Pairing smoking‐cessation services with lung cancer screening: A clinical guideline from the Association for the Treatment of Tobacco Use and Dependence and the Society for Research on Nicotine and Tobacco
Smoking cessation is crucial for reducing cancer risk and premature mortality. The US Preventive Services Task Force (USPSTF) has recommended annual lung cancer screening with low‐dose computed tomography (LDCT), and the Center for Medicare and Medicaid Services recently approved lung screening as a...
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| Published in: | Cancer Vol. 122; no. 8; pp. 1150 - 1159 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
15-04-2016
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | Smoking cessation is crucial for reducing cancer risk and premature mortality. The US Preventive Services Task Force (USPSTF) has recommended annual lung cancer screening with low‐dose computed tomography (LDCT), and the Center for Medicare and Medicaid Services recently approved lung screening as a benefit for patients ages 55 to 77 years who have a 30 pack‐year history. The Society for Research on Nicotine and Tobacco (SRNT) and the Association for the Treatment of Tobacco Use and Dependence (ATTUD) developed the guideline described in this commentary based on an illustrative literature review to present the evidence for smoking‐cessation health benefits in this high‐risk group and to provide clinical recommendations for integrating evidence‐based smoking‐cessation treatment with lung cancer screening. Unfortunately, extant data on lung cancer screening participants were scarce at the time this guideline was written. However, in this review, the authors summarize the sufficient evidence on the benefits of smoking cessation and the efficacy of smoking‐cessation interventions for smokers ages 55 to 77 years to provide smoking‐cessation interventions for smokers who seek lung cancer screening. It is concluded that smokers who present for lung cancer screening should be encouraged to quit smoking at each visit. Access to evidence‐based smoking‐cessation interventions should be provided to all smokers regardless of scan results, and motivation to quit should not be a necessary precondition for treatment. Follow‐up contacts to support smoking‐cessation efforts should be arranged for smokers. Evidence‐based behavioral strategies should be used at each visit to motivate smokers who are unwilling to try quitting/reducing smoking or to try evidence‐based treatments that may lead to eventual cessation. Cancer 2016;122:1150–9. © 2016 American Cancer Society.
Smokers who present for lung cancer screening should be encouraged to quit smoking at each visit. Access to evidence‐based smoking‐cessation interventions should be provided to all smokers regardless of scan results, and motivation to quit should not be a necessary precondition for treatment. |
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| Bibliography: | We thank Megan Piper, PhD (Center for Tobacco Research and Intervention, University of Wisconsin Department of Medicine) and Jamie Ostroff, PhD (Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center) for helpful comments on earlier drafts of this article. The Treatment Network of the Society for Research on Nicotine and Tobacco (SNRT) oversaw the development of this statement, which was prepared by a Writing Work Group. The final draft statement was reviewed by the Treatment Network and approved by the SRNT Board of Directors on June 18, 2015. The final draft statement also was reviewed and approved by the Association for the Treatment of Tobacco Use and Dependence Board of Directors on July 7, 2015. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ISSN: | 0008-543X 1097-0142 |
| DOI: | 10.1002/cncr.29926 |