In-hospital smoking cessation programs: what do VA patients and staff want and need?

Duffy, Susan; Reeves, Pamela; Hermann, Christopher; Karvonen, Carrie; Smith, Patricia M.

doi:10.1016/j.apnr.2006.11.002

Cited by 40 publications

(46 citation statements)

References 27 publications

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“…Even though 70% of cancer patients who smoke are motivated to quit smoking, only 56% of physicians recommend that their cancer patients who smoke stop smoking 52 and most oncology providers do not provide smoking interventions beyond advice to quit. 53 Our work 54 and the work of others [55][56][57][58][59] have shown that the major barriers to providers implementing smoking cessation services included lack of expertise and time. Education programs for health care providers as well as dedicated smoking cessation programs would improve tobacco treatment for cancer patients.…”

Section: Discussionmentioning

confidence: 99%

Does Quitting Smoking Make a Difference Among Newly Diagnosed Head and Neck Cancer Patients?

Choi

Terrell

Bradford

et al. 2016

NICTOB

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Introduction: To determine if smoking after a cancer diagnosis makes a difference in mortality among newly diagnosed head and neck cancer patients. Methods: Longitudinal data were collected from newly diagnosed head and neck cancer patients with a median follow-up time of 1627 days (N = 590). Mortality was censored at 8 years or September 1, 2011, whichever came first. Based on smoking status, all patients were categorized into four groups: continuing smokers, quitters, former smokers, or never-smokers. A broad range of covariates were included in the analyses. Kaplan-Meier curves, bivariate and multivariate Cox proportional hazards models were constructed. Results: Eight-year overall mortality and cancer-specific mortality were 40.5% (239/590) and 25.4% (150/590), respectively. Smoking status after a cancer diagnosis predicted overall mortality and cancer-specific mortality. Compared to never-smokers, continuing smokers had the highest hazard ratio (HR) of dying from all causes (HR = 2.71, 95% confidence interval [CI] = 1.48-4.98). Those who smoked at diagnosis, but quit and did not relapse-quitters-had an improved hazard ratio of dying (HR = 2.38, 95% CI = 1.29-4.36) and former smokers at diagnosis with no relapse after diagnosis-former smokers-had the lowest hazard ratio of dying from all causes (HR = 1.68, 95% CI = 1.12-2.56). Similarly, quitters had a slightly higher hazard ratio of dying from cancer-specific reasons (HR = 2.38, 95% CI = 1.13-5.01) than never-smokers, which was similar to current smokers (HR = 2.07, 95% CI = 0.96-4.47), followed by former smokers (HR = 1.70, 95% CI = 1.00-2.89). Conclusions: Compared to never-smokers, continuing smokers have the highest HR of overall mortality followed by quitters and former smokers, which indicates that smoking cessation, even after a cancer diagnosis, may improve overall mortality among newly diagnosed head and neck cancer patients. Health care providers should consider incorporating smoking cessation interventions into standard cancer treatment to improve survival among this population. Implications: Using prospective observational longitudinal data from 590 head and neck cancer patients, this study showed that continuing smokers have the highest overall mortality relative to never-smokers, which indicates that smoking cessation, even after a cancer diagnosis, may have beneficial effects on long-term overall mortality. Health care providers should consider incorporating smoking cessation interventions into standard cancer treatment to improve survival among this population.

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Section: Discussionmentioning

confidence: 99%

Does Quitting Smoking Make a Difference Among Newly Diagnosed Head and Neck Cancer Patients?

Choi

Terrell

Bradford

et al. 2016

NICTOB

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“…There were no standardized inpatient smoking interventions, although our prior work has shown that inpatient smokers in the VA receive few smoking cessation services (Duffy et al, 2008). For this study in particular, the services received by the control group are described in a prior paper in which about 24% of inpatient smokers received nicotine replacement therapy (often prescribed for symptom control) with little counseling (Duffy, Karvonen-Gutierrez, Ewing, & Smith, 2010).…”

Section: Control Treatment Groupmentioning

confidence: 98%

“…Inpatient programs, when compared to outpatient programs, tend to enroll more smokers and result in higher cessation rates (Duffy, Reeves, Hermann, Karvonen, & Smith, 2008;Rigotti et al, 2007). Intervening during inpatient stays capitalizes on the benefits that smokers are away from daily cues to smoke and that many have temporarily stopped smoking due to hospital smoking bans.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Tobacco Tactics Program for Psychiatric Inpatient Veterans: An Implementation Study

Duffy

Noonan

Karvonen‐Gutierrez

et al. 2015

Archives of Psychiatric Nursing

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“…10 A large gap exists between the availability of effective smoking cessation interventions and their widespread dissemination and implementation in hospital settings including the VA. 11 The challenge rests with incorporating smoking cessation interventions into standard practice. 12 Our prior work 13 has shown that 70% of inpatient smokers in the VA were motivated to quit, yet only 17% stated that they received some type of cessation services during their hospitalization. Most staff said the VA should be doing more to assist patients to quit, yet less than half said that they provided cessation services primarily due to lack of confidence/training and hesitancy to upset patients.…”

Section: Introductionmentioning

confidence: 98%

Implementation of the Tobacco Tactics Program in the Department of Veterans Affairs

et al. 2010

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In-hospital smoking cessation programs: what do VA patients and staff want and need?

Cited by 40 publications

References 27 publications

Does Quitting Smoking Make a Difference Among Newly Diagnosed Head and Neck Cancer Patients?

Does Quitting Smoking Make a Difference Among Newly Diagnosed Head and Neck Cancer Patients?

Effectiveness of the Tobacco Tactics Program for Psychiatric Inpatient Veterans: An Implementation Study

Implementation of the Tobacco Tactics Program in the Department of Veterans Affairs

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