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Overcoming Delays in the Progress against Cancer: Identifying Tobacco Use among Cancer Patients Enrolled in Clinical
Graham W Warren1, Cary A Presant2
1Department of Radiation Oncology, Medical University of South Carolina, Charleston, South Carolina.
Summary
Many cancer patients use tobacco or alternative products post-diagnosis. Structured data collection is feasible and highlights the need for cessation support, even for those with non-tobacco related cancers.
Area of Science:
- Oncology
- Cancer Epidemiology
- Tobacco Control
Background:
- Smoking negatively impacts cancer treatment outcomes and patient survival.
- Existing clinical trials often lack comprehensive tobacco use data collection.
- Alternative tobacco products and dual-use patterns are prevalent.
Purpose of the Study:
- To assess the prevalence of tobacco and alternative tobacco product use in cancer patients.
- To evaluate the feasibility of structured tobacco use data collection in cooperative group clinical trials.
- To emphasize the importance of addressing tobacco use and cessation in all cancer patients.
Main Methods:
- Structured assessment of tobacco and alternative tobacco product use.
- Data collection from patients enrolled in cooperative group clinical trials.
- Focus on patients with predominantly non-tobacco related cancers.
Main Results:
- Approximately 27% of patients reported using one or more forms of tobacco after diagnosis.
- A significant number of patients reported alternative tobacco product use, including dual use.
- Demonstrated feasibility of collecting comprehensive, structured tobacco use information.
Conclusions:
- Structured data collection on tobacco use in clinical trials is feasible.
- Tobacco and alternative tobacco product use is common among cancer patients, including those with non-tobacco related cancers.
- There is a critical need to implement tobacco cessation interventions for all cancer patients.
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