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European practice patterns and barriers to smoking cessation after a cancer diagnosis in the setting of curative vs palliative cancer treatment

European Journal of Cancer Sep 26, 2020

Derksen JWG, Warren GW, Jordan K, et al. - Researchers analyzed the oncologist's views on patients' tobacco use, current practices as well as obstacles to offering smoking cessation support, while differentiating between treatment with curative (C) and palliative (P) intent. They analyzed responses from 544 oncologists. As per findings, oncologists seemed to favour addressing tobacco use more in the curative setting, however, in a minority of cases, medication options were discussed and/or cessation support was offered. Disparate barriers between the curative and palliative settings were: reluctance to get rid of a pleasurable habit and disbelieve on smoking impacting outcomes. Between settings, there was similarity in dominant barriers of time, resources, education and patient resistance. Access to evidence-based smoking cessation support should be ensured for all patients who report current smoking, also for patients managed with palliative intent given their increasing survival.

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