Evidence map›Paper›PMID 39302465›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Oncologists' communication about tobacco and alcohol use during treatment for esophagogastric cancer: a qualitative observational study of simulated consultations.

Danique W Bos-van den Hoek, Loïs F van de Water, Pieter G Vos, Meeke Hoedjes, Ruud Roodbeen, Bastiaan R Klarenbeek, Debby Geijsen, Ellen M A Smets, Hanneke W M van Laarhoven, Inge Henselmans

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Danique W Bos-van den Hoek *Department of Medical Psychology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Loïs F van de Water *Department of Medical Psychology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Pieter G VosDepartment of Medical Psychology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Meeke HoedjesDepartment of Medical and Clinical Psychology, Center of Research On Psychological Disorders and Somatic Diseases, Tilburg University, Tilburg, the Netherlands.
Ruud RoodbeenDepartment of Health Promotion, Maastricht University, Maastricht, the Netherlands.
Bastiaan R KlarenbeekDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Debby GeijsenDepartment of Radiation Oncology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Ellen M A SmetsDepartment of Medical Psychology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Hanneke W M van LaarhovenDepartment of Medical Oncology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Inge HenselmansDepartment of Medical Psychology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands. I.Henselmans@amsterdamumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTobacco and alcohol use influence cancer risk as well as treatment outcomes, specifically for esophageal and gastric cancer patients. Therefore, it is an important topic to discuss during consultations. This study aims to uncover medical, radiation, and surgical oncologists' communication about substance use, i.e., tobacco and alcohol use, in simulated consultations about curative and palliative esophagogastric cancer treatment.

methodsSecondary analyses were performed on n = 40 standardized patient assessments (SPAs) collected in three Dutch clinical studies. Simulated patients with esophagogastric cancer were instructed to ask about smoking or alcohol use during treatment. The responses of the 40 medical, radiation, and surgical oncologists were transcribed verbatim, and thematic analysis was performed in MAXQDA.

resultsOncologists consistently advocated smoking cessation during curative treatment. There was more variation in their recommendations and arguments in the palliative compared to the curative setting and when addressing alcohol use instead of smoking. Overall, oncologists were less stringent regarding behavior change in the palliative than in the curative setting. Few oncologists actively inquired about the patient's perspective on the substance use behavior, the recommended substance use change, or the support offered.

conclusionClear guidelines for oncologists on when and how to provide unequivocal recommendations about substance use behavior change and support to patients are needed. Oncologists might benefit from education on how to engage in a conversation about smoking or alcohol.

Indexed as

Alcohol DrinkingCommunicationEsophageal NeoplasmsOncologistsQualitative ResearchStomach NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedNetherlandsPalliative CarePatient SimulationPhysician-Patient RelationsAlcoholCancerCommunicationHealth behaviorPreventionSmoking

Identifiers

PMID39302465
PMCPMC11415438

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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.