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A multidisciplinary team developed a successful smoking cessation program for cancer patients. The program achieved high patient engagement and significant abstinence rates, demonstrating effective tobacco dependence treatment in oncology settings.

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Area of Science:

  • Oncology
  • Public Health
  • Implementation Science

Background:

  • Clinical specialists often lack time/training for secondary health issues like smoking cessation.
  • The National Cancer Institute Cancer Center Cessation Initiative (C3I) supports cancer centers in developing tobacco dependence treatment systems.

Purpose of the Study:

  • To develop and evaluate a formalized smoking cessation program within a university-based cancer center.
  • To integrate tobacco dependence treatment into routine cancer care using a multidisciplinary approach.

Main Methods:

  • A collaborative, multidisciplinary team (oncology, pharmacy, cessation specialists) was formed.
  • Automated patient identification via electronic health records (EHR) tobacco registry.
  • Oncology pharmacists provided medication oversight; dedicated specialists delivered cessation services.

Main Results:

  • The program engaged 96% of eligible patients; 82% enrolled.
  • At 6-month follow-up, 29.1% achieved 30-day point prevalence abstinence.
  • 34.9% achieved 7-day point prevalence abstinence (intent-to-treat).

Conclusions:

  • A team-based, collaborative approach can effectively identify and treat tobacco dependence in specialty cancer clinics.
  • Leveraging interprofessional expertise enhances patient-centered care for smoking cessation.
  • This model demonstrates successful implementation and sustainability of cessation services within cancer centers.