Treating Tobacco Smoking After the Diagnosis of Lung Cancer: It's Not Too Late and a Call to Action
Authors: Nancy A. Rigotti
Journal: Annals of Internal Medicine (2021)

EditorialsSeptember 2021Treating Tobacco Smoking After the Diagnosis of Lung Cancer: It's Not Too Late and a Call to ActionNancy A. Rigotti, MDNancy A. Rigotti, MDTobacco Research and Treatment Center, Massachusetts General Hospital, Harvard Medical School Boston, MassachusettsSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M21-2997 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Lung cancer is the leading cause of cancer death in the United States, expected to claim nearly 132 000 lives in 2021 despite recent treatment advances that have accelerated a decline in lung cancer mortality rates (1). Only 21% of patients with lung cancer survive 5 years, primarily because 57% of lung cancer is metastatic at the time of diagnosis (1). Lung cancer screening with low-dose computed tomography has the potential to improve survival rates by shifting cancer diagnoses to earlier disease stages. Even so, the prognosis of localized lung cancer remains poor, with a 5-year survival rate of 59% (1).... References1. Siegel RL, Miller KD, Fuchs HE, et al. Cancer statistics, 2021. CA Cancer J Clin. 2021;71:7-33. [PMID: 33433946] doi:10.3322/caac.21654 CrossrefMedlineGoogle Scholar2. Siegel DA, Fedewa SA, Henley SJ, et al. Proportion of never smokers among men and women with lung cancer in 7 US states. JAMA Oncol. 2021;7:302-304. [PMID: 33270100] doi:10.1001/jamaoncol.2020.6362 CrossrefMedlineGoogle Scholar3. U.S. Department of Health and Human Services. Smoking Cessation: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2020. Google Scholar4. 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[PMID: 30601710] doi:10.1056/NEJMp1813913 CrossrefMedlineGoogle Scholar8. Park ER, Perez GK, Regan S, et al. Effect of sustained smoking cessation counseling and provision of medication vs shorter-term counseling and medication advice on smoking abstinence in patients recently diagnosed with cancer: a randomized clinical trial. JAMA. 2020;324:1406-1418. [PMID: 33048154] doi:10.1001/jama.2020.14581 CrossrefMedlineGoogle Scholar9. National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Smoking Cessation. 2021. Accessed at www.nccn.org/professionals/physician_gls/pdf/smoking.pdf on 14 July 2021. Google Scholar10. Warren GW, Cartmell KB, Garrett-Mayer E, et al. Attributable failure of first-line cancer treatment and incremental costs associated with smoking by patients with cancer. JAMA Netw Open. 2019;2:e191703. [PMID: 30951159] doi:10.1001/jamanetworkopen.2019.1703 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Tobacco Research and Treatment Center, Massachusetts General Hospital, Harvard Medical School Boston, MassachusettsDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M21-2997.Corresponding Author: Nancy A. Rigotti, MD, Massachusetts General Hospital, 100 Cambridge Street, Suite 1600, Boston, MA 02114; e-mail, [email protected]org.This article was published at Annals.org on 27 July 2021. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPostdiagnosis Smoking Cessation and Reduced Risk for Lung Cancer Progression and Mortality Mahdi Sheikh , Anush Mukeriya , Oxana Shangina , Paul Brennan , and David Zaridze Metrics Cited byChanges in Cigarette Smoking Behavior in Cancer Survivors During Diagnosis and TreatmentSmoking cessation after lung cancer diagnosis improves disease prognosis September 2021Volume 174, Issue 9Page: 1317-1318KeywordsDisease free survivalLung and intrathoracic tumorsNon small cell lung cancerProgression free survivalSmoking cessationSmoking habits ePublished: 27 July 2021 Issue Published: September 2021 Copyright & PermissionsCopyright © 2021 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...