A snapshot of smokers after lung and colorectal cancer diagnosis
Open accessAbstract
BACKGROUND: Continued smoking after a cancer diagnosis may adversely affect treatment effectiveness, subsequent cancer risk, and survival. The prevalence of continued smoking after cancer diagnosis is understudied. METHODS: In the multi‐regional Cancer Care Outcomes Research and Surveillance cohort (lung cancer [N = 2456], colorectal cancer [N = 3063]), the authors examined smoking rates at diagnosis and 5 months after diagnosis and also study factors associated with continued smoking. RESULTS: Overall, 90.2% of patients with lung cancer and 54.8% of patients with colorectal cancer reported ever smoking. At diagnosis, 38.7% of patients with lung cancer and 13.7% of patients with colorectal cancer were smoking; whereas, 5 months after diagnosis, 14.2% of patients with lung cancer and 9.0% of patients with colorectal cancer were smoking. Factors that were associated independently with continued smoking among patients with nonmetastatic lung cancer were coverage by Medicare, other public/unspecified insurance, not receiving chemotherapy, not undergoing surgery, prior cardiovascular disease, lower body mass index, lower emotional support, and higher daily ever‐smoking rates (all P < .05). Factors that were associated independently with continued smoking among patients with nonmetastatic colorectal cancer were male sex, high school education, being uninsured, not undergoing surgery, and higher daily ever‐smoking rates (all P < .05). CONCLUSIONS: After diagnosis, a substantial minority of patients with lung and colorectal cancers continued smoking. Patients with lung cancer had higher rates of smoking at diagnosis and after diagnosis; whereas patients with colorectal cancer were less likely to quit smoking after diagnosis. Factors that were associated with continued smoking differed between lung and colorectal cancer patients. Future smoking‐cessation efforts should examine differences by cancer type, particularly when comparing cancers for which smoking is a well established risk factor versus cancers for which it is not. Cancer 2012;118: 3153–64. © 2012 American Cancer Society.
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Among US cancer patients at initial diagnosis, smoking prevalence ranges from 15% to 54%.
“Cigarette smoking is highly prevalent among cancer patients in the United States (US), with 15% to 54% of cancer patients reporting smoking at the time of their initial cancer diagnosis.1–3”
From Efficacy of smartphone applications to help cancer patients quit smoking: Protocol of the Quit2Heal randomized controlled trial (2023) · cites this paper as [1]
The Smoking Rates section (page not specified) reports smoking around diagnosis in 38.7% of lung cancer patients and 13.7% of colorectal cancer patients, supporting substantial smoking prevalence in these groups. It does not establish a 15%–54% range for US cancer patients generally; its figure near 54% refers to ever smoking, not smoking at diagnosis. (LLM, conf=0.87)
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- Authors
- Park, E. R., Japuntich, S. J., Rigotti, N. A., Traeger, L., He, Y., Wallace, R. B., Malin, J. L., Zallen, J. P., & Keating, N. L.
- Affiliations
- Massachusetts General Hospital (US)
- Harvard University (US)
- University of Iowa (US)
- University of California, Los Angeles (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Park, Elyse R.
- ORCID
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2012-01-23
- Volume
- 118
- Issue
- 12
- Pages
- 3153-3164
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- PMC
- PMC3342424
- OpenAlex
- W1493292049
- Cited by
- 117
- References
- 57
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 4 · 2023: 8 · 2022: 7 · 2021: 7 · 2020: 6 · 2019: 9 · 2018: 12 · 2017: 7 · 2016: 13 · 2015: 14 · 2014: 11 · 2013: 9 · 2012: 2
- FWCI
- 7.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5u01ca093344-08)
- National Cancer Institute (CRS 02-164, U01CA093339, U01CA093326, U01-CA093344, U01CA093348, U01CA093329, U01CA093332, U01CA093324)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
- Keywords
- lung cancer, colorectal cancer, smoking prevalence, smoking cessation, insurance status, chemotherapy, cardiovascular disease, emotional support, body mass index, sex differences, educational attainment
- MeSH terms
- Aged, Female, Humans, Lung Neoplasms, Male, Middle Aged, Prospective Studies, Risk Factors, Smoking, Colorectal Neoplasms, Smoking Cessation
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