Background:
The health benefits of quitting smoking after cancer diagnosis are indisputable. Apart from disease site and stage, abstinence from smoking is considered the strongest predictor of survival in cancer patients who have ever smoked. The evidence is strong enough to incorporate tobacco dependence treatment into routine cancer care, but in Central and Eastern Europe only few cancer care institutions utilize systematic and consistent mechanism to foster cessation among patients with cancer. In contrast to CEE countries, a good example of standard smoking cessation service for cancer patients could be observed at the cancer center in The University of Virginia (UVA). A tobacco treatment program to help meet the needs for cancer patients includes medication management with the 7 FDA approved medications and individual counseling. Medications may be combined in many different ways to reduce physical withdrawals and improve rates of success. The structure of treatment is a standard developed to offer a balanced approach to meet the needs of the patient while managing their physical and mental quit journey.

Objective:
The aim is to assess a possible transfer and adaptation of solutions developed at the cancer center of University of Virginia in the United States in 2021 in the Polish National Research Institute of Oncology.

Methods:
Analysis of the systematic solutions toward smoking cancer patients implemented in cancer center at University of Virginia. It includes procedures and materials given to patients and their families.

Results:
Treatment at the University of Virginia has been integrated into the electronic health records and workflow of staff. Every patient is asked about tobacco use and encouraged to think about cessation. If a patient is interested, they are referred to a Certified Tobacco Treatment Specialist to discuss an individualized plan to work towards tobacco cessation. The program has developed a manual to assist other departments with implementing the program features in work flow through a standardized approach. Patients receive multiple sessions for medication management, cognitive behavioral counselling, and continued motivational interviewing.

Conclusions:
Despite many differences between the American and Polish populations, the specificity of nicotine addiction is similar among smokers almost all over the world. Given the importance of smoking and its impact on cancer treatment outcomes, there is a strong need to research and implement best practices such as that of the University of Virginia.