Study recommends national standards for tobacco use treatment

April 17, 2012 By Ellen de Graffenreid

A cancer diagnosis doesn’t automatically get people to stop smoking, but continuing to smoke shortens patients’ survival, increases their risk for a second tumor, and is associated with worse outcomes after cancer surgery. 

Yet, in a study published in the journal Nicotine & Tobacco Research, UNC researchers found that one in five National Cancer Institute (NCI)-designated Cancer Centers offer no use treatment services to their patients, while less than half report a clear commitment from leadership to provide those services.  “People might rightfully assume that top-notch tobacco use treatment programs exist at these centers, but they aren’t as common or comprehensive as most people might imagine,” says Adam Goldstein, MD, MPH, the study’s lead author.

“This is partially due to the specialization of medicine.  Cancer doctors as specialists have focused on trying to cure the cancer, but they also must focus on cures for the disease – addiction – that causes many cancers.  The NCI-designated Cancer Centers are leaders in the field and should be the best and first place to treat the tobacco addictions that lead to cancer by offering evidence-based tobacco use treatment to every cancer patient who is still smoking.”

Goldstein and his colleagues surveyed NCI-designated Cancer Center directors and oncologists regarding evidence-based measures for tobacco use treatment and administrative support of the programs.  The team identified several best practices including locating programs within the cancer center, implementing new quality improvement measures and opportunities for tobacco use treatment services, providing institutional funding for personnel and space, and creating a mechanism that allows reimbursement for tobacco use treatment services. 

They also recommend that the NCI build on its 2009 conference that presented model programs in tobacco use treatment, by developing formal recommendations to centers on providing tobacco use treatment as part of cancer care. “We know that those who have the most difficult time becoming tobacco-free most often have fewer resources for dealing with their cancer and their addiction,” says Carol Ripley-Moffitt, MDiv, CTTS, one of the study’s authors.

“There are unique challenges to offering tobacco addiction treatment to cancer patients, including lack of training among oncologists on tobacco use treatment, how to manage smoking cessation drugs in patients with complex treatment regimens, and physical and psychological issues patients face in cancer diagnosis and treatment,” says Dr. Goldstein.  “NCI-designated centers can bring together expertise in cancer treatment and tobacco use treatment to ultimately benefit both quality of care and patient outcomes.”

Explore further: Tobacco displays increase the odds of teens becoming smokers

Related Stories

Tobacco displays increase the odds of teens becoming smokers

September 13, 2011

Young people who find tobacco displays in shops attractive and who easily recall seeing the displays have a greater chance of becoming a smoker according to a new Cancer Research UK funded research study published in Nicotine ...

Recommended for you

Combination therapy can prevent cytostatic resistance

November 26, 2015

Researchers at Karolinska Institutet have found a new way of preventing resistance to cytostatics used in the treatment of cancers such as medulloblastoma, the most common form of malignant brain tumour in children. The promising ...

Forecasting the path of breast cancer in a patient

November 23, 2015

USC researchers have developed a mathematical model to forecast metastatic breast cancer survival rates using techniques usually reserved for weather prediction, financial forecasting and surfing the Web.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.