A new analysis has found that a substantial number of lung and colorectal cancer patients continue to smoke after being diagnosed.
Published in CANCER, a peer-reviewed journal of the American Cancer Society, the study provides valuable information on which cancer patients might need help to quit smoking.
When a patient receives a cancer diagnosis, the main focus is to treat the disease. But stopping smoking after a cancer diagnosis is also important because continuing to smoke can negatively affect patients’ responses to treatments, their subsequent cancer risk, and, potentially, their survival.
Dr. Elyse R. Park of the Massachusetts General Hospital/Harvard Medical School in Boston led a team that looked to see how many patients quit smoking around the time of a cancer diagnosis, and which smokers were most likely to quit.
The investigators determined smoking rates around the time of diagnosis and five months after diagnosis in 5,338 lung and colorectal cancer patients. At diagnosis, 39 per cent of lung cancer patients and 14 per cent of colorectal cancer patients were smoking; five months later, 14 per cent of lung cancer patients and 9 per cent of colorectal cancer patients were still smoking.
These results indicate that a substantial minority of cancer patients continue to smoke after being diagnosed. Also, although lung cancer patients have higher rates of smoking at diagnosis and following diagnosis, colorectal cancer patients are less likely to quit smoking following diagnosis.
Factors and characteristics that predicted continued smoking differed by cancer type. Lung cancer patients who continued smoking tended to have Medicare or other public health insurance, have a lower body mass index, have low emotional support, not have received chemotherapy, not have had surgery, have had prior heart disease, and have smoked a high number of cigarettes per day at some point during their lives.
Colorectal cancer patients who continued to smoke tended to be male, have completed less education, be uninsured, not have had surgery, and have once smoked a high number of cigarettes per day.
“These findings can help cancer clinicians identify patients who are at risk for smoking and guide tobacco counselling treatment development for cancer patients,” Dr. Park said.
In an accompanying editorial, Dr. Carolyn Dressler of the Arkansas Department of Health in Little Rock, noted that Dr. Park’s research highlights the critical importance of physicians and other caretakers to address tobacco cessation, particularly at the time of diagnosis.
“Most clinicians acknowledge the importance of addressing tobacco cessation in their patients; however, few do it,” she wrote. “We know enough now to implement effective cessation programs to identify and help cancer patients quit at the time of diagnosis and support them to prevent relapse. By doing so, we maximise patients’ response to therapy, their quality of life, and their longevity.”
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It’s sad to say it, but this is exactly what Stanley Holloway in My Fair Lady meant by bleedin’ obvious.
One is bound to ask why society as a whole should go on accepting the cost of treatment of people who have abused themselves, become ill, and thereafter continue to abuse themselves. If medical care were based on insurance principles and payment, these people would be removed from further care.