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 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