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Item Electronic Cigarette Awareness, Use, and Perceptions among Cancer Patients(SAGE Publications, 2018-05-09) Buczek, Erin J.; Harrington, Kathleen F.; Hendricks, Peter S.; Schmalbach, Cecelia E.; Otolaryngology -- Head and Neck Surgery, School of MedicineObjective: Electronic cigarettes (e-cigs) are an emerging trend, yet little is known about their use in the cancer population. The objectives of this study were (1) to describe characteristics of e-cig use among cancer patients, (2) to define e-cig advertising exposure, and (3) to characterize perceptions of traditional cigarettes versus e-cigs. Study Design: Cross-sectional study. Setting: Comprehensive cancer center. Subjects and Methods: Inpatient, current smokers with a cancer diagnosis. E-cig exposure and use were defined using descriptive statistics. Wilcoxon rank test was used to compare perceptions between e-cigs and traditional cigarettes. Results: A total of 979 patients were enrolled in the study; 39 cancer patients were identified. Most cancer patients were women (59%), with an average age of 53.3 years. Of the patients, 46.2% reported e-cig use, most of which (88.9%) was "experimental or occasional." The primary reason for e-cig use was to aid smoking cessation (66.7%), alternative use in nonsmoking areas (22.2%), and "less risky" cigarette replacement (5.6%). The most common sources for e-cig information were TV (76.9%), stores (48.7%), friends (35.9%), family (30.8%), and newspapers or magazines (12.8%). Compared with cigarettes, e-cigs were viewed as posing a reduced health risk (P < .001) and conferring a less negative social impression (P < .001). They were also viewed as less likely to satisfy nicotine cravings (P = .002), to relieve boredom (P = .0005), to have a calming effect (P < .001), and as tasting pleasant (P = .006). Conclusions: E-cig use and advertising exposure are common among cancer patients. E-cig use is perceived as healthier and more socially acceptable but less likely to produce a number of desired consequences of cigarette use.Item Potential Unintended Consequences Of Recent Shared Decision Making Policy Initiatives(Project HOPE, 2019-11) Blumenthal-Barby, Jennifer; Opel, Douglas J.; Dickert, Neal W.; Kramer, Daniel B.; Tucker Edmonds, Brownsyne; Ladin, Keren; Peek, Monica E.; Peppercorn, Jeff; Tilburt, Jon; Obstetrics and Gynecology, School of MedicineShared decision making (SDM)-when clinicians and patients make medical decisions together-is moving swiftly from an ethical ideal toward widespread clinical implementation affecting millions of patients through recent policy initiatives. We argue that policy initiatives to promote SDM implementation in clinical practice carry the risk of several unintended negative consequences if limitations in defining and measuring SDM are not addressed. We urge policy makers to include prespecified definitions of desired outcomes, offer guidance on the tools used to measure SDM in the multitude of contexts in which it occurs, evaluate the impact of SDM policy initiatives over time, review that impact at regular intervals, and revise SDM measurement tools as needed.Item Reply to K. Takada et al(American Society of Clinical Oncology, 2021) Sharafeldin, Noha; Bates, Benjamin; Song, Qianqian; Madhira, Vithal; Shao, Yu Raymond; Liu, Feifan; Bergquist, Timothy; Su, Jing; Topaloglu, Umit; Biostatistics, School of Public HealthSee the letter "Reasons to Consider the COVID-19 Vaccination Status of Patients With Cancer When Analyzing Their COVID-19 Outcomes" in volume 39 on page 3996.