Evidence map›Paper›PMID 36473135›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Integrating Tobacco Treatment Into Oncology Care: Reach and Effectiveness of Evidence-Based Tobacco Treatment Across National Cancer Institute-Designated Cancer Centers.

Sarah D Hohl, Richard S Matulewicz, Ramzi G Salloum, Jamie S Ostroff, Timothy B Baker, Robert Schnoll, Graham Warren, Steven L Bernstein, Mara Minion, Katie Lenhoff and 21 more

Abstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–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

33 citing papers in PubMed.

  1. RE-AIM Guided Evaluation of a Comprehensive Tobacco Treatment and Education Program at a Cancer Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  2. 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 · 2026
    Article
  3. Article
  4. Personal pathways to success: an innovative program to overcome cancer patient barriers to tobacco cessation and promote patient participation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Recommendations for Standardization of Tobacco Use Treatment Data.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Tobacco Assessment in Actively Accruing National Cancer Institute Clinical Trials Network Trials.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors.

Sarah D HohlCarbone Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.ORCID 0000-0002-4624-1868
Richard S MatulewiczMemorial Sloan Kettering Cancer Center, Department of Surgery, Urology Service, New York, NY.ORCID 0000-0003-0757-0885
Ramzi G SalloumDepartment of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, and University of Florida Health Cancer Center, Gainesville, FL.ORCID 0000-0002-8139-2418
Jamie S OstroffDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-2671-5680
Timothy B BakerCenter for Tobacco Research and Intervention, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Robert SchnollDepartment of Psychiatry and Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-4089-856X
Graham WarrenDepartment of Radiation Oncology, College of Medicine, Medical University of South Carolina, Charleston, SC.
Steven L BernsteinDepartment of Emergency Medicine, C. Everett Koop Institute, Norris Cotton Cancer Center, Geisel School of Medicine, Dartmouth College, Hanover, NH.ORCID 0000-0002-9964-7036
Mara MinionCarbone Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.ORCID 0000-0002-9759-302X
Katie LenhoffDartmouth-Hitchcock Norris Cotton Cancer Center, Geisel School of Medicine, Dartmouth College, Hanover, NH.
Neely DahlUniversity of Virginia Cancer Center, Charlottesville, VA.
Hee Soon JuonDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA.
Ursula TsosieSeattle Cancer Care Alliance, Seattle, WA.
Linda FleisherFox Chase Cancer Center, Philadelphia, PA.
Heather D'AngeloCarbone Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.
Alex T RamseyAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St Louis, MO.ORCID 0000-0002-3471-3725
Kimlin T AshingDepartment of Population Sciences, City of Hope National Medical Center, Duarte, CA.ORCID 0000-0002-6209-508X
Betsy RollandCarbone Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.
Margaret B NolanCarbone Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.ORCID 0000-0001-5214-3992
Jennifer E BirdCarbone Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.ORCID 0000-0002-4597-0348
Claire V T NguyenCarbone Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.
Danielle PaukCarbone Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.
Robert T AdsitCarbone Cancer Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.ORCID 0000-0003-2329-3208
Hilary A TindleDepartment of Medicine, Vanderbilt University School of Medicine, Nashville, TN.
Kimberly ShoenbillDepartment of Family Medicine, Lineberger Comprehensive Cancer Center, University of North Carolina-Chapel Hill, Chapel Hill, NC.ORCID 0000-0002-2693-638X
Sophia YeungDepartment of Supportive Care Medicine, City of Hope National Medical Center, Duarte, CA.ORCID 0000-0003-0582-6242
Cary A PresantDepartment of Medical Oncology and Therapeutics Research, City of Hope National Medical Center, Duarte, CA.ORCID 0000-0002-4559-2826
Kara P WisemanDepartment of Public Health Science, University of Virginia School of Medicine, Charlottesville, VA.
Kuang-Yi WenDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA.
Lou-Anne ChichesterDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-9044-0864
Li-Shiun ChenAlvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St Louis, MO.ORCID 0000-0001-6762-5054

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Ben Ho Park · 1995 to 2026
$172.8M
Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
X-Ray Crystallography and Macromolecular CharacterizationP30CA056036 · NCI · THOMAS JEFFERSON UNIVERSITY · PI Claudio Guillermo Giraudo · 1995 to 2026
$94.8M
Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI John Charles Williams · 1985 to 2026
$86.3M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI Eric P. Winer · 1985 to 2026
$85.0M
Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Dina Gould Halme · 1987 to 2026
$72.1M
Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI John J Lemasters · 2009 to 2026
$42.7M
NCATS NIH HHS KL2 TR003016NCATS NIH HHS UL1 TR001427NCATS NIH HHS UL1 TR003015NCI NIH HHS K08 CA259452NCI NIH HHS P01 CA180945NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA015704NCI NIH HHS P30 CA016086NCI NIH HHS P30 CA016359NCI NIH HHS P30 CA016520NCI NIH HHS P30 CA023108NCI NIH HHS P30 CA033572NCI NIH HHS P30 CA044579NCI NIH HHS P30 CA056036NCI NIH HHS P30 CA068485NCI NIH HHS P30 CA091842NCI NIH HHS P30 CA138313NCI NIH HHS P50 CA244431NCI NIH HHS R35 CA197573NIGMS NIH HHS T32 GM145443
6 · The paper itself

Abstract

purposeQuitting smoking improves patients' clinical outcomes, yet smoking is not commonly addressed as part of cancer care. The Cancer Center Cessation Initiative (C3I) supports National Cancer Institute-designated cancer centers to integrate tobacco treatment programs (TTPs) into routine cancer care. C3I centers vary in size, implementation strategies used, and treatment approaches. We examined associations of these contextual factors with treatment reach and smoking cessation effectiveness.

methodsThis cross-sectional study used survey data from 28 C3I centers that reported tobacco treatment data during the first 6 months of 2021. Primary outcomes of interest were treatment reach (reach)-the proportion of patients identified as currently smoking who received at least one evidence-based tobacco treatment component (eg, counseling and pharmacotherapy)-and smoking cessation effectiveness (effectiveness)-the proportion of patients reporting 7-day point prevalence abstinence at 6-month follow-up. Center-level differences in reach and effectiveness were examined by center characteristics, implementation strategies, and tobacco treatment components.

resultsOf the total 692,662 unique patients seen, 44,437 reported current smoking. Across centers, a median of 96% of patients were screened for tobacco use, median smoking prevalence was 7.4%, median reach was 15.4%, and median effectiveness was 18.4%. Center-level characteristics associated with higher reach included higher smoking prevalence, use of center-wide TTP, and lower patient-to-tobacco treatment specialist ratio. Higher effectiveness was observed at centers that served a larger overall population and population of patients who smoke, reported a higher smoking prevalence, and/or offered electronic health record referrals via a closed-loop system.

conclusionWhole-center TTP implementation among inpatients and outpatients, and increasing staff-to-patient ratios may improve TTP reach. Designating personnel with tobacco treatment expertise and resources to increase tobacco treatment dose or intensity may improve smoking cessation effectiveness.

Indexed as

NeoplasmsSmoking CessationCross-Sectional StudiesHumansNational Cancer Institute (U.S.)NicotianaTobacco UseUnited States

Identifiers

PMID36473135
PMCPMC10331951

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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.