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Related Experiment Video

Updated: May 8, 2026

Electroencephalographic, Heart Rate, and Galvanic Skin Response Assessment for an Advertising Perception Study: Application to Antismoking Public Service Announcements
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"Stop smoking!" Do we say it enough?

Jessica R Hildebrand1, Sangeeta Sastry

  • 1New Hanover Regional Medical Center; South East Area Health Education Center, Wilmington; and University of North Carolina, Chapel Hill, NC.

Journal of Oncology Practice
|August 15, 2013
PubMed
Summary

Physicians rarely counsel lung cancer patients on smoking cessation, despite its benefits. This study found only 36% of diagnosed smokers received counseling, highlighting a critical gap in care for bronchogenic carcinoma patients.

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Area of Science:

  • Oncology
  • Public Health
  • Behavioral Medicine

Background:

  • Smoking significantly increases morbidity and mortality in patients diagnosed with bronchogenic carcinoma (BC).
  • Physician counseling is a key factor in motivating smokers to quit.
  • A potential physician misconception exists that tobacco cessation is futile in BC patients.

Purpose of the Study:

  • To determine if physicians discuss smoking cessation with patients diagnosed with lung cancer.
  • To assess the current practices of tobacco dependence treatment in this patient population.

Main Methods:

  • Retrospective review of medical records for 948 patients diagnosed with BC (2008-2010).
  • Data collected included patient demographics, cancer stage, and smoking status.
  • Searched for evidence of smoking cessation counseling via billing codes, physician notes, and orders.

Main Results:

  • Of 438 current smokers at diagnosis, only 36% received smoking cessation counseling.
  • Patients encountered an average of three physicians.
  • Stage I patients were 1.7 times more likely to be counseled than Stage IV patients (P=.017).

Conclusions:

  • Physician counseling on smoking cessation is insufficient for patients with bronchogenic carcinoma.
  • Quality improvement initiatives are needed to enhance counseling rates.
  • Improved counseling can positively impact outcomes for lung cancer patients who smoke.