Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco‐Free Nicotine Pouch Consumers
Abstract Objective Nicotine‐containing products have historically been tobacco derivatives like cigarettes, cigars, and dip. Recently, tobacco‐free nicotine (TFN) products have been marketed as a healthy alternative. TFN pouches are small, discreet, flavored pouches containing nicotine designed to b...
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| Format: | Article |
| Language: | English |
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Wiley
2024-10-01
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| Series: | OTO Open |
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| Online Access: | https://doi.org/10.1002/oto2.70034 |
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| author | Taylor J. Stack Morgan N. McCain Ezer H. Benaim Theresa A. Dickerson Ibtisam Mohammad Brent A. Senior Adam J. Kimple Christine DeMason |
| author_facet | Taylor J. Stack Morgan N. McCain Ezer H. Benaim Theresa A. Dickerson Ibtisam Mohammad Brent A. Senior Adam J. Kimple Christine DeMason |
| author_sort | Taylor J. Stack |
| collection | DOAJ |
| description | Abstract Objective Nicotine‐containing products have historically been tobacco derivatives like cigarettes, cigars, and dip. Recently, tobacco‐free nicotine (TFN) products have been marketed as a healthy alternative. TFN pouches are small, discreet, flavored pouches containing nicotine designed to be placed between the gum and lip. This product does not fit a conventional tobacco category, leading to inaccurate reporting. This study aims to investigate discrepancies in physician documentation of TFN pouches. Methods A retrospective chart review was conducted on TFN users. Setting Single Health Care System. Methods Statistical analyses assessed TFN documentation concordance between social history templates and physician notes. Results There were 150 patients who used TFN and 841 patients who vaped. Concordance was higher for vape documentation than TFN pouch documentation (55.9%, 470/841 vs 25.3%, 38/150; P < .001). Of those who used TFN, 60% (90/150) were classified as “Smokeless Tobacco Users” in the social history; however, 35 were inaccurately classified as chew, and 17 did not specify TFN use. Only 38 specified TFN use; only 25% (38/150) of records demonstrated concordance. Conclusion Only 25% of records were concordant with physician notes, highlighting the need for a designated place for TFN use within social history templates. Nicotine use history is crucial in the setting of microvascular reconstruction and cosmetic surgeries. Thus, accurate reporting is crucial for future research on the long‐term effects of TFN. This study's findings underscore a deficit in current social history templates and the need to recognize TFN pouches as distinct entities. |
| format | Article |
| id | doaj-art-fa09a29f922d40d88216d04e6c2ebb1f |
| institution | OA Journals |
| issn | 2473-974X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | OTO Open |
| spelling | doaj-art-fa09a29f922d40d88216d04e6c2ebb1f2025-08-20T02:01:00ZengWileyOTO Open2473-974X2024-10-0184n/an/a10.1002/oto2.70034Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco‐Free Nicotine Pouch ConsumersTaylor J. Stack0Morgan N. McCain1Ezer H. Benaim2Theresa A. Dickerson3Ibtisam Mohammad4Brent A. Senior5Adam J. Kimple6Christine DeMason7Department of Otolaryngology–Head and Neck Surgery University of North Carolina at Chapel Hill Chapel Hill North Carolina USADepartment of Otolaryngology–Head and Neck Surgery University of North Carolina at Chapel Hill Chapel Hill North Carolina USADepartment of Otolaryngology–Head and Neck Surgery University of North Carolina at Chapel Hill Chapel Hill North Carolina USADepartment of Otolaryngology–Head and Neck Surgery University of North Carolina at Chapel Hill Chapel Hill North Carolina USADepartment of Otolaryngology–Head and Neck Surgery University of North Carolina at Chapel Hill Chapel Hill North Carolina USADepartment of Otolaryngology–Head and Neck Surgery University of North Carolina at Chapel Hill Chapel Hill North Carolina USADepartment of Otolaryngology–Head and Neck Surgery University of North Carolina at Chapel Hill Chapel Hill North Carolina USADepartment of Otolaryngology–Head and Neck Surgery University of North Carolina at Chapel Hill Chapel Hill North Carolina USAAbstract Objective Nicotine‐containing products have historically been tobacco derivatives like cigarettes, cigars, and dip. Recently, tobacco‐free nicotine (TFN) products have been marketed as a healthy alternative. TFN pouches are small, discreet, flavored pouches containing nicotine designed to be placed between the gum and lip. This product does not fit a conventional tobacco category, leading to inaccurate reporting. This study aims to investigate discrepancies in physician documentation of TFN pouches. Methods A retrospective chart review was conducted on TFN users. Setting Single Health Care System. Methods Statistical analyses assessed TFN documentation concordance between social history templates and physician notes. Results There were 150 patients who used TFN and 841 patients who vaped. Concordance was higher for vape documentation than TFN pouch documentation (55.9%, 470/841 vs 25.3%, 38/150; P < .001). Of those who used TFN, 60% (90/150) were classified as “Smokeless Tobacco Users” in the social history; however, 35 were inaccurately classified as chew, and 17 did not specify TFN use. Only 38 specified TFN use; only 25% (38/150) of records demonstrated concordance. Conclusion Only 25% of records were concordant with physician notes, highlighting the need for a designated place for TFN use within social history templates. Nicotine use history is crucial in the setting of microvascular reconstruction and cosmetic surgeries. Thus, accurate reporting is crucial for future research on the long‐term effects of TFN. This study's findings underscore a deficit in current social history templates and the need to recognize TFN pouches as distinct entities.https://doi.org/10.1002/oto2.70034cigaretteoral cancersynthetic nicotinevape penvaping |
| spellingShingle | Taylor J. Stack Morgan N. McCain Ezer H. Benaim Theresa A. Dickerson Ibtisam Mohammad Brent A. Senior Adam J. Kimple Christine DeMason Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco‐Free Nicotine Pouch Consumers OTO Open cigarette oral cancer synthetic nicotine vape pen vaping |
| title | Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco‐Free Nicotine Pouch Consumers |
| title_full | Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco‐Free Nicotine Pouch Consumers |
| title_fullStr | Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco‐Free Nicotine Pouch Consumers |
| title_full_unstemmed | Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco‐Free Nicotine Pouch Consumers |
| title_short | Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco‐Free Nicotine Pouch Consumers |
| title_sort | beyond tobacco bridging gaps in social history records for tobacco free nicotine pouch consumers |
| topic | cigarette oral cancer synthetic nicotine vape pen vaping |
| url | https://doi.org/10.1002/oto2.70034 |
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