Evidence map›Paper›PMID 31896934›Full record

ArticleCurrent oncology (Toronto, Ont.)2019

Implementation of a comprehensive smoking cessation program in cancer care.

N Abdelmutti, J Brual, J Papadakos, S Fathima, D Goldstein, L Eng, T Papadakos, G Liu, J Jones, M Giuliani

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Proactive Referral to Behavioral Smoking Cessation Programs by Healthcare Staff: A Systematic Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Pooled it
  2. Systematic Review of Smoking Cessation Interventions for Smokers Diagnosed with Cancer.International journal of environmental research and public health · 2022
    Pooled it
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  13. Integration of Tobacco Treatment Services into Cancer Care at Stanford.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

N AbdelmuttiCancer Strategy Stewardship Program, Princess Margaret Cancer Centre, Toronto, ON.
J BrualCancer Education Program, Princess Margaret Cancer Centre, Toronto, ON.
J PapadakosCancer Education Program, Princess Margaret Cancer Centre, Toronto, ON.
S FathimaCancer Education Program, Princess Margaret Cancer Centre, Toronto, ON.
D GoldsteinOtolaryngology, Head and Neck Surgery Clinic, Princess Margaret Cancer Centre, Toronto, ON.
L EngDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON.
T PapadakosCancer Education Program, Princess Margaret Cancer Centre, Toronto, ON.
G LiuOtolaryngology, Head and Neck Surgery Clinic, Princess Margaret Cancer Centre, Toronto, ON.
J JonesCancer Rehabilitation and Survivorship Program, Princess Margaret Cancer Centre, Toronto, ON.
M GiulianiCancer Education Program, Princess Margaret Cancer Centre, Toronto, ON.
Princess Margaret Cancer Centre · CACancer Care Ontario · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Quitting smoking after a cancer diagnosis maximizes treatment-related effects, improves prognosis, and enhances quality of life. However, smoking cessation (sc) services are not routinely integrated into cancer care. The Princess Margaret Cancer Centre implemented a digitally-based sc program in oncology, leveraging an e-referral system (cease) to screen all new ambulatory patients, provide tailored education and advice on quitting, and facilitate referrals. Methods: We adopted the Framework for Managing eHealth Change to guide implementation of the sc program by integrating 6 key elements: governance and leadership, stakeholder engagement, communication, workflow analysis and integration, monitoring and evaluation, and training and education. Results: Incorporating elements of the Framework, we used extensive stakeholder engagement and strategic partnerships to establish a sc program with organizational and provincial accountability. Existing electronic patient-reported assessments were changed to integrate cease. Clinic audits and staff engagement allowed for analysis of workflow, ongoing monitoring and evaluation that aided in establishing a communication strategy, and development of cancer-specific education for patients and health care providers. From April 2016 to March 2018, 22,137 new patients were eligible for screening. Among those new patients, 13,617 (62%) were screened, with 1382 (10%) being current smokers and 532 (4%) having recently quit (within 6 months). Of the current smokers and those who had recently quit, all were advised to quit or to stay smoke-free, and 380 (20%) accepted referral to a sc counselling service. Conclusions: Here, we provide a comprehensive practice blueprint for the implementation of digitally based sc programs as a standard of care within comprehensive cancer centres with high patient volumes.

Indexed as

NeoplasmsProgram DevelopmentCancer Care FacilitiesCommunicationHumansMass ScreeningPractice Guidelines as TopicSmoking CessationStakeholder ParticipationTeachingWorkflowhealth care providersimplementationpatient educationSmoking cessation

Identifiers

PMID31896934
PMCPMC6927783
OpenAlexW2995338119

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.