{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:46:41Z","timestamp":1787021201648,"version":"build-2736575974"},"reference-count":33,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"2","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO Oncol Pract"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE<\/jats:title>\n                    <jats:p>Persistent smoking is associated with poor outcomes in cancer care. It is strongly recommended that oncology care providers provide cessation support; however, there is limited information about smoking cessation assessment and treatment patterns in routine oncology practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Leaders of the American College of Surgeons Commission on Cancer (CoC) and National Accreditation Program for Breast Centers (National Accredited Program for Breast Cancer) elected to participate in a national quality improvement initiative (Just ASK) focused on smoking assessment\/treatment in cancer care. Online baseline survey responses were received from 762 accredited programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Most programs reported regularly asking about smoking (89.9%), documenting smoking history and current use (85.8%), and advising patients to quit (71.2%). However, less than half of programs reported documenting a smoking cessation treatment plan (41.7%). Even fewer programs reported regularly assisting patients with quitting (41.3%), providing self-help information (27.2%), providing individual counseling (18.2%), and referring patients to an affiliated tobacco treatment program (26.1%) or external Quitline (28.5%). Very few programs reported regularly prescribing medications (17.6%). Principal barriers to tobacco treatment delivery were lack of staff training (68.8%), lack of designated specialists (61.9%), perceived patient resistance (58.3%), lack of available resources (53.3%), competing clinical priorities (50.9%), inadequate program funding (40.6%), insufficient staff time (42.4%), and inadequate reimbursement (31.0%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Although programs reported a high rate of smoking assessment, critical gaps in advising and assisting patients with cessation were found. Improving equitable delivery of smoking assessment\/treatment in cancer care will require addressing key organizational and provider barriers for implementation of best practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1200\/op.23.00393","type":"journal-article","created":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T15:59:12Z","timestamp":1700063952000},"page":"212-219","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":24,"title":["Current Practices, Perceived Barriers, and Promising Implementation Strategies for Improving Quality of Smoking Cessation Support in Accredited Cancer Programs of the American College of Surgeons"],"prefix":"10.1200","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2671-5680","authenticated-orcid":false,"given":"Jamie S.","family":"Ostroff","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 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GW, Simmons VN: Tobacco Use and the Cancer Patient. DeVita, Hellman, and Rosenberg\u2019s Cancer: Principles and Practice of Oncology (ed 12). Baltimore, MD, Lippincott Williams & Wilkins, 2023, pp 30-42"},{"key":"b2","volume-title":"National Cancer Institute Tobacco Control Monograph Series\u2014Treating Smoking in Cancer Patients: An Essential Component of Cancer Care","author":"US Department of Health and Human Services","year":"2022"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.1703"},{"key":"b4","unstructured":"US Department of Health and Human Services: The Health Consequences of Smoking\u201350 Years of Progress: A Report of the Surgeon General. 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