Treating Nicotine Dependence and Preventing Smoking Relapse in Cancer Patients.
Treating Nicotine Dependence and Preventing Smoking Relapse in Cancer Patients.
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DOI：
10.1080/23809000.2017.1271981
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发表时间：
2017-01-01
期刊：
影响因子：
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通讯作者：
Schnoll, Robert A
中科院分区：
文献类型：
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作者：
Chang, Eun Hae Estelle;Braith, Andrew;Schnoll, Robert A
导语：尽管吸烟的有害影响有据可查，但许多癌症患者仍在继续吸烟。戒烟是解决这一人群的关键问题，因为在癌症诊断后继续吸烟会导致治疗毒性增加、第二原发癌风险增加、治疗反应降低以及疾病特异性和全因死亡率较高。这篇综述旨在总结癌症患者戒烟治疗的最新建议和指南，以及这些建议背后的证据。内容包括：我们回顾了癌症患者戒烟治疗的最新证据，以及可供肿瘤学家和卫生保健提供者使用的临床指南和建议。还讨论了被诊断为癌症的患者对尼古丁依赖的独特方面，以及癌症幸存者和卫生保健提供者在考虑戒烟治疗时遇到的关键挑战和障碍，以及可用的临床资源。最后，作者总结了癌症患者戒烟治疗领域的未来方向。ExPERT评论：虽然癌症患者戒烟治疗的研究有改进的领域，但关键的未被探索的领域仍然存在。尽管如此，提供者应该遵守NCCN的指导方针，并在没有适当资源的情况下提供简短的咨询干预，以激励患者戒烟。
INTRODUCTION: Despite the well-documented harmful effects of smoking, many cancer patients continue to smoke. Smoking cessation is critical to address in this population given the associated increase in treatment toxicity, risk of second primary tumors, decrease in treatment response and higher disease-specific and all-cause mortality with continued smoking following a cancer diagnosis. This review seeks to summarize the latest recommendations and guidelines on smoking cessation treatment for patients diagnosed with cancer, and the evidence behind those recommendations.AREAS COVERED: We reviewed the latest evidence for smoking cessation treatments for cancer patients and the clinical guidelines and recommendation available for oncologists and health care providers. The unique aspects of nicotine dependence among patients diagnosed with cancer, and key challenges and barriers that cancer survivors and health care providers experience when considering smoking cessation treatments, and available clinical resources, are also discussed. Lastly, the authors summarize future directions in the field of smoking cessation treatment for cancer patients.EXPERT COMMENTARY: While there are areas of improvement in research of smoking cessation treatment for cancer patients, critical under-explored areas remain. Nonetheless, providers should adhere to the NCCN guidelines and offer a brief counseling intervention to motivate patients to quit smoking when appropriate resources are not available.