{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T08:36:37Z","timestamp":1771662997113,"version":"3.50.1"},"reference-count":70,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2021,8,4]],"date-time":"2021-08-04T00:00:00Z","timestamp":1628035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA086862"],"award-info":[{"award-number":["P30CA086862"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Few cancer patients receive guideline-concordant care for treatment of tobacco dependence. The purpose of this pilot trial was to obtain preliminary estimates of effectiveness of an evidence-based practice intervention on the delivery of tobacco treatment and cessation outcomes in cancer patients. We conducted a pragmatic implementation trial with a before-after design in 119 current or recently quit adult smokers with cancer who met with a clinician at a single National Cancer Institute designated comprehensive cancer center (CCC) (n = 61 pre-implementation, n = 58 post-implementation). We used a multi-component strategy based on the Chronic Care Model to implement National Comprehensive Cancer Network (NCCN) guidelines for smoking cessation. Smoking cessation counseling during the index visit was assessed by exit interview and patients were interviewed by phone to assess cessation outcomes at 3-month follow-up. Performance of cessation counseling and 7-day point prevalence abstinence (PPA) were compared across the pre- and post-implementation periods using log-logistic regression, accounting for clustering by nursing staff. More patients had received assistance in quitting at the index visit during the post-implementation period compared to the pre-implementation period (30 vs. 10%, p &amp;lt; .01). At 3-month follow-up, 38 and 14% of participants had discussed smoking cessation medication with a CCC healthcare professional and 57 and 27% of participants had used pharmacotherapy, respectively (p &amp;lt; .01 for both comparisons). Seven-day PPA at 3-month follow-up was similar in both periods, however (14 vs. 12%, respectively). A multi-component tobacco treatment intervention increased the proportion of smokers who received assistance in quitting smoking during usual cancer care but did not improve cessation outcomes.<\/jats:p>","DOI":"10.1093\/tbm\/ibab073","type":"journal-article","created":{"date-parts":[[2021,8,4]],"date-time":"2021-08-04T17:24:09Z","timestamp":1628097849000},"page":"1726-1738","source":"Crossref","is-referenced-by-count":1,"title":["Time to put it out \u2013 nurse-facilitated tobacco treatment in a comprehensive cancer center"],"prefix":"10.1093","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5348-6532","authenticated-orcid":false,"given":"David A","family":"Katz","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Iowa, Iowa City, IA, USA"},{"name":"Department of Epidemiology, University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah L","family":"Mott","sequence":"additional","affiliation":[{"name":"The Holden Comprehensive Cancer Center, University of Iowa Hospitals & Clinics, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane A","family":"Utech","sequence":"additional","affiliation":[{"name":"The Holden Comprehensive Cancer Center, University of Iowa Hospitals & Clinics, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Autumn C","family":"Bahlmann","sequence":"additional","affiliation":[{"name":"The Holden Comprehensive Cancer Center, University of Iowa Hospitals & Clinics, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6977-4221","authenticated-orcid":false,"given":"Kimberly A","family":"Dukes","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron T","family":"Seaman","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Iowa, Iowa City, IA, USA"},{"name":"The Holden Comprehensive Cancer Center, University of Iowa Hospitals & Clinics, Iowa City, IA, USA"},{"name":"Department of Community and Behavioral Health, University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas E","family":"Laux","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Iowa, Iowa City, IA, USA"},{"name":"The Holden Comprehensive Cancer Center, University of Iowa Hospitals & Clinics, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Furqan","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Iowa, Iowa City, IA, USA"},{"name":"The Holden Comprehensive Cancer Center, University of Iowa Hospitals & Clinics, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary J","family":"Pollock","sequence":"additional","affiliation":[{"name":"The Holden Comprehensive Cancer Center, University of Iowa Hospitals & Clinics, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark W","family":"Vander Weg","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Iowa, Iowa City, IA, USA"},{"name":"Department of Community and Behavioral Health, University of Iowa, Iowa City, IA, USA"},{"name":"Department of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,8,4]]},"reference":[{"key":"2021120509103867400_CIT0001","article-title":"Reports of the Surgeon General","author":"U.S. Department of Health and Human Services","year":"2014"},{"issue":"11","key":"2021120509103867400_CIT0002","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.6004\/jnccn.2016.0152","article-title":"Smoking Cessation, Version 1.2016, NCCN clinical practice guidelines in oncology","volume":"14","author":"Shields","year":"2016","journal-title":"J Natl Compr Canc Netw."},{"issue":"1","key":"2021120509103867400_CIT0003","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1007\/s11764-018-0728-2","article-title":"Smoking cessation attitudes and practices among cancer survivors - 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