{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T04:53:34Z","timestamp":1781585614178,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Tobacco smoking adversely affects cancer outcomes; yet tobacco treatment for patients with non\u2010tobacco\u2010related cancers (non\u2010TRCs) remains understudied. This study evaluated smoking behaviors, harm perceptions, and cessation support in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross\u2010sectional survey of 124 adults who reported smoking within the past 30\u2009days and were diagnosed with non\u2010TRCs at two medical centers between 2018 and 2022. Data collected included demographics, smoking behaviors, harm perceptions, quit attempts, and receipt of cessation support from oncology providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most participants (88%) recognized that continued smoking may shorten life expectancy; however, fewer recognized its impact on cancer recurrence (44%), treatment efficacy (46%), and treatment\u2010related side effects (46%). Although 81% reported prior quit attempts, only 33% received prescription medication and 22% received counseling. Follow\u2010up support from oncology teams was reported by 42% of participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with non\u2010TRCs demonstrate substantial gaps in awareness of the cancer\u2010specific harms of continued smoking and report inconsistent receipt of evidence\u2010based cessation support. Targeted education and systematic integration of tobacco treatment into oncology care are needed to improve outcomes in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71956","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T08:05:43Z","timestamp":1779177943000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Tobacco Use, Knowledge of Harms, and Treatment Support Among Patients With Non\u2010Tobacco\u2010Related Cancers: A Multi\u2010Center Survey Study"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4131-763X","authenticated-orcid":false,"given":"Raul","family":"Gregg\u2010Garcia","sequence":"first","affiliation":[{"name":"Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidya","family":"Dandu","sequence":"additional","affiliation":[{"name":"Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura B.","family":"Vater","sequence":"additional","affiliation":[{"name":"Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"},{"name":"Division of Hematology Oncology, Department of Medicine Indiana University Simon Comprehensive Cancer Center  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen Suchanek","family":"Hudmon","sequence":"additional","affiliation":[{"name":"Division of Hematology Oncology, Department of Medicine Indiana University Simon Comprehensive Cancer Center  Indianapolis Indiana USA"},{"name":"Department of Pharmacy Practice Purdue University College of Pharmacy  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Buckles","sequence":"additional","affiliation":[{"name":"Division of Hematology Oncology, Department of Medicine Indiana University Simon Comprehensive Cancer Center  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasser","family":"Hanna","sequence":"additional","affiliation":[{"name":"Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"},{"name":"Division of Hematology Oncology, Department of Medicine Indiana University Simon Comprehensive Cancer Center  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"American Cancer Society \u201cAmerican Cancer Society: Health Risks of Smoking Tobacco \u201d(2025) https:\/\/www.cancer.org\/cancer\/risk\u2010prevention\/tobacco\/health\u2010risks\u2010of\u2010smoking\u2010tobacco.html."},{"key":"e_1_2_12_3_1","unstructured":"U.S. Centers for Disease Control and Prevention \u201cU.S. Centers for Disease Control and Prevention: Cigarette Smoking \u201d(2025) https:\/\/www.cdc.gov\/tobacco\/about\/index.html."},{"key":"e_1_2_12_4_1","unstructured":"U.S. Centers for Disease Control and Prevention \u201cU.S. Centers for Disease Control and Prevention: Health Effects of Cigarettes: Cancer \u201d(2025) https:\/\/www.cdc.gov\/tobacco\/about\/cigarettes\u2010and\u2010cancer.html."},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2023.0013"},{"key":"e_1_2_12_6_1","volume-title":"Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health","author":"U.S. Department of Health and Human Services","year":"2014"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.08.059"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14174117"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.23.00708"},{"key":"e_1_2_12_10_1","unstructured":"D. R.Lowy M. C.Fiore G.Willis et\u00a0al. \u201cTreating Smoking in Cancer Patients: An Essential Component of Cancer Care\u2010The New National Cancer Institute Tobacco Control Monograph.\u201d"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntw016"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-021-01009-7"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21231"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr.2019.04.01"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2022.05.027"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/nts083"},{"key":"e_1_2_12_17_1","volume-title":"Perceptions of Continued Smoking and Smoking Cessation Among Patients With Cancer","author":"Giuliani M. 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