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Area of Science:

  • Oncology
  • Public Health
  • Addiction Medicine

Background:

  • Smoking significantly harms cancer patients, yet many continue tobacco use during and after treatment.
  • The National Comprehensive Cancer Network (NCCN) Guidelines for Smoking Cessation highlight the need for tailored interventions for cancer patients.
  • Existing recommendations focus on combustible tobacco, primarily cigarettes, but address various forms like cigars, hookah, and smokeless tobacco.

Purpose of the Study:

  • To establish evidence-based recommendations for smoking cessation interventions specifically for patients with cancer.
  • To outline a comprehensive approach to tobacco cessation that addresses the unique needs of this population.

Main Methods:

  • The NCCN Smoking Cessation Panel reviewed evidence to formulate recommendations.
  • Interventions encompass motivational strategies, behavior therapy (counseling), pharmacotherapy, and ongoing follow-up.
  • Recommendations are based on studies of cigarette smoking but apply to all combustible and smokeless tobacco products.

Main Results:

  • Concurrent application of three key tenets is recommended for all cancer patients who smoke.
  • These tenets include evidence-based motivational strategies/behavior therapy, evidence-based pharmacotherapy, and close follow-up with retreatment as needed.

Conclusions:

  • A multi-component approach integrating counseling, medication, and sustained support is essential for cancer patients attempting to quit smoking.
  • These recommendations aim to improve outcomes for cancer patients by addressing tobacco dependence concurrently with cancer treatment.