Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-14T22:09:56.425Z Has data issue: false hasContentIssue false
  • English
  • Français

A Collaborative Model for Facilitating the Delivery of Smoking Cessation Treatments to Cancer Patients: Results From Three Oncology Practices in South Carolina

Published online by Cambridge University Press:  10 July 2018

Daniel J. Kilpatrick Open the ORCID record for Daniel J. Kilpatrick [Opens in a new window] ,
Kathleen B. Cartmell ,
Abdoulaye Diedhiou ,
K. Michael Cummings ,
Graham W. Warren ,
Kathleen L. Wynne ,
Sharon R. Biggers  and
Pamela S. Gillam
Daniel J. Kilpatrick*
Affiliation:
Division of Tobacco Prevention and Control, SC Department of Health and Environmental Control, Columbia, SC
Kathleen B. Cartmell
Affiliation:
College of Nursing, Medical University of South Carolina, Charleston, SC
Abdoulaye Diedhiou
Affiliation:
Division of Tobacco Prevention and Control, SC Department of Health and Environmental Control, Columbia, SC
K. Michael Cummings
Affiliation:
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC
Graham W. Warren
Affiliation:
Department of Radiation Oncology, Medical University of South Carolina, Charleston, SC
Kathleen L. Wynne
Affiliation:
Division of Tobacco Prevention and Control, SC Department of Health and Environmental Control, Columbia, SC
Sharon R. Biggers
Affiliation:
Division of Tobacco Prevention and Control, SC Department of Health and Environmental Control, Columbia, SC
Pamela S. Gillam
Affiliation:
Arnold School of Public Health, University of South Carolina, Columbia, SC
*
Address for correspondence: Daniel J. Kilpatrick, PhD, MPH, Division of Tobacco Prevention and Control, SC Department of Health and Environmental Control, 2100 Bull Street, Mills/Jarrett Complex, Columbia, SC29201. Email: kilpatdj@dhec.sc.gov
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction: Continued smoking by cancer patients causes adverse cancer treatment outcomes, but few patients receive evidence-based smoking cessation as a standard of care.

Aim: To evaluate practical strategies to promote wide-scale dissemination and implementation of evidence-based tobacco cessation services within state cancer centers.

Methods: A Collaborative Learning Model (CLM) for Quality Improvement was evaluated with three community oncology practices to identify barriers and facilitate practice change to deliver evidence-based smoking cessation treatments to cancer patients using standardized assessments and referrals to statewide smoking cessation resources. Patients were enrolled and tracked through an automated data system and received follow-up cessation support post-enrollment. Monthly quantitative reports and qualitative data gathered through interviews and collaborative learning sessions were used to evaluate meaningful quality improvement changes in each cancer center.

Results: Baseline practice evaluation for the CLM identified the lack of tobacco use documentation, awareness of cessation guidelines, and awareness of services for patients as common barriers. Implementation of a structured assessment and referral process demonstrated that of 1,632 newly registered cancer patients,1,581 (97%) were screened for tobacco use. Among those screened, 283 (18%) were found to be tobacco users. Of identified tobacco users, 207 (73%) were advised to quit. Referral of new patients who reported using tobacco to an evidence-based cessation program increased from 0% at baseline across all three cancer centers to 64% (range = 30%–89%) during the project period.

Conclusions: Implementation of quality improvement learning collaborative models can dramatically improve delivery of guideline-based tobacco cessation treatments to cancer patients.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 14 , Issue 2 , June 2019 , pp. 112 - 124
Copyright
Copyright © The Author(s) 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bernstein, S. L., Rosner, J., DeWitt, M., Tetrault, J., Hsiao, A. L., Dziura, J.et al. (2017). Design and implementation of decision support for tobacco dependence treatment in an inpatient electronic medical record: A randomized trial. Translational Behavioral Medicine, 7 (2), 185–195. doi:10.1007/s13142-017-0470-8.Google Scholar
Commission on Cancer. (2016). Cancer program standards: Ensuring patient-centered care (2016 Edition). Chicago, IL: American College of Surgeons, Commission on Cancer. Retrieved from https://www.facs.org/~/media/files/quality%20programs/cancer/coc/2016%20coc%20standards%20manual_interactive%20pdf.ashx.Google Scholar
Carpenter, M. J., Hughes, J. R., Gray, K. M., Wahlquist, A. E., Saladin, M. E., & Alberg, A. J. (2011). Nicotine therapy sampling to induce quit attempts among smokers unmotivated to quit: A randomized clinical trial. Archives of Internal Medicine, 171 (21), 1901–1907. doi:10.1001/archinternmed.2011.492.Google Scholar
Dobson Amato, K. A., Hyland, A., Reed, R., Mahoney, M. C., Marshall, J., Giovino, G.et al. (2015). Tobacco cessation may improve lung cancer patient survival. Journal of Thoracic Oncology, 10 (7), 1014–1019.Google Scholar
Duffy, S. A., Louzon, S. A., & Gritz, E. R. (2012). Why do cancer patients smoke and what can providers do about it? Community Oncology, 9 (11), 344–352.Google Scholar
Fiore, M. C., Jaén, C. R., Baker, T. B., Bailey, W. C., Benowitz, N. L., Curry, S. J.et al. (2008). Treating tobacco use and dependence: 2008 update. Clinical Practice Guidelines. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK63952/.Google Scholar
Greenwood, D. A., Parise, C. A., MacAller, T. A., Hankins, A. I., Harms, K. R., Pratt, L. S.et al. (2012). Utilizing clinical support staff and electronic health records to increase tobacco use documentation and referrals to a state quitline. Journal of Vascular Nursing, 30 (4), 107–111. doi:10.1016/j.jvn.2012.04.001.Google Scholar
Hanna, N., Mulshine, J., Wollins, D. S., Tyne, C., & Dresler, C. (2013). Tobacco cessation and control a decade later: American Society of Clinical Oncology policy statement update. Journal of Clinical Oncology, 31 (25), 3147–3157. doi:10.1200/jco.2013.48.8932.Google Scholar
Institute for Healthcare Improvement. (2003). The breakthrough series: IHI's collaborative model for achieving breakthrough improvement. Boston, MA: Institute for Healthcare Improvement. Retrieved from http://www.ihi.org/resources/Pages/IHIWhitePapers/TheBreakthroughSeriesIHIsCollaborativeModelforAchievingBreakthroughImprovement.aspx.Google Scholar
Jacobs, E. J., Newton, C. C., Carter, B. D., Feskanich, D., Freedman, N. D., Prentice, R. L.et al. (2015). What proportion of cancer deaths in the contemporary United States is attributable to cigarette smoking? Annals of Epidemiology, 25 (3), 179–182.e1. doi:10.1016/j.annepidem.2014.11.008.Google Scholar
Kegler, M. C., Carvalho, M. L., Ory, M., Kellstedt, D., Friedman, D. B., McCracken, J. L.et al. (2015). Use of mini-grant to disseminate evidence-based interventions for cancer prevention and control. Journal of Public Health Management and Practice, 21 (5), 487–495. doi:10.1097/PHH.0000000000000228.Google Scholar
Langley, G. J., Moen, R. D., Nolan, K. M., Nolan, T. W., Norman, C. L., & Provost, L. P. (2009). The improvement guide: A practical approach to enhancing organization performance (2nd ed.). San Francisco, CA: Jossey-Bass Publishers.Google Scholar
Mohiuddin, S. M., Mooss, A. N., Hunter, C. B., Grollmes, T. L., Cloutier, D. A., & Hilleman, D. E. (2007). Intensive smoking cessation intervention reduces mortality in high-risk smokers with cardiovascular disease. Chest, 131 (2), 446–452. doi:10.1378/chest.06-1587.Google Scholar
Mullen, K. A., Manuel, D. G., Hawken, S. J., Pipe, A. L., Coyle, D., Hobler, L. A.et al. (2017). Effectiveness of a hospital-initiated smoking cessation programme: 2-year health and healthcare outcomes. Tobacco Control, 26 (3), 293–299. doi:10.1136/tobaccocontrol-2015-052728.Google Scholar
Passarelli, M. N., Newcomb, P. A., Hampton, J. M., Trentham-Dietz, A., Titus, L. J., Egan, K. M.et al. (2016). Cigarette smoking before and after breast cancer diagnosis: Mortality from breast cancer and smoking-related diseases. Journal of Clinical Oncology, 34 (12), 1315–1322. doi:10.1200/JCO.2015.63.9328.Google Scholar
Prochaska, J. J., Hall, S. E., Delucchi, K., & Hall, S. M. (2014). Efficacy of initiating tobacco dependence treatment in inpatient psychiatry: A randomized controlled trial. American Journal of Public Health, 104 (8), 1557–1565. doi:10.2105/AJPH.2013.301403.Google Scholar
Reid, R. D., Mullen, K. A., Slovinec D'Angelo, M. E., Aitken, D. A., Papadakis, S., Haley, P. M.et al. (2010). Smoking cessation for hospitalized smokers: An evaluation of the “Ottawa Model”. Nicotine & Tobacco Research, 12 (1), 11–18. doi:10.1093/ntr/ntp165.Google Scholar
Reid, R. D., Pipe, A. L., & Quinlan, B. (2006). Promoting smoking cessation during hospitalization for coronary artery disease. Canadian Journal of Cardiology, 22 (9), 775–780.Google Scholar
Reid, R. D., Pipe, A. L., Quinlan, B., & Oda, J. (2007). Interactive voice response telephony to promote smoking cessation in patients with heart disease: A pilot study. Patient Education and Counseling, 66 (3), 319–326. doi:10.1016/j.pec.2007.01.005.Google Scholar
Sardari Nia, P., Weyler, J., Colpaert, C., Vermeulen, P., Van Marck, E., & Van Schil, P. (2005). Prognostic value of smoking status in operated non-small cell lung cancer. Lung Cancer, 47 (3), 351–359. doi:10.1016/j.lungcan.2004.08.011.Google Scholar
Sharifi, M., Adams, W. G., Winickoff, J. P., Guo, J., Reid, M., & Boynton-Jarrett, R. (2014). Enhancing the electronic health record to increase counseling and quit-line referral for parents who smoke. Academic Pediatrics, 14 (5), 478–484. doi:10.1016/j.acap.2014.03.017.Google Scholar
Shields, P. G., Herbst, R. S., Arenberg, D., Benowitz, N. L., Bierut, L., Luckart, J. B.et al. (2016). Smoking cessation, version 1.2016, NCCN clinical practice guidelines in oncology. Journal of the National Comprehensive Cancer Network, 14 (11), 1430–1468.Google Scholar
Singleterry, J., Jump, Z., DiGiulio, A., Babb, S., Sneegas, K., MacNeil, A.et al. (2015). State Medicaid coverage for tobacco cessation treatments and barriers to coverage – United States, 2014–2015. Morbidity and Mortality Weekly Report, 64 (42), 1194–1199. doi:10.15585/mmwr.mm6442a3.Google Scholar
Toll, B. A., Brandon, T. H., Gritz, E. R., Warren, G. W., & Herbst, R. S. (2013). Assessing tobacco use by cancer patients and facilitating cessation: An American Association for Cancer Research policy statement. Clinical Cancer Research, 19 (8), 1941–1948. doi:10.1158/1078-0432.ccr-13-0666.Google Scholar
U.S. Centers for Medicare and Medicaid Services. (2017). Readmissions reduction program. Retrieved from https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps/readmissions-reduction-program.html.Google Scholar
U.S. Department of Health and Human Services. (2014). The health consequences of smoking-50 years of progress: A report of the surgeon general. Rockville, MD: US Department of Health and Human Services. Retrieved from https://www.surgeongeneral.gov/library/reports/50-years-of-progress/full-report.pdf.Google Scholar
U.S. Department of Health and Human Services. (2017). EHR incentives & certification. Retrieved from https://www.healthit.gov/providers-professionals/how-attain-meaningful-use.Google Scholar
Warren, G. W., Dibaj, S., Hutson, A., Cummings, K. M., Dresler, C., & Marshall, J. R. (2015). Identifying targeted strategies to improve smoking cessation support for cancer patients. Journal of Thoracic Oncology, 10 (11), 1532–1537. doi:10.1097/JTO.0000000000000659.Google Scholar
Warren, G. W., Marshall, J. R., Cummings, K. M., Toll, B., Gritz, E. R., Hutson, A.et al. (2013a). Practice patterns and perceptions of thoracic oncology providers on tobacco use and cessation in cancer patients. Journal of Thoracic Oncology, 8 (5), 543–548. doi:10.1097/JTO.0b013e318288dc96.Google Scholar
Warren, G. W., Marshall, J. R., Cummings, K. M., Toll, B. A., Gritz, E. R., Hutson, A.et al. (2013b). Addressing tobacco use in patients with cancer: A survey of American Society of Clinical Oncology members. Journal of Oncology Practice, 9 (5), 258–262. doi:10.1200/JOP.2013.001025.Google Scholar
Warren, G. W., Marshall, J. R., Cummings, K. M., Zevon, M. A., Reed, R., Hysert, P.et al. (2014). Automated tobacco assessment and cessation support for cancer patients. Cancer, 120 (4), 562–569. doi:10.1002/cncr.28440.Google Scholar
Warren, G. W., & Ward, K. D. (2015). Integration of tobacco cessation services into multidisciplinary lung cancer care: Rationale, state of the art, and future directions. Translational Lung Cancer Research, 4 (4), 339–352. doi:10.3978/j.issn.2218-6751.2015.07.15.Google Scholar
Supplementary material: PDF

Kilpatrick et al. supplementary material

Kilpatrick et al. supplementary material 1

Download Kilpatrick et al. supplementary material(PDF)
PDF 211.6 KB
Supplementary material: PDF

Kilpatrick et al. supplementary material

Kilpatrick et al. supplementary material 2

Download Kilpatrick et al. supplementary material(PDF)
PDF 106.5 KB
Supplementary material: File

Kilpatrick et al. supplementary material

Kilpatrick et al. supplementary material 3

Download Kilpatrick et al. supplementary material(File)
File 37.4 KB