21: Learning Collaborative to Reduce Tobacco and Cancer Disparity (LEAD) Initiative

Music City Center 

Smoking is the leading cause of preventable death (CDC, 2024). Disparities in Missouri exist among tobacco users including cancer patients. Smoking rates are higher in underrepresented populations with treatment being lower. Health organizations and clinicians are crucial to providing tobacco treatment. More than 70% of individuals who smoke see a clinician annually and report a desire to stop. The aims of the project include defining tobacco treatment, scaling the model to rural Missouri, and reducing disparities.
Data for patients who smoke were obtained from "Informatics for Integrating Biology and the Bedside (i2b2)". The LEAD intervention will evaluate the rate for counseling to quit smoking, comparing pre and post intervention. Overall, baseline data shows cancer patients (5.1% cancer patients vs 3.5% non-cancer), older age (3.1% 65+ years old vs 1.2% less than 65 years) and white patients (4.0% white vs 1.7% other races) received a higher rate of counseling. We hypothesize that these disparities will be reduced in post-intervention. As the project proceeds with implementation, the goal is to ensure clinicians are consistent with providing tobacco treatment to patients.

Cancer

Tobacco Treatment

Healthcare disparities

Rural Health

Patient Outcomes

Common Data Model (CDM) 

Section on Statistics in Epidemiology