Article ; Online: Point of care tobacco treatment sustains during COVID-19, a global pandemic.
2021 Volume 78, Page(s) 102005
Abstract: ... comprehensive oncologic care. We have implemented a point of care tobacco treatment care model enabled ... EHR-enabled tobacco treatment care model demonstrates sustained reach up to 30 months following ... tobacco treatment care model, reach of treatment increased from pre to post T5 (3.2 % vs. 48.4 %, RR 15.50 ...
| Abstract | Background: Tobacco cessation treatment for cancer patients is essential to providing comprehensive oncologic care. We have implemented a point of care tobacco treatment care model enabled by electronic health record (EHR) modifications in a comprehensive cancer center. Data are needed on the sustainability of both reach of treatment and effectiveness over time, including the COVID-19 pandemic. Methods: Using EHR data from the pre-implementation (P: 5 months) and post-implementation periods (6 month-blocks, T1-T5 for a total of 30 months), we compared two primary outcomes: 1) reach of treatment among those smoking and 2) effectiveness assessed by smoking cessation among those smoking in the subsequent 6 month period. We analyzed the data using generalized estimation equation regression models. Results: With the point of care tobacco treatment care model, reach of treatment increased from pre to post T5 (3.2 % vs. 48.4 %, RR 15.50, 95 % CI 10.56-22.74, p < 0.0001). Reach of treatment in all post periods (T1-T5 including the COVID-19 pandemic time) remained significantly higher than the pre period. Effectiveness, defined by smoking cessation among those smoking, increased from pre to post T2 before the pandemic (12.4 % vs. 21.4 %, RR 1.57, 95 % CI 1.31-1.87, p < 0.0001). However, effectiveness, while higher in later post periods (T3, T4), was no longer significantly increased compared with the pre period. Conclusion: A point of care EHR-enabled tobacco treatment care model demonstrates sustained reach up to 30 months following implementation, even during the COVID-19 pandemic and changes in healthcare prioritization. Effectiveness was sustained for 12 months, but did not sustain through the subsequent 12 months. |
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| MeSH term(s) | COVID-19/epidemiology ; Humans ; Pandemics ; Point-of-Care Systems ; Smoking Cessation ; Nicotiana | |||||
| Language | English | |||||
| Publishing date | 2021-08-18 | |||||
| Publishing country | Netherlands | |||||
| Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't | |||||
| ZDB-ID | 2508729-0 | |||||
| ISSN | 1877-783X ; 1877-7821 | |||||
| ISSN (online) | 1877-783X | |||||
| ISSN | 1877-7821 | |||||
| DOI | 10.1016/j.canep.2021.102005 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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