• Ann Transl Med · Apr 2016

    Review

    Smoking cessation and lung cancer screening.

    • Jesper Holst Pedersen, Philip Tønnesen, and Haseem Ashraf.
    • 1 Department of Thoracic Surgery RT, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark ; 2 Department of Respiratory Medicine, Gentofte University Hospital, Hellerup, Denmark ; 3 Department of Radiology, Akershus University Hospital, Lørenskog, Norway.
    • Ann Transl Med. 2016 Apr 1; 4 (8): 157.

    AbstractSmoking behavior may have a substantial influence on the overall effect of lung cancer screening. Non-randomized studies of smoking behavior during screening have indicated that computer tomography (CT) screening induces smoking cessation. Randomized studies have further elaborated that this effect has to do with participation in screening alone and not dependent on the CT scan. Participants in both CT and control arm in randomized screening trials had higher smoking abstinence rate compared to that of the general population. A positive screening test seems to further promote smoking cessation and decrease smoking relapse rate. Also low smoking dependency and high motivation to quit smoking at baseline predicted smoking abstinence in screening trials. Lung cancer screening therefore seems to be a teachable moment for smoking cessation. Targeted smoking cessation counselling should be an integrated part of future lung cancer screening trials.

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