التفاصيل البيبلوغرافية
| العنوان: |
Integrating Tobacco Use Assessment and Treatment in the Oncology Setting: Quality Improvement Results from the Georgetown Lombardi Smoking Treatment and Recovery Program. |
| المؤلفون: |
Taylor, Kathryn L., Webster, Marguerite A., Philips, Joanna G., Whealan, Julia M., Lobo, Tania, Davis, Kimberly M., Breece, Chavalia J., Wheeley, Jennifer R., Childs, Jack E., Le, Ariel Q., Williams, Randi M., Veytsman, Irina G., Kim, Chul |
| المصدر: |
Current Oncology; Apr2023, Vol. 30 Issue 4, p3755-3775, 21p, 2 Diagrams, 6 Charts, 2 Graphs |
| مصطلحات موضوعية: |
TOBACCO use, ONCOLOGY, HEMATOLOGY, CANCER patients, CANCER |
| مستخلص: |
As part of the NCI's Cancer Center Cessation (C3i) initiative, we initiated, expanded, and maintained an evidence-based tobacco treatment program at the Georgetown Lombardi Comprehensive Cancer Center. We present a quality improvement (QI) assessment of the implementation process and patient-level outcomes. At two hematology/oncology outpatient clinical sites, five oncology-based teams (clinical administrators, clinical staff, pharmacy, information technology, and tobacco treatment staff) developed implementation strategies for opt-out patient assessment and enrollment, centralized tobacco treatment, audit, feedback, and staff training. Among eligible patients (tobacco use in ≤30 days), we assessed demographic, clinical, and tobacco-related characteristics to examine predictors of enrollment (baseline completed), treatment engagement (≥one sessions completed), and self-reported 7-day abstinence (6 months post-enrollment). Across both sites, medical assistants screened 19,344 (82.4%) patients for tobacco use, which identified 1345 (7.0%) current tobacco users, in addition to 213 clinician referrals. Of the 687/1256 (54.7%) eligible patients reached, 301 (43.8%) enrolled, and 199 (29.0%) engaged in treatment, of whom 74.5% were African American and 68% were female. At the larger site, significant multivariate predictors of enrollment included African American race (vs. white/other) and clinician referral (vs. MA assessment). Treatment engagement was predicted by greater nicotine dependence, and abstinence (27.4%) was predicted by greater treatment engagement. In summary, the systematic utilization of multiple oncology-based teams and implementation strategies resulted in the development and maintenance of a high-quality, population-based approach to tobacco treatment. Importantly, these strategies addressed inequities in tobacco treatment, as the program reached and engaged a majority-African-American patient population. Finally, the opt-out patient assessment strategy has been implemented in multiple oncology settings at MedStar Health through the Commission on Cancer's Just Ask program. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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