{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T22:50:40Z","timestamp":1789944640649,"version":"4.0.1"},"reference-count":47,"publisher":"Wiley","issue":"23","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Persistence in tobacco use among cancer survivors has been associated with a multitude of clinicodemographic factors. However, there is a paucity of understanding regarding the role the healthcare professional's specialty plays in tobacco cessation in tobacco\u2010related cancer survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cross\u2010sectional analysis of data from cancer survivors with a smoking history using the Behavioral Risk Factor Surveillance System (BRFSS) database to examine differences in the proportion of patients continuing tobacco use among patients with a diagnosis of cancer segregated by cancer site specialty over the 2016\u20132020 period. We accounted for complex survey design and used sampling weights to obtain a nationwide representative sample. We employed modified Poisson regression adjusting for age, gender, education, income, race, marital status, and medical specialty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We analyzed 19,855 cancer survivors with a current or past history of tobacco use, of whom 5222 (26,3%) self\u2010reported to be current smokers. Patients with urological and gynecological tobacco\u2010related malignancies had a higher relative risk (RR) of being current smokers with a RR of 1.30 (95% confidence interval, 1.12\u20131.51) and 1.25 (95% confidence interval, 1.12\u20131.39) respectively. Malignant Hematology had the lowest RR of smoking status among all other specialties RR 0.85 (95% confidence interval, 0.59\u20131.21).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Continuing smoking rates among tobacco\u2010related cancer survivors were different between specialties. One in four cancer survivors were current smokers; this emphasizes health professionals' paramount role in tobacco cessation counseling.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.6684","type":"journal-article","created":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T18:49:15Z","timestamp":1700678955000},"page":"21389-21399","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Smoking status among cancer patients by medical specialty: A U.S. nationwide representative analysis"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0239-6542","authenticated-orcid":false,"given":"Jos\u00e9 Ignacio","family":"Nolazco","sequence":"first","affiliation":[{"name":"Division of Urological Surgery Brigham and Women's Hospital, Harvard Medical School  Boston Massachusetts USA"},{"name":"Servicio de Urolog\u00eda, Hospital Universitario Austral, Universidad Austral  Pilar Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3043-0541","authenticated-orcid":false,"given":"Yuzhe","family":"Tang","sequence":"additional","affiliation":[{"name":"Division of Urological Surgery Brigham and Women's Hospital, Harvard Medical School  Boston Massachusetts USA"},{"name":"Urology Department, Beijing Tsinghua Changgung Hospital School of Clinical Medicine Tsinghua University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6008-0503","authenticated-orcid":false,"given":"Khalid Y.","family":"Alkhatib","sequence":"additional","affiliation":[{"name":"Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Urology University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"King","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5444-2515","authenticated-orcid":false,"given":"Matthew","family":"Mossanen","sequence":"additional","affiliation":[{"name":"Division of Urological Surgery Brigham and Women's Hospital, Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Radiation Oncology Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7038-5861","authenticated-orcid":false,"given":"Steven Lee","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Urological Surgery Brigham and Women's Hospital, Harvard Medical School  Boston Massachusetts USA"},{"name":"Lank Center for Genitourinary Oncology, Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2013.01.009"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6946a4"},{"key":"e_1_2_10_4_1","unstructured":"Risk Factors: Tobacco.National Cancer Institute.2022Available from:https:\/\/www.cancer.gov\/about\u2010cancer\/causes\u2010prevention\/risk\/tobacco"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.06.010"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.07.010"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2004.08.011"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.126.6.1733"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr.2019.04.01"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.32101"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30164"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29851"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-018-0720-x"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntz007"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-018-0728-2"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-012-0230-1"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001483"},{"key":"e_1_2_10_18_1","unstructured":"CDC\u2014BRFSS.2022]. 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