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Smoking and OMFS – How well are we recording tobacco use and referring to smoking cessation services?
Oral Oncology ; 118:7, 2021.
Article in English | EMBASE | ID: covidwho-1735118
ABSTRACT
smoking. Evidence shows that smokers who develop oral cancer have poorer outcomes than non-smokers. Additionally, smoking incidence is reported to be increased because of the COVID pandemic.We have a duty to discuss smoking with our patients and offer appropriate advice or referrals. Objectives are as follows - To assess department compliance with the recording of smoking and tobacco history at initial consultation appointments - To aim for 100% compliance with the recording of smoking and tobacco quantity and duration - To increase number of successful referrals to smoking cessation services. Materials and

Methods:

Retrospective data collectionwas completed from 20 initial new patient consultations. Notes were assessed for the presence of the following Smoking status and history, duration of smoking history, number of cigarettes smoked daily, and whether smoking cessation advice was given and/or a smoking cessation referral offered. Results of first round data collectionwere presented to the department and a ‘help to stop smokingreferral form for smoking cessation services made readily available in the department. A second round of data collection was subsequently completed.

Results:

60% of initial consultations recorded patient smoking status. Of this group, 42% are confirmed smokers. When smoking history has been recorded, the quantity of cigarettes was always recorded. The duration of smoking history was only successfully recorded in 60% of cases. No referrals were made to the smoking cessation service;however 60% of the confirmed smokers declined a referral offer. After intervention, a vast improvement is noted – 85% of clinical notes recorded patient status, with 25% confirmed smokers. There was an increase in referrals to smoking cessation referral services.

Conclusions:

All patients should be asked about smoking status and evidence recorded in clinical notes. Furthermore, smoking cessation advice should be given to all patients and referrals to smoking cessation services offered. Collaborative projects with the smoking cessation service have begun to further improve our patient care and oral health improvement.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Oral Oncology Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Oral Oncology Year: 2021 Document Type: Article