Why do up to 50% of patients continue to smoke after a cancer diagnosis?
How could research support health professionals in promoting smoking cessation before or after a cancer diagnosis?
What are the results from the emerging scientific evidence on the use of e-cigarettes to support smoking cessation?
SPEAKERS
Quitting Smoking After a Cancer Diagnosis: Key to Better Survival and Treatment Outcomes
Dr Mahdi Sheikh
Scientist, Genomic Epidemiology BranchInternational Agency for Research on Cancer
Smoking is a known cause of at least 20 types of cancer, but a significant proportion of patients with cancer, including up to 50% of patients with lung cancer, continue to smoke after a cancer diagnosis. Research shows that continued smoking after a cancer diagnosis severely affects treatment outcomes, leading to increased treatment failures, more complications, and reduced quality of life. Despite this, some patients may think it is too late to benefit from quitting, after they have already been diagnosed with cancer. In Europe, awareness among oncologists of the importance of smoking cessation in cancer care remains limited; only one third of oncologists actively support their patients in quitting, and smoking cessation services are rarely integrated into oncology care. This presentation will summarize more than a decade of research showing that quitting smoking after a cancer diagnosis can increase median survival by 1.5–3 years and reduce mortality risk by 30–50%. In addition, we will discuss the positive impacts of smoking cessation on treatment success, reduced complications, and improved quality of life, as well as the economic benefits, as demonstrated by cost–effectiveness analyses.
SMOKING, VAPING, AND LUNG CANCER
Dr Giulia Veronesi
Director of the Thoracic Surgery DivisionSan Raffaele Scientific Institute and Vita-Salute San Raffaele University, Italy
Smoking remains the risk factor that causes the greatest combined rate of death and disability. At age 70 years, the survival rate of smokers is 28% lower than that of non-smokers. Public spending on lung cancer alone in Italy is €2.5 billion per year. Policies to combat smoking must be supported more at the government level. One of the most effective measures to reduce tobacco use is to increase excise duties. The principle of risk reduction promoted by Big Tobacco with the introduction of e-cigarettes is a great marketing promotion but does not have benefits for smokers and is not correlated with a reduction in tobacco use. Primary prevention should be implemented in parallel to lung cancer early detection and screening programmes. In Italy, in addition to reducing lung cancer mortality, low-dose computed tomography screening has been demonstrated to create savings for the Italian economic system. There is a need to allocate structured funds to ensure primary and secondary prevention programmes for smoking-related diseases
CHAIR
Dr Marina Chiara Garassino
Professor of Medicine and Director of the Thoracic Oncology Program, Department of Medicine, Section of Hematology/Oncology.University of Chicago Medicine
LINKS AND REFERENCES
- Sheikh M, Mukeriya A, Shangina O, Brennan P, Zaridze D (2021). Postdiagnosis smoking cessation and reduced risk for lung cancer progression and mortality: a prospective cohort study. Ann Intern Med. 174(9):1232–9. https://doi.org/10.7326/M21-0252 PMID:34310171
- Sheikh M, Mukeriya A, Zahed H, Feng X, Robbins HA, Shangina O, et al. (2023). Smoking cessation after diagnosis of kidney cancer is associated with reduced risk of mortality and cancer progression: a prospective cohort study. J Clin Oncol. 41(15):2747–55. https://doi.org/10.1200/JCO.22.02472 PMID:36989465
- Togawa K, Bhatti L, Tursan d’Espaignet E, Leon Roux M, Ullrich A, Ilbawi A, et al. (2018). WHO tobacco knowledge summaries: tobacco and cancer treatment outcomes. Geneva, Switzerland: World Health Organization. Available from: https://www.who.int/publications/i/item/WHO-NMH-PND-TKS-18.1.
- IARC (2023). Why it’s never too late to quit smoking, even after a cancer diagnosis! . World No Tobacco Day 2023. Featuring Dr Mahdi Sheikh. https://www.youtube.com/watch?v=xN-7T0wSwpM
Organized with the support of and in collaboration with the European Society for Medical Oncology (ESMO).