Addiction neuroscience · 2023Article
- Examining disparities in large-scale patient-reported data capture using digital tools among cancer patients at clinical intake.Cancer medicine · 2023Article
- Qualitative evaluation of the implementation and future sustainability of an e-referral system for smoking cessation at a US NCI-designated comprehensive cancer center: lessons learned.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 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
- The Bucket Approach: Developing and Implementing an On-line Training Program in Tobacco Dependence Interventions Tailored for Behavioral Health Clinicians.Community mental health journal · 2023Article
- Monitoring the Implementation of Tobacco Cessation Support Tools: Using Novel Electronic Health Record Activity Metrics.JMIR medical informatics · 2023Article
- Assessment of formal tobacco treatment and smoking cessation in dual users of cigarettes and e-cigarettes.Thorax · 2022Article
- Point of care tobacco treatment sustains during COVID-19, a global pandemic.Cancer epidemiology · 2022Article
- Reach and effectiveness of the NCI Cancer Moonshot-funded Cancer Center Cessation Initiative.Translational behavioral medicine · 2022Article
- Increased Reach and Effectiveness With a Low-Burden Point-of-Care Tobacco Treatment Program in Cancer Clinics.Journal of the National Comprehensive Cancer Network : JNCCN · 2022Article
- Feasibility of Patient Navigation-Based Smoking Cessation Program in Cancer Patients.International journal of environmental research and public health · 2022Article
- Underutilization of guideline-concordant smoking cessation treatments in surgical patients: Lessons from a learning health system.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Tobacco smoking is an important risk factor for cancer incidence, an effect modifier for cancer treatment, and a negative prognostic factor for disease outcomes. Inadequate implementation of evidence-based smoking cessation treatment in cancer centers, a consequence of numerous patient-, provider-, and system-level barriers, contributes to tobacco-related morbidity and mortality. This study provides data for a paradigm shift from a frequently used specialist referral model to a point-of-care treatment model for tobacco use assessment and cessation treatment for outpatients at a large cancer center. The point-of-care model is enabled by a low-burden strategy, the Electronic Health Record-Enabled Evidence-Based Smoking Cessation Treatment program, which was implemented in the cancer center clinics on June 2, 2018. Five-month pre- and post-implementation data from the electronic health record (EHR) were analyzed. The percentage of cancer patients assessed for tobacco use significantly increased from 48% to 90% (z = 126.57, p < .001), the percentage of smokers referred for cessation counseling increased from 0.72% to 1.91% (z = 3.81, p < .001), and the percentage of smokers with cessation medication significantly increased from 3% to 17% (z = 17.20, p < .001). EHR functionalities may significantly address barriers to point-of-care treatment delivery, improving its consistent implementation and thereby increasing access to and quality of smoking cessation care for cancer center patients.
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