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Integration of Tobacco Treatment Services into Cancer Care at Stanford

Author

Listed:
  • Kathleen Gali

    (Stanford Prevention Research Center, Department of Medicine, School of Medicine, Stanford University, Stanford, CA 94305, USA)

  • Brittany Pike

    (Stanford Prevention Research Center, Department of Medicine, School of Medicine, Stanford University, Stanford, CA 94305, USA
    Stanford Health Care, Stanford, CA 94305, USA)

  • Matthew S. Kendra

    (Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford, CA 94305, USA)

  • Cindy Tran

    (Stanford Health Care, Stanford, CA 94305, USA)

  • Priya Fielding-Singh

    (Stanford Prevention Research Center, Department of Medicine, School of Medicine, Stanford University, Stanford, CA 94305, USA)

  • Kayla Jimenez

    (PGSP-Stanford Psy.D. Consortium, Palo Alto University, Palo Alto, CA 94304, USA)

  • Rachelle Mirkin

    (Stanford Health Care, Stanford, CA 94305, USA)

  • Judith J. Prochaska

    (Stanford Prevention Research Center, Department of Medicine, School of Medicine, Stanford University, Stanford, CA 94305, USA)

Abstract

As part of a National Cancer Institute Moonshot P30 Supplement, the Stanford Cancer Center piloted and integrated tobacco treatment into cancer care. This quality improvement (QI) project reports on the process from initial pilot to adoption within 14 clinics. The Head and Neck Oncology Clinic was engaged first in January 2019 as a pilot site given staff receptivity, elevated smoking prevalence, and a high tobacco screening rate (95%) yet low levels of tobacco cessation treatment referrals (<10%) and patient engagement (<1% of smokers treated). To improve referrals and engagement, system changes included an automated “opt-out” referral process and provision of tobacco cessation treatment as a covered benefit with flexible delivery options that included phone and telemedicine. Screening rates increased to 99%, referrals to 100%, 74% of patients were reached by counselors, and 33% of those reached engaged in treatment. Patient-reported abstinence from all tobacco products at 6-month follow-up is 20%. In July 2019, two additional oncology clinics were added. In December 2019, less than one year from initiating the QI pilot, with demonstrated feasibility, acceptability, and efficacy, the tobacco treatment services were integrated into 14 clinics at Stanford Cancer Center.

Suggested Citation

  • Kathleen Gali & Brittany Pike & Matthew S. Kendra & Cindy Tran & Priya Fielding-Singh & Kayla Jimenez & Rachelle Mirkin & Judith J. Prochaska, 2020. "Integration of Tobacco Treatment Services into Cancer Care at Stanford," IJERPH, MDPI, vol. 17(6), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:6:p:2101-:d:335503
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    Citations

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    Cited by:

    1. Chineme Enyioha & Graham W. Warren & Glen D. Morgan & Adam O. Goldstein, 2020. "Tobacco Use and Treatment among Cancer Survivors," IJERPH, MDPI, vol. 17(23), pages 1-7, December.
    2. Thulasee Jose & Joshua W. Ohde & J. Taylor Hays & Michael V. Burke & David O. Warner, 2020. "Design and Pilot Implementation of an Electronic Health Record-Based System to Automatically Refer Cancer Patients to Tobacco Use Treatment," IJERPH, MDPI, vol. 17(11), pages 1-11, June.
    3. Julia R. May & Elizabeth Klass & Kristina Davis & Timothy Pearman & Steven Rittmeyer & Sheetal Kircher & Brian Hitsman, 2020. "Leveraging Patient Reported Outcomes Measurement via the Electronic Health Record to Connect Patients with Cancer to Smoking Cessation Treatment," IJERPH, MDPI, vol. 17(14), pages 1-13, July.
    4. Annemarie D. Jagielo & Amy Chieng & Cindy Tran & Amy Pirkl & Ann Cao-Nasalga & Ashley Bragg & Rachelle Mirkin & Judith J. Prochaska, 2024. "Predictors of Patient Engagement in Telehealth-Delivered Tobacco Cessation Treatment during the COVID-19 Pandemic," IJERPH, MDPI, vol. 21(2), pages 1-12, January.
    5. Kate Frazer & Nancy Bhardwaj & Patricia Fox & Diarmuid Stokes & Vikram Niranjan & Seamus Quinn & Cecily C. Kelleher & Patricia Fitzpatrick, 2022. "Systematic Review of Smoking Cessation Interventions for Smokers Diagnosed with Cancer," IJERPH, MDPI, vol. 19(24), pages 1-35, December.

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