Hamant Chloé, Deneuve Sophie, Albaret Marie-Alexandra, Zrounba Philippe, Breton Pierre, Céruse Philippe, Gleizal Arnaud, Alix Thomas, Bettega Georges, Chauvin Franck, Saintigny Pierre, Régnier Denois Véronique
Institut de cancérologie Lucien-Neuwirth, HYGEE center, Inserm 1408, 42270 Saint-Priest-en-Jarez, France.
Centre Léon-Bérard, department of surgical oncology, 69008 Lyon, France.
Bull Cancer. 2018 Nov;105(11):1012-1019. doi: 10.1016/j.bulcan.2018.07.006. Epub 2018 Sep 7.
Most head and neck cancers are associated with smoking and alcohol exposure. Smoking and alcohol cessation (ASC) is associated with improved quality of life, cancer therapy efficacy, decreased treatment-related and cardiovascular risks, and is expected to decrease the risk of second primary tumor. It is therefore a high priority in the plan of care. However, results of current ASC programs are disappointing and understanding the reasons of this is critical. We started a qualitative study in 6 academic centers including 3 university hospitals, one regional hospital and one comprehensive cancer center. We first interviewed surgeons and care givers involved in the management of head and neck cancers. Poor communication between stakeholders, absence of alignment of care goals between patients, surgeons and other caregivers, and low level of understanding by patients of the benefits of ASC were felt to represent frequent obstacles to successful outcome. More work is ongoing within the context of our IHNPACT umbrella protocol to identify hurdles associated with successful ASC.
大多数头颈癌与吸烟和接触酒精有关。戒烟戒酒（ASC）与生活质量改善、癌症治疗疗效提高、治疗相关风险和心血管风险降低相关，并且有望降低第二原发肿瘤的风险。因此，它是护理计划中的高度优先事项。然而，当前戒烟戒酒项目的结果令人失望，了解其中的原因至关重要。我们在6个学术中心开展了一项定性研究，其中包括3家大学医院、1家地区医院和1家综合癌症中心。我们首先采访了参与头颈癌管理的外科医生和护理人员。利益相关者之间沟通不畅、患者、外科医生和其他护理人员之间护理目标不一致，以及患者对戒烟戒酒益处的理解程度低，被认为是成功实现预期结果的常见障碍。在我们的IHNPACT总体方案框架内，正在开展更多工作以确定与成功戒烟戒酒相关的障碍。
