{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T06:00:00Z","timestamp":1773381600470,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA138292"],"award-info":[{"award-number":["P30CA138292"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011621","name":"Winship Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011621","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Tobacco cessation is a critical but challenging intervention for cancer patients. Our National Cancer Institute\u2010designated Comprehensive Cancer Center instituted a tobacco cessation program in 2019. This manuscript reports on the first 2\u2009years of our experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients were referred to the program by their care team, and a certified tobacco treatment specialist contacted patients remotely and provided behavioral therapy and coordinated pharmacotherapy. We retrospectively captured data from patients with a cancer diagnosis referred to the tobacco cessation program. Univariate and multivariable logistic regression analyses with the backward elimination approach were performed to determine factors associated with patient acceptance of referral to the tobacco cessation program. Tobacco cessation rates after referral to the program were also captured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between July 2019 and August 2021, 194 patients were referred to the tobacco cessation program. Of the 194 patients referred, 93 agreed to enroll in the tobacco cessation program (47.9%), of which 84 requested pharmacotherapy (90.3%). Twenty\u2010four were able to cease tobacco use (25.8%). Only 7 patients out of the 101 patients (6.9%) who declined cessation services were successful (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). On univariate logistic regression, race (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.027) and marital status (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.020) were associated with referral acceptance. On multivariable analysis, single patients (odds ratio [OR]\u00a0=\u00a00.33) and Caucasian patients (OR\u00a0=\u00a00.43) were less likely to accept a referral.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Access to tobacco cessation services is a critical component of comprehensive cancer care. Our experience highlights the need to understand patient\u2010specific factors associated with engagement with a tobacco cessation program during cancer treatment. The use of pharmacotherapy is also a critical component of successful tobacco cessation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.5423","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T11:27:43Z","timestamp":1669721263000},"page":"7339-7347","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Engagement and outcomes of cancer patients referred to a tobacco cessation program at a National Cancer Institute\u2010designated cancer center"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5389-9609","authenticated-orcid":false,"given":"Sarah A.","family":"Westergaard","sequence":"first","affiliation":[{"name":"Winship Cancer Institute of Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0520-1624","authenticated-orcid":false,"given":"Manali","family":"Rupji","sequence":"additional","affiliation":[{"name":"Winship Cancer Institute of Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren E.","family":"Franklin","sequence":"additional","affiliation":[{"name":"Winship Cancer Institute of Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhusmita","family":"Behera","sequence":"additional","affiliation":[{"name":"Winship Cancer Institute of Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh S.","family":"Ramalingam","sequence":"additional","affiliation":[{"name":"Winship Cancer Institute of Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin A.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Winship Cancer Institute of Emory University  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"The Health Consequences of Smoking\u201450\u2009Years of Progress: A Report of the Surgeon General","author":"U.S. Department of Health and Human Services","year":"2014"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6946a4"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106529"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12900"},{"key":"e_1_2_9_6_1","volume-title":"E\u2010Cigarette Use among Youth and Young Adults: A Report of the Surgeon General","author":"US Department of Health and Human Services","year":"2018"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1502466"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijheh.2014.10.001"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6544a3"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntr145"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10555-017-9689-6"},{"key":"e_1_2_9_12_1","unstructured":"US Department of Health and Human Services.How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking\u2010Attributable Disease: A Report of the Surgeon General;2010."},{"key":"e_1_2_9_13_1","volume-title":"Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service","author":"United States Public Health Service","year":"1964"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6845a2"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.12164"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-784"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.9072"},{"issue":"63","key":"e_1_2_9_18_1","article-title":"Barriers to smoking cessation: the patient's perspective","volume":"54","author":"Monteiro Ferra JR","year":"2019","journal-title":"Eur Respir J"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr.2019.04.01"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.2159"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2009.10.050"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.20.01095"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17113907"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/COC.0000000000000522"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.10.085"},{"key":"e_1_2_9_26_1","doi-asserted-by":"crossref","unstructured":"National Comprehensive Cancer Network.NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines\u00ae) Smoking Cessation Version 1.2017. doi:10.7326\/AITC201603010","DOI":"10.7326\/AITC201603010"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0b013e318288dc96"}],"container-title":["Cancer Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.5423","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cam4.5423","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cam4.5423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T07:56:33Z","timestamp":1698652593000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cam4.5423"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,29]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1002\/cam4.5423"],"URL":"https:\/\/doi.org\/10.1002\/cam4.5423","archive":["Portico"],"relation":{},"ISSN":["2045-7634","2045-7634"],"issn-type":[{"value":"2045-7634","type":"print"},{"value":"2045-7634","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,29]]},"assertion":[{"value":"2022-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}