Evidence map›Paper›PMID 34446379›Full record

ArticleCancer epidemiology2022

Point of care tobacco treatment sustains during COVID-19, a global pandemic.

Ethan J Craig, Alex T Ramsey, Timothy B Baker, Aimee S James, Douglas A Luke, Sara Malone, Jingling Chen, Giang Pham, Nina Smock, Paula Goldberg and 3 more

Abstract read
In one paragraph

Article in Cancer epidemiology, 2022. 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.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Implementation Science to Improve Tobacco Cessation Services in Oncology Care.Journal of the National Comprehensive Cancer Network : JNCCN · 2021
    Article
  11. Article
  12. Article
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

13 authors.

Ethan J CraigDepartment of Otolaryngology, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: ejcraig@wustl.edu.
Alex T RamseyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: aramsey@wustl.edu.
Timothy B BakerDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. Electronic address: tbb@ctri.wisc.edu.
Aimee S JamesAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO, USA; Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: aimeejames@wustl.edu.
Douglas A LukeCenter for Public Health Systems Science, Brown School, Washington University, St. Louis, MO, USA. Electronic address: dluke@wustl.edu.
Sara MaloneCenter for Public Health Systems Science, Brown School, Washington University, St. Louis, MO, USA; Washington University in St. Louis, School of Medicine, St. Louis, MO, USA. Electronic address: sara.malone@wustl.edu.
Jingling ChenDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: chenjingling@wustl.edu.
Giang PhamDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: g.pham@wustl.edu.
Nina SmockDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: smockn@wustl.edu.
Paula GoldbergAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO, USA; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: pgoldberg@wustl.edu.
Ramaswamy GovindanAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO, USA; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: rgovindan@wustl.edu.
Laura J BierutDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA; Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO, USA. Electronic address: laura@wustl.edu.
Li-Shiun ChenDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA; Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO, USA. Electronic address: li-shiun@wustl.edu.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Testing Relapse Recovery Intervention ComponentsP01CA180945 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI FIORE, MICHAEL C · 2014 to 2023
$23.0M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Transforming The Treatment of Tobacco Use in Health Care: Seizing The Potential of the Electronic Health Record to Deliver Comprehensive Chronic Care Treatment for SmokingR35CA197573 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI MICHAEL C FIORE · 2015 to 2026
$10.7M
Washington University Implementation Science Center for Cancer Control (WU-ISCCC)P50CA244431 · NCI · WASHINGTON UNIVERSITY · PI BROWNSON, ROSS C, COLDITZ, GRAHAM A. · 2019 to 2023
$8.0M
Washington University Career Development Program in Drug Abuse and AddictionK12DA041449 · NIDA · WASHINGTON UNIVERSITY · PI Laura J. Bierut, Patricia A Cavazos-Rehg · 2017 to 2026
$4.2M
Genetically Informed Smoking Cessation TrialR01DA038076 · NIDA · WASHINGTON UNIVERSITY · PI CHEN, LI-SHIUN · 2014 to 2018
$3.3M
Mechanisms of behavior change in a genetics-informed smoking cessation interventionR34DA052928 · NIDA · WASHINGTON UNIVERSITY · PI RAMSEY, ALEX TAYLOR · 2021 to 2023
$709k
NCATS NIH HHS UL1 TR002345NCI NIH HHS P01 CA180945NCI NIH HHS P30 CA091842NCI NIH HHS P50 CA244431NCI NIH HHS R35 CA197573NIDA NIH HHS K12 DA041449NIDA NIH HHS R01 DA038076NIDA NIH HHS R34 DA052928NIDDK NIH HHS P30 DK092950
6 · The paper itself

Abstract

backgroundTobacco cessation treatment for cancer patients is essential to providing comprehensive oncologic care. We have implemented a point of care tobacco treatment care model enabled by electronic health record (EHR) modifications in a comprehensive cancer center. Data are needed on the sustainability of both reach of treatment and effectiveness over time, including the COVID-19 pandemic.

methodsUsing EHR data from the pre-implementation (P: 5 months) and post-implementation periods (6 month-blocks, T1-T5 for a total of 30 months), we compared two primary outcomes: 1) reach of treatment among those smoking and 2) effectiveness assessed by smoking cessation among those smoking in the subsequent 6 month period. We analyzed the data using generalized estimation equation regression models.

resultsWith the point of care tobacco treatment care model, reach of treatment increased from pre to post T5 (3.2 % vs. 48.4 %, RR 15.50, 95 % CI 10.56-22.74, p < 0.0001). Reach of treatment in all post periods (T1-T5 including the COVID-19 pandemic time) remained significantly higher than the pre period. Effectiveness, defined by smoking cessation among those smoking, increased from pre to post T2 before the pandemic (12.4 % vs. 21.4 %, RR 1.57, 95 % CI 1.31-1.87, p < 0.0001). However, effectiveness, while higher in later post periods (T3, T4), was no longer significantly increased compared with the pre period.

conclusionA point of care EHR-enabled tobacco treatment care model demonstrates sustained reach up to 30 months following implementation, even during the COVID-19 pandemic and changes in healthcare prioritization. Effectiveness was sustained for 12 months, but did not sustain through the subsequent 12 months.

Indexed as

COVID-19Smoking CessationHumansNicotianaPandemicsPoint-of-Care SystemsCancer careCOVID-19EHRSustainabilityTobacco cessation

Identifiers

PMID34446379
PMCPMC8854443

What OpenQuestion holds

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Registered trials

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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.