Impact of Family and Social Network on Tobacco Cessation Amongst Cancer Patients

Continued smoking after a cancer diagnosis adversely affects outcomes, including recurrence of the primary cancer and/or the development of second primary cancers. Despite this, prevalence of smoking is high in cancer survivors and higher in survivors of tobacco-related cancers. The diagnosis of cancer provides a teachable moment, and social networks, such as family, friends, and social groups, seem to play a significant role in smoking habits of cancer patients. Interventions that involve members of patients’ social network, especially those who also smoke, might improve tobacco cessation rates. Very few studies have been conducted to evaluate and target patients’ social networks. Yet, many studies have demonstrated that cancer survivors who received higher levels of social support were less likely to be current smokers. Clinicians should be doing as much as they can to encourage smoking cessation in both patients and relevant family members. Research aimed at influencing smoking behavioral change in the entire family is needed to increase cessation intervention success rate, which can ultimately improve the health and longevity of patients as well as their family members.

Download Full-text

The function of the social networks of families of hospitalized children

Escola Anna Nery ◽

10.1590/2177-9465-ean-2018-0311 ◽

2019 ◽

Vol 23 (4) ◽

Author(s):

Rita de Cássia Melão de Morais ◽

Tania Vignuda de Souza ◽

Isabel Cristina dos Santos Oliveira ◽

Juliana Rezende Montenegro Medeiros de Moraes ◽

Elena Araújo Martinez ◽

...

Keyword(s):

Social Networks ◽

Social Network ◽

Family Members ◽

Main Role ◽

Hospitalized Children ◽

Pediatric Hospitalization ◽

The Social ◽

The Family ◽

Main Components

ABSTRACT Objective: To analyze the role of the social network configured by the family/companion and their implications for their stay during the hospitalization of the child in the pediatric hospitalization unit. Method: Qualitative study with ten family members/companions of hospitalized children. Data collection was done through the technique of individual interview, which occurred in the period from February to December 2015. The analysis was thematic, in light of the theoretical reference of "Social Networks" described by Lia Sanicola. Results and discussion: The main role of the social network was emotional and material support, and the main components of this network were: companion, mother, aunt and daughter, as well as nursing team, physician and other family members/companions. Final considerations and implications for the practice: It was verified that the totality of the interviewees was female, however, the husband was the most important member of the social network for the family members involved, since they perform the material/financial and emotional function. In addition, the participants consider that they are responsible for all care to the family and, in the condition in that they are, they understand it as a favor provided by the other members of the network. Identifying the composition of the social networks of family members/companions provides a better targeting of care in order to strengthen the social support received.

Download Full-text

Do Second Primary Cancers Affect the Risk of Biochemical Recurrence in Prostate Cancer Patients Undergoing Radical Prostatectomy? A Propensity Score-Matched Analysis

Clinical Genitourinary Cancer ◽

10.1016/j.clgc.2016.03.003 ◽

2016 ◽

Vol 14 (4) ◽

pp. e363-e369 ◽

Cited By ~ 1

Author(s):

Minyong Kang ◽

Jin-Woo Jung ◽

Jong Jin Oh ◽

Sangchul Lee ◽

Sung Kyu Hong ◽

...

Keyword(s):

Prostate Cancer ◽

Radical Prostatectomy ◽

Propensity Score ◽

Cancer Patients ◽

Biochemical Recurrence ◽

Second Primary ◽

Second Primary Cancers

Download Full-text

Using a statewide collaborative approach to improve tobacco cessation referral rates for cancer patients.

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.31_suppl.74 ◽

2013 ◽

Vol 31 (31_suppl) ◽

pp. 74-74

Author(s):

Jane Alcyne Severson ◽

Hilary Baca ◽

Douglas W. Blayney ◽

Karen Brown ◽

Grayce Galiyas ◽

...

Keyword(s):

Cancer Patients ◽

Tobacco Use ◽

Tobacco Cessation ◽

Scientific Evidence ◽

Demonstration Project ◽

Second Primary ◽

Root Cause ◽

Use Of Data ◽

Lean Tools ◽

Oncology Practice

74 Background: Tobacco use by cancer patients decreases the effectiveness of cancer treatment, increases treatment toxicity, increases the risk of developing a second primary cancer, and increases mortality. Stopping tobacco use may reduce many of these adverse effects in cancer patients. Methods: The Michigan Oncology Quality Consortium (MOQC) collaborated with the Michigan Cancer Consortium (MCC) to implement the Tobacco Cessation Demonstration Project. This entailed designing a standard workflow and other lean tools to assist oncology practices in referring all cancer patients who use tobacco to the free Michigan Tobacco QuitLine or other cessation services. 19 practices participated in three learning sessions during which the following were provided: education by subject matter experts, use of data management and lean tools, and the sharing of barriers and successes. Results: Examination of baseline MOQC Quality Oncology Practice Initiative (QOPI) data demonstrated that < 47% of patients who use tobacco were advised to quit or referred for tobacco cessation (n = 574 charts/44 sites), which was equivalent to the national QOPI mean in Fall 2012. Root cause analysis of this lack of action in tobacco cessation identified limited knowledge to the risks of continued smoking and the lack of available resources as barriers to adopting necessary change. Implementation of the MOQC/MCC Tobacco Cessation Demonstration Project increased total statewide referrals to the QuitLine by 30.9% over the first 2 months with an increasing proportion of patients (41%) being cancer patients referred by MOQC participating sites. Conclusions: Supplying scientific evidence, collaboration, and the use of lean tools improved the referral rate to a tobacco cessation program for oncology patients. [Table: see text]

Download Full-text

Racial and ethnic differences in risk of second primary cancers among breast cancer survivors.

Journal of Clinical Oncology ◽

10.1200/jco.2015.33.15_suppl.e12592 ◽

2015 ◽

Vol 33 (15_suppl) ◽

pp. e12592-e12592

Author(s):

Gregory Sampang Calip ◽

Ernest Law ◽

Eric P. Winer ◽

Naomi Ko

Keyword(s):

Breast Cancer ◽

Cancer Survivors ◽

Ethnic Differences ◽

Breast Cancer Survivors ◽

Second Primary ◽

Second Primary Cancers ◽

Racial And Ethnic Differences

Download Full-text

Development of second primary cancers in breast cancer survivors.

Journal of Clinical Oncology ◽

10.1200/jco.2016.34.3_suppl.257 ◽

2016 ◽

Vol 34 (3_suppl) ◽

pp. 257-257

Author(s):

Hong Kyu Jung ◽

Jihyoun Lee ◽

Zisun Kim ◽

Min Hyuk Lee ◽

Ilkyun Lee

Keyword(s):

Breast Cancer ◽

Endometrial Cancer ◽

Thyroid Cancer ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Second Primary ◽

Primary Cancer ◽

Second Primary Cancer ◽

Breast Cancer Patients ◽

Second Primary Cancers

257 Background: Breast cancer survivors have slightly increased risk of second primary cancers. Importance of screening for second cancers has been raised due to increased survival in those populations. Not only having genetic risk such as BRCA mutation, but also treatment-related risk presents. The most common second primary cancer is breast cancer. Colon cancer, uterine cancer, and ovarian cancer showed increased cumulative incidence. In this study, we assessed development second primary cancers in breast cancer survivors. Methods: Medical record of breast cancer patients was reviewed retrospectively in three tertiary medical institutions. Available data of ICD-9 record after breast cancer diagnosis was evaluated. Diagnosis of second primary breast cancer was excluded in evaluation. Results: Since Jan 1989 to Jan 2014, available medical records were reviewed in breast cancer patients(N = 5880) in three institutions(one urban and the other two rural institutions). Cumulative incidence of overall second primary cancers was 4.57%. Among 269 second primary cancers, thyroid cancer(44.2%) was most common second primary cancer, followed by gastric cancer(10.0%). Gastric cancers were more common in rural institution than urban area(14.2 % vs 5.5%), while incidence of thyroid cancer is elevated in urban institution(57.8% vs 31.9%). Among 9 patients who has been diagnosed endometrial cancer, 7 patients had history of selective estrogen receptor modulator(tamoxifen or toremifen) treatment. Development of lung cancer was not related to breast cancer radiation treatment(4 of 15 patients). Leukemia after breast cancer treatment was diagnosed in 5 patients (8.5% of second primary cancers), three of them were adult T cell leukemia and two of them were acute myeloid leukemia. Conclusions: Incidence of cancer in general population was reflected to development of second primary cancer in breast cancer survivors. Endocrine treatment was related increased incidence of endometrial cancer, respectively. Application of personalized cancer screening plan would be important in this patient group.

Download Full-text