Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas.
Department of Otolaryngology - Head and Neck Surgery, University of Southern California Keck School of Medicine, Los Angeles, CA.
Am J Clin Oncol. 2019 Apr;42(4):407-410. doi: 10.1097/COC.0000000000000522.
The main objectives of this study were to evaluate abstinence rates of tobacco treatment programs (TTPs) at National Cancer Institute (NCI)-designated cancer centers (DCCs) and to ascertain the number of NCI-DCCs with online references to TTPs.
Literature searches of Pubmed, EMBASE, Web of Science, and Scopus were performed from their inception through January 2018 using keywords including cancer patients, cancer survivors, tobacco, smoking, cessation, and program. In total, 4094 articles were identified, 1450 duplicates were removed, 2644 candidate titles and abstracts were screened, and 210 selected full-text articles were independently reviewed by 2 authors. Three retrospective, single-institution cohort studies describing system-wide TTPs at 3 NCI-DCCs met inclusion criteria. Secondarily, online website audits of each NCI-DCC were performed to identify institutions with online evidence of a system-wide TTP servicing cancer patients.
Among 62 NCI-DCCs, only 3 reported system-wide TTP outcomes. Abstinence rates ranged from 15% to 47%. Online website audit identified 47 NCI-DCCs maintaining system-wide TTPs. Seventeen TTPs were housed within the cancer center and 30 TTPs were offered by the primary affiliated institution; among the latter group, only 13 TTPs were identifiable via the NCI-DCC webpage.
Most NCI-DCCs offer tobacco treatment services to cancer patients but very few have reported their results. Increased NCI-DCC TTP outcome publication and online presence are needed.
本研究的主要目的是评估美国国家癌症研究所（NCI）指定癌症中心（DCC）的烟草治疗计划（TTP）的戒断率，并确定具有 TTP 在线参考的 NCI-DCC 数量。
从开始到 2018 年 1 月，通过使用包括癌症患者、癌症幸存者、烟草、吸烟、戒烟和计划等关键词，在 Pubmed、EMBASE、Web of Science 和 Scopus 上进行文献检索。共确定了 4094 篇文章，去除 1450 篇重复文章，筛选了 2644 篇候选标题和摘要，由 2 名作者独立审查了 210 篇选定的全文文章。符合纳入标准的有 3 项描述 3 个 NCI-DCC 系统范围 TTP 的回顾性单机构队列研究。其次，对每个 NCI-DCC 进行在线网站审核，以确定具有服务癌症患者系统范围 TTP 的在线证据的机构。
在 62 个 NCI-DCC 中，只有 3 个报告了系统范围的 TTP 结果。戒断率从 15%到 47%不等。在线网站审核确定了 47 个 NCI-DCC 维持系统范围的 TTP。17 个 TTP 位于癌症中心内，30 个 TTP 由主要附属机构提供；在后一组中，只有 13 个 TTP 可通过 NCI-DCC 网页识别。
大多数 NCI-DCC 为癌症患者提供烟草治疗服务，但很少有报告其结果。需要增加 NCI-DCC TTP 结果的发表和在线存在。
