University of Wisconsin-Madison, Carbone Cancer Center, Madison, Wisconsin.
University of Wisconsin-Madison, Institute for Clinical and Translational Research, Madison, Wisconsin.
Cancer Prev Res (Phila). 2019 Nov;12(11):735-740. doi: 10.1158/1940-6207.CAPR-19-0182. Epub 2019 Sep 3.
Quitting smoking leads to improved outcomes for patients with cancer, yet too few patients receive cessation services during their oncology healthcare visits. The National Cancer Institute (NCI) dedicated Cancer Moonshot funding for NCI-Designated Cancer Centers to develop a population-based approach to reach all patients who smoke with tobacco treatment services. As a result, the Cancer Center Cessation Initiative (C3I) offers an unparalleled opportunity to identify effective implementation strategies and barriers to delivering tobacco treatment services across multiple clinical oncology settings. Over one year after receiving funding, the first cohort of C3I funded Centers demonstrated progress in hiring tobacco treatment specialists, adding new tobacco treatment programs, and integrating EHR-based tobacco treatment referrals. However, tobacco treatment program reach remains low in some settings, even using a broad definition of patient engagement. Centers identified implementation challenges related to staff training needs, devising new clinical workflows, and engagement of IT leadership. Understanding implementation challenges may help other clinical oncology settings effectively implement tobacco treatment programs, leading to improved cancer outcomes by helping patients quit smoking.
戒烟可改善癌症患者的预后，但在肿瘤就诊期间，接受戒烟服务的患者仍然很少。美国国家癌症研究所 (NCI) 将“癌症登月”专项基金用于指定癌症中心，以制定一种基于人群的方法，为所有吸烟的患者提供烟草治疗服务。因此，癌症中心戒烟倡议 (C3I) 为确定在多个临床肿瘤学环境中提供烟草治疗服务的有效实施策略和障碍提供了一个无与伦比的机会。在获得资金一年多后，首批获得 C3I 资助的中心在招聘烟草治疗专家、增加新的烟草治疗项目以及整合基于电子健康记录的烟草治疗转诊方面取得了进展。然而，即使使用广泛的患者参与定义，一些环境中的烟草治疗项目的覆盖范围仍然很低。各中心确定了与员工培训需求、设计新的临床工作流程以及获得信息技术领导层的参与相关的实施挑战。了解实施挑战可能有助于其他临床肿瘤学环境有效地实施烟草治疗项目，通过帮助患者戒烟来改善癌症结果。
