Importance of Smoking Cessation in a Lung Cancer Screening Program.

Importance of Smoking Cessation in a Lung Cancer Screening Program.
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DOI:
10.1007/s40137-013-0030-1
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发表时间:
2013-12
影响因子:
0.6
通讯作者:
McMahon P
McMahon P
中科院分区:
其他
文献类型:
--
作者:
Munshi V;McMahon P

文献摘要

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早期发现肺癌和戒烟干预可以降低肺癌死亡率,但关于戒烟和肺癌筛查之间的有效性和相互作用的信息很少且不一致。这篇评论的目的是综合最近的研究在两个主要领域的利益。首先,我们通过总结在美国和欧洲的主要筛查试验中观察到的吸烟行为的变化,以及尝试使用戒烟干预措施来增加肺癌筛查计划的益处,探索肺癌筛查计划和戒烟之间的相互作用和协同作用的潜力。其次,我们回顾了吸烟习惯和术前/术后肺切除术结果之间的相互作用,包括诊断后和治疗后吸烟行为的变化。来自这些领域的信息应该使我们能够通过整个肺癌筛查过程,从筛查本身到诊断后的潜在治愈性切除,最大限度地从戒烟干预中获益。
Early detection of lung cancer and smoking cessation interventions can decrease lung cancer mortality, but information on the effectiveness and interaction between smoking cessation and lung cancer screening is sparse and inconsistent. This review aims to synthesize recent studies in two major areas of interest. First, we explore the interactions and potential for synergies between lung cancer screening programs and smoking cessation by summarizing reported changes in smoking behavior observed in major screening trials in the United States and Europe, as well as attempts to use smoking cessation interventions to augment the benefits from lung cancer screening programs. Second, we review the interaction between smoking habits and pre/post-operative pulmonary resection outcomes, including changes in smoking behavior post-diagnosis and post-treatment. Information from these areas should allow us to maximize benefits from smoking cessation interventions through the entire lung cancer screening process, from the screen itself through potential curative resection after diagnosis.