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Lung Cancer (4 posts)  RSS

Continuing to smoke after a cancer diagnosis

November 17, 2014

By J. Lee Westmaas, PhD


While the American Cancer Society and other organizations traditionally focus on getting smokers to quit before they develop cancer, there's a group of smokers who are especially susceptible to the negative effects of smoking. They are cancer survivors - some of whom have been diagnosed with a smoking-related cancer. It's easy to say, "If you get cancer, then you should know better and quit, and stay quit," but that's not the whole story.

Getting a cancer diagnosis does motivate some smokers to quit. Using data from the American Cancer Society Cancer Prevention Study-II, we found that about 1 out of 3 smokers quit smoking when they were diagnosed with cancer. That compares with only 1 out of 5 smokers who quit but were not diagnosed with cancer during the same time periods studied.

Even smokers whose cancer was not strongly linked to smoking (like breast cancer) quit at higher rates than undiagnosed smokers. These results were not caused by the smokers being unable to smoke due to their illness; those people were excluded from the study.

Smoking: Risky for patients and survivors

Quitting is particularly important for cancer patients and survivors because smoking can increase the likelihood of a recurrence, delay wound healing, and make cancer treatments less effective. This is true even for cancers that aren't related to smoking. 

Unfortunately, there are some cancer survivors who find it very hard to quit. We looked at data from the Study of Cancer Survivors (SCS-I), a nationwide quality-of-life study conducted by the Behavioral Research Center at the American Cancer Society. The study surveyed 2,938 survivors of 10 different kinds of cancers approximately 9 years after their initial diagnosis.

We found that 9.3% of these survivors were current smokers. Survivors of bladder, lung, and ovarian cancers had the highest smoking rates in this study. Most (83%) current smokers smoked daily, averaging almost 15 cigarettes per day. In fact, 40% percent of daily smokers smoked more than 15 cigarettes per day. More...

Are lung cancer breath tests more than hot air?

November 10, 2014

By Ted Gansler, MD, MBA, MPH

Can breath tests (like those used to check whether drivers have been drinking alcohol) be used for lung cancer screening? Or, is this (pardon the pun) just a lot of "hot air?" Although breath tests for lung cancer are "not ready for prime time," there has been some encouraging research.

There are 3 main ways to fight cancer - prevention, screening, and treatment. Although lung cancer remains the leading cause of death from cancer worldwide and in the United States, researchers are making progress against this disease on all 3 fronts. 

Over nearly a half century, researchers tried several tests for lung cancer screening, none of which were accurate enough for widespread use. Because of research results released in 2010, the American Cancer Society and several other organizations now recommend that people at high risk for lung cancer (certain groups of current and former smokers) ask their doctor about CT scans for lung cancer screening.

On average, people in these high risk groups who have this test every year according to the ACS guidelines can reduce their risk of dying from lung cancer by about 20%. This can save a lot of lives and prevent a lot of suffering, so if you are a current or former smoker, you should read more about our lung cancer screening recommendations.

Research into easier lung cancer screening

One challenge with CT scans is that they find some lung nodules that are neither clearly cancer nor clearly benign (not cancer). This question is usually figured out by follow-up scans, but sometimes biopsies are needed. These biopsies can pose significant risks, which is one reason screening isn't recommended for people whose risk of lung cancer isn't as high as that of heavy smokers. So researchers are looking for ways to make screening easier and more accurate, faster and more affordable. More...

Stigma presents an extra burden for many lung cancer patients

October 28, 2013

By J. Lee Westmaas, PhD

 

Some of us, at some point in time, have felt judged negatively by others or discriminated against because of some personal characteristic or behavior. Researchers refer to this as feeling stigmatized, and lung cancer patients report feeling this way more than patients with other types of cancers.

Many individuals with lung cancer fear that others will react to their diagnosis with blame, exclusion, rejection and/or discrimination. Many actually experience this as well.  A primary reason is that smoking is so strongly linked to lung cancer.

Blaming the victim


Lung cancer was one of the first diseases to be identified as caused by smoking. Smoking rates have decreased dramatically since the 1960s due to laws to restrict smoking, greater publicity on the many harms of smoking, and a change in public attitudes toward smoking. More...

Filed Under:

J. Lee Westmaas | Lung Cancer

Weighing the Benefits and Risks of Lung Cancer Screening

January 11, 2013

By Otis W. Brawley, MD, FACP

 

This week the American Cancer Society announces its lung cancer screening guidelines. In short, we recommend that health care professionals with access to high-quality lung cancer screening and treatment centers should discuss screening with healthy patients aged 55 years to 74 years who have at least a 30-year history of pack-a-day cigarette smoking and who currently smoke or have quit within the past 15 years. The health care professional and patient should discuss all the known benefits and known harms associated with lung cancer screening.

These guidelines were developed after a meticulous process in which a group of cancer screening and treatment experts reviewed all the major lung cancer screening studies that have been published over the past several decades.  More...

Filed Under:

Lung Cancer | Otis W. Brawley

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