2024 Latin America Conference on Lung Cancer (LALCA) - Posters-PP01.17: Health Systems Changes for Tobacco and Nicotine Dependence Treatment in Cancer Care and Other Clinical Settings

PP01.17: Health Systems Changes for Tobacco and Nicotine Dependence Treatment in Cancer Care and Other Clinical Settings

Back to course

Pdf Summary

Kelly Buettner-Schmidt’s work focuses on integrating Tobacco and Nicotine Dependence Treatment (TNDT) in cancer care, which is crucial for improving cancer treatment effectiveness and patient health outcomes. Despite its importance, only 50% of oncology providers currently offer TNDT to their patients. The U.S. National Cancer Institute (NCI) recommends addressing TNDT through systematic changes in health systems within cancer care settings.<br /><br />The purpose of Buettner-Schmidt’s research is to highlight the necessity for health systems changes in TNDT, present three different TNDT health system change models developed under the NCI Cancer Center Cessation Initiative (C3I), and share lessons learned from the C3I and other related studies.<br /><br />The research underscores that smoking cessation post-cancer diagnosis can significantly enhance treatment outcomes and reduce the risk of cancer-specific mortality, recurrence, and secondary cancers. Three models for TNDT developed from C3I include:<br />1. Point-of-Care Delivery of Tobacco Treatment Programs, where services are integrated into the cancer care visit.<br />2. Internal Referrals to Tobacco Treatment Programs separate from oncology visits but within the healthcare system.<br />3. External Referrals to Tobacco Treatment Programs outside the health system like quitlines.<br /><br />Common elements across these models include screening all patients for tobacco use, offering counseling and medications, and utilizing electronic health records (EHR) to support program implementation and monitor outcomes. Insights from the studies stress the importance of organizational buy-in, streamlined workflows, EHR integration, and reducing participation barriers for patients.<br /><br />The research concludes that tobacco use treatment is essential for the health and quality of life of cancer patients, and resources from the NCI assist in supporting these health system changes, providing infographics, toolkits, and educational materials for healthcare providers and patients.

Asset Subtitle

Kelly Buettner-Schmidt

Keywords

Tobacco and Nicotine Dependence Treatment

cancer care

oncology providers

National Cancer Institute

health systems changes

C3I models

smoking cessation

electronic health records

treatment outcomes

patient health