{"id":2419,"date":"2014-06-30T15:21:56","date_gmt":"2014-06-30T19:21:56","guid":{"rendered":"http:\/\/geiselmed.dartmouth.edu\/news\/?p=2419"},"modified":"2014-07-11T08:54:03","modified_gmt":"2014-07-11T12:54:03","slug":"helping-physicians-help-patients-quit-smoking","status":"publish","type":"post","link":"https:\/\/geiselmed.dartmouth.edu\/news\/2014\/helping-physicians-help-patients-quit-smoking\/","title":{"rendered":"Helping Physicians Help Patients Quit Smoking"},"content":{"rendered":"

Over the next year, Dartmouth researchers will carry out a pilot study to determine if a new standardized protocol can help smokers with vascular disease quit smoking. The trial will be led by Philip Goodney, MD, an assistant professor of surgery at the Geisel School of Medicine and a researcher with The Dartmouth Institute for Health Policy and Clinical Practice<\/a> (TDI), and Emily Spangler, MD, a resident in vascular surgery at Dartmouth-Hitchcock<\/a>\u00a0(DHMC). They were recently awarded a grant of $100,000 from the Society for Vascular Surgery to carry out the study.<\/p>\n

\"Philip
Philip Goodney, MD<\/figcaption><\/figure>\n

\u201cPatients who have vascular problems with blockages in their blood vessels commonly get those blockages because of cigarette smoking,\u201d Goodney says. \u201cSo trying to get patients to quit smoking is an important part of our job.\u201d<\/p>\n

Previous research has found that vascular procedures have better outcomes when patients do not smoke, but the type and quality of smoking cessation counseling varies significantly from one physician to another. \u201cSome physicians may spend a lot of time counseling patients; others don\u2019t offer as much discussion,\u201d Goodney says.<\/p>\n

About a year and a half ago, Goodney became interested in developing best practices for smoking cessation counseling among vascular surgeons. Working with Spangler and Alik Farber, MD, a vascular surgeon at Massachusetts General Hospital<\/a> (MGH), Goodney developed what they call the offer and report method. This protocol involves offering advice to patients about quitting smoking and then reporting those patients to a national hotline that will follow up with the patients, providing regular encouragement and counseling. The method also involves the use of nicotine replacement therapy, and it was based in part on the work of Nancy Rigotti, MD, a smoking cessation expert at MGH.<\/p>\n

To find out whether offering this type of standardized counseling would improve quit rates among smokers with vascular disease, Goodney, Spangler, and Farber applied for a grant from the Society of Vascular Surgery. The award will allow them to carry out a small clinical trial. Four medical centers, including DHMC, will provide the offer and report protocol. Patients at four other medical centers will serve as controls by continuing to offer their current standard practice for smoking cessation.<\/p>\n

Goodney hopes that \u201cthe systematic delivery of smoking cessation advice can increase the likelihood that the patient will be successful in quitting smoking.\u201d<\/p>\n

The study will include hospitals around the country with the aim of making the results generalizable. Once the data have been collected, Goodney and his colleagues plan to use that data to submit a proposal for a larger, federally funded trial.<\/p>\n","protected":false},"excerpt":{"rendered":"

Over the next year, Dartmouth researchers will carry out a pilot study to determine if a new standardized protocol can help smokers with vascular disease quit smoking.<\/p>\n","protected":false},"author":3,"featured_media":2422,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"aside","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"\u201cTrying to get patients to quit smoking is an important part of our job,\u201d says Philip Goodney, a physician and researcher. A new clinical trial led by Goodney seeks to improve physicians\u2019 ability to do just that.","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1,8],"tags":[314,219,45],"class_list":["post-2419","post","type-post","status-publish","format-aside","has-post-thumbnail","hentry","category-news","category-research","tag-philip-goodney","tag-smoking","tag-tdi","post_format-post-format-aside","author-3"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-content\/uploads\/sites\/2\/2014\/06\/goodney-featured.jpg","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p4r3h1-D1","_links":{"self":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/2419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/comments?post=2419"}],"version-history":[{"count":5,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/2419\/revisions"}],"predecessor-version":[{"id":2437,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/2419\/revisions\/2437"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/media\/2422"}],"wp:attachment":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/media?parent=2419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/categories?post=2419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/tags?post=2419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}