Does a recent cancer diagnosis predict smoking cessation? An analysis from a large prospective US cohort
Abstract
PURPOSE: Quitting smoking provides important health benefits to patients with cancer. A cancer diagnosis may motivate quitting-potentially providing a teachable moment in which oncologists can encourage and assist patients to quit-but little is known about whether a recent cancer diagnosis (including diagnosis of a cancer that is less strongly linked to smoking) is associated with increased quitting. METHODS: Cancer Prevention Study-II Nutrition Cohort participants reported smoking status at enrollment in 1992 to 1993 and approximately biennially through 2009. Quit rates of smokers diagnosed with cancer during 2- and 4-year intervals were compared with those of smokers not diagnosed with cancer (12,182 and 12,538 smokers in 2- and 4-year analyses, respectively). Cancers likely to cause physical limitations or symptoms that could influence smoking (cancers of the lung, head and neck, esophagus, or any metastatic cancer) were excluded. Logistic regressions calculated quit rates controlling for age, sex, survey year, cardiovascular disease, and chronic obstructive pulmonary disease. RESULTS: The 2-year quit rate was higher among the 772 smokers who were diagnosed with cancer (31.3%; 95% CI, 28.0% to 34.5%) than among smokers not diagnosed with cancer (19.5%; 95% CI, 19.0% to 19.9%). A similar difference was observed for 4-year quit rates (43.0% v 33.8%). Results were similar by cancer site and stage. CONCLUSION: A diagnosis of cancer, even a cancer not strongly related to smoking and with a relatively good prognosis, may be associated with increased quitting that is sustained well after diagnosis. Results support the hypothesis that a cancer diagnosis presents a teachable moment that can be capitalized on to promote cessation.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Diagnosis of a chronic disease is a time when people can be more prone to change, even when that intention is not translated into real changes.
“it is clear that it is a time where people can be more prone to change, since it could be interpreted as a “wake-up call” to adopt a more healthy lifestyle even when that intention is not translated into real changes [86,87].”
From Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review (2021) · cites this paper as [87]
Cites
(1968) · American Association of Industrial Nurses Journal · doi:10.1177/216507996801601208 · Cited by 8,811 · see citing works
The Health consequences of smoking—50 years of progress : a report of the Surgeon General
Lushniak, B. D., Samet, J. M., Pechacek, T. F., Norman, L., & Taylor, P. A. (2014) · Cited by 4,990 · see citing works
The Health Consequences of Smoking -- 50 Years of progress: A Report of the Surgeon General
General, U. S. S. (2014) · PsycEXTRA Dataset · doi:10.1037/e510072014-001 · Cited by 3,347 · see citing works
The collective dynamics of smoking in a large social network
Christakis, N. A., & Fowler, J. H. (2008) · New England Journal of Medicine · doi:10.1056/nejmsa0706154 · Cited by 2,390 · see citing works
Courtney, R. J. (2015) · Drug and Alcohol Review · doi:10.1111/dar.12309 · Cited by 1,438 · see citing works
Cancer: Principles and Practice of Oncology.
(1986) · Annals of Internal Medicine · doi:10.7326/0003-4819-104-1-142_4 · Cited by 1,074 · see citing works
Assessing outcome in smoking cessation studies.
Velicer, W. F., Prochaska, J. O., Rossi, J. S., & Snow, M. G. (1992) · Psychological Bulletin · doi:10.1037/0033-2909.111.1.23 · Cited by 828 · see citing works
The American Cancer Society Cancer Prevention Study II Nutrition Cohort
Calle, E. E., Rodriguez, C., Jacobs, E. J., Almon, M., Chao, A., McCullough, M. L., Feigelson, H. S., & Thun, M. J. (2002) · Cancer · doi:10.1002/cncr.10197 · Cited by 489 · see citing works
The American Cancer Society Cancer Prevention Study II Nutrition Cohort
Calle, E. E., Rodríguez, C., Jacobs, E. J., Almon, M., Chao, A., McCullough, M. L., Feigelson, H. S., & Thun, M. J. (2002) · Cancer · doi:10.1002/cncr.101970 · Cited by 419 · see citing works
Successes and failures of the teachable moment
Gritz, E. R., Fingeret, M. C., Vidrine, D. J., Lazev, A. B., Mehta, N. V., & Reece, G. P. (2005) · Cancer · doi:10.1002/cncr.21598 · Cited by 361 · see citing works
Calle, E. E., & Terrell, D. D. (1993) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116664 · Cited by 345 · see citing works
Teachable Moments for Promoting Smoking Cessation: The Context of Cancer Care and Survivorship
McBride, C. M., & Ostroff, J. S. (2003) · Cancer Control · doi:10.1177/107327480301000407 · Cited by 238 · see citing works
"Why Won't He Go to the Doctor?": The Psychology of Men's Help Seeking
Mansfield, A. K., Addis, M. E., & Mahalik, J. R. (2003) · International Journal of Men s Health · doi:10.3149/jmh.0202.93 · Cited by 225 · see citing works
Social support in smoking cessation: Reconciling theory and evidence
Westmaas, J. L., Bontemps-Jones, J. E., & Bauer, J. E. (2010) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntq077 · Cited by 205 · see citing works
Toll, B. A., Brandon, T. H., Gritz, E. R., Warren, G. W., & Herbst, R. S. (2013) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-13-0666 · Cited by 204 · see citing works
Health Behavior Change Following Chronic Illness in Middle and Later Life
Newsom, J. T., Huguet, N., McCarthy, M. J., Ramage-Morin, P. L., Kaplan, M. S., Bernier, J., McFarland, B. H., & Oderkirk, J. (2011) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbr103 · Cited by 193 · see citing works
Warren, G. W., Marshall, J. R., Cummings, K. M., Toll, B. A., Gritz, E. R., Hutson, A. D., Dibaj, S. S., Herbst, R. S., & Dresler, C. M. (2013) · Journal of Thoracic Oncology · doi:10.1097/jto.0b013e318288dc96 · Cited by 177 · see citing works
Effects of gender in social control of smoking cessation.
Westmaas, J. L., Wild, T. C., & Ferrence, R. G. (2002) · Health Psychology · doi:10.1037//0278-6133.21.4.368 · Cited by 153 · see citing works
Williams, K., Steptoe, A., & Wardle, J. (2013) · British Journal of Cancer · doi:10.1038/bjc.2013.254 · Cited by 142 · see citing works
Effects of gender in social control of smoking cessation.
Westmaas, J. L., Wild, T. C., & Ferrence, R. G. (2002) · Health Psychology · doi:10.1037/0278-6133.21.4.368 · Cited by 122 · see citing works
Self-citationSmoking and Weight Change After New Health Diagnoses in Older Adults
Keenan, P. S. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2008.557 · Cited by 111 · see citing works
Tobacco Use in the Oncology Setting: Advancing Clinical Practice and Research
Gritz, E. R., Toll, B. A., & Warren, G. W. (2014) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-13-0896 · Cited by 104 · see citing works
Flanders, W. D., & Rhodes, P. (1987) · Journal of Chronic Diseases · doi:10.1016/0021-9681(87)90106-8 · Cited by 100 · see citing works
Impact of a Bladder Cancer Diagnosis on Smoking Behavior
Bassett, J. C., Gore, J. L., Chi, A. C., Kwan, L. C., McCarthy, W. J., Chamie, K., & Saigal, C. S. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.36.6518 · Cited by 99 · see citing works
Smoking Patterns in Cancer Survivors
Mayer, D. K., & Carlson, J. (2010) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntq199 · Cited by 78 · see citing works
Persistent cigarette smoking and other tobacco use after a tobacco-related cancer diagnosis
Underwood, J. M., Townsend, J. S., Tai, E. W., White, A. L., Davis, S. P., & Fairley, T. L. (2012) · Journal of Cancer Survivorship · doi:10.1007/s11764-012-0230-1 · Cited by 73 · see citing works
Tseng, T., Lin, H., Martin, M. Y., Chen, T., & Partridge, E. E. (2010) · Journal of Cancer Survivorship · doi:10.1007/s11764-010-0127-9 · Cited by 51 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Collado-Mateo, D., Lavín-Pérez, A. M., Peñacoba, C., Del Coso, J., Leyton-Román, M., Luque-Casado, A., Gasque, P., Fernández-del-Olmo, M. Á., & Amado-Alonso, D. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18042023 · Cited by 791 · see citing works
“Although the implications of diagnosis are still controversial, it is clear that it is a time where people can be more prone to change, since it could be interpreted as a “wake-up call” to adopt a more healthy lifestyle even when that intention is not translated into real changes [86,87].”
BackgroundSmoking cessation, version 1.2016, NCCN clinical practice guidelines in oncology
Shields, P. G., Herbst, R. S., Arenberg, D., Benowitz, N. L., Bierut, L., Luckart, J. B., Cinciripini, P., Collins, B., David, S., Davis, J., et al. (2016) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2016.0152 · Cited by 146 · see citing works
Smoking Behaviors in Survivors of Smoking-Related and Non–Smoking-Related Cancers
Gritz, E. R., Talluri, R., Domgue, J. F., Tamí-Maury, I. M., & Shete, S. S. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.9072 · Cited by 106 · see citing works
Wells, M., Aitchison, P., Harris, F., Özakinci, G., Radley, A., Bauld, L., Entwistle, V. A., Munro, A., Haw, S. J., Culbard, B., et al. (2017) · BMC Cancer · doi:10.1186/s12885-017-3344-z · Cited by 103 · see citing works
“Recent studies have found higher ‘quit rates’ in smokers with cancer compared to smokers in the general population [24], indicating that they may be more receptive to cessation support.”
BackgroundLand, S. R., Toll, B. A., Moinpour, C. M., Mitchell, S. A., Ostroff, J. S., Hatsukami, D. K., Duffy, S. A., Gritz, E. R., Rigotti, N. A., Brandon, T. H., et al. (2016) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-16-0104 · Cited by 101 · see citing works
Foerster, B., Pozo, C. D., Abufaraj, M. M., Mari, A., Kimura, S., D’Andrea, D., John, H. A., & Shariat, S. F. (2018) · JAMA Oncology · doi:10.1001/jamaoncol.2018.1071 · Cited by 100 · see citing works
Driessen, E. J., Peeters, M. E., Bongers, B. C., Maas, H. A., Bootsma, G. P., van Meeteren, N. L., & Janssen-Heijnen, M. L. (2017) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2017.03.031 · Cited by 81 · see citing works
“Other results of physcal outcomes are displayed according to measuring instruments n Table 3 (Myers et al., 2002; Redelmeier et al., 1997; Laviolette t al., 2008; Santanello et al., 1999; Houchen-Wolloff et al., 2015; ltenburg et al., 2015; Wright et al., 2011).”
BackgroundD'Angelo, H., Rolland, B., Adsit, R., Baker, T. B., Rosenblum, M., Pauk, D., Morgan, G. D., & Fiore, M. C. (2019) · Cancer Prevention Research · doi:10.1158/1940-6207.capr-19-0182 · Cited by 74 · see citing works
“Furthermore, by integrating referrals to tobacco treatment programs at the point of care, Centers are able to intervene whenmotivation to quit may be high, for example, after a cancer diagnosis and before cancer treatment begins (19).”
BackgroundSmoking Cessation, Version 3.2022, NCCN Clinical Practice Guidelines in Oncology
Shields, P. G., Bierut, L. J., Arenberg, D. A., Balis, D. S., Cinciripini, P. M., Davis, J. M., Edmondson, D. M., Feliciano, J., Hitsman, B. L., Hudmon, K. S., et al. (2023) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2023.0013 · Cited by 80 · see citing works
Price, S. N., Studts, J. L., & Hamann, H. A. (2019) · The Oncologist · doi:10.1634/theoncologist.2018-0246 · Cited by 66 · see citing works
Kirkham, A. A., Beaudry, R. I., Paterson, D. I., Mackey, J. R., & Haykowsky, M. J. (2019) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2019.02.002 · Cited by 73 · see citing works
Smoking cessation behaviors among older U.S. adults
Henley, S. J., Asman, K., Momin, B. R., Gallaway, M. S., Culp, M. B., Ragan, K. R., Richards, T. B., & Babb, S. D. (2019) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2019.100978 · Cited by 64 · see citing works
Darcey, E., & Boyle, T. (2018) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2018.07.001 · Cited by 58 · see citing works
Conceptualisation and validation of system use reduction as a self-regulatory IS use behaviour
Osatuyi, B., & Turel, O. (2020) · European Journal of Information Systems · doi:10.1080/0960085x.2019.1709575 · Cited by 53 · see citing works
“…(Bikhchandani, Hirshleifer, & Welch, 1998), and with demonstrated e ff ects of changes in peer behaviour or states on one ’ s behaviour change (Butler et al., 2011; Westmaas et al., 2015), it is reasonable to expect that when peers reduce their SNS use, one ’ s actual use will be adjusted (reduced).”
Tobacco and E-cigarette use among cancer survivors in the United States
Salloum, R. G., Huo, J. S., Lee, J., Lee, J., Dallery, J., George, T. J., & Warren, G. W. (2019) · PLoS ONE · doi:10.1371/journal.pone.0226110 · Cited by 51 · see citing works
“[26] Long term follow-up data from the Cancer Prevention Study II between 1992–2009 demonstrated a higher two-year quit rate in cancer survivors (31%) as compared with the general population (20%).[27] However, these results were outside of the context of a structured smoking cessation intervention.”
BackgroundContinued smoking after a cancer diagnosis: a longitudinal study of intentions and attempts to quit
Paul, C. L., Tzelepis, F., Boyes, A. W., D’Este, C., Sherwood, E., & Girgis, A. (2019) · Journal of Cancer Survivorship · doi:10.1007/s11764-019-00787-5 · Cited by 42 · see citing works
Land, S. R., Warren, G. W., Crafts, J. L., Hatsukami, D. K., Ostroff, J. S., Willis, G., Chollette, V. Y., Mitchell, S. A., Folz, J. N. M., Gulley, J. L., et al. (2016) · Cancer · doi:10.1002/cncr.29964 · Cited by 44 · see citing works
Helping patients to reduce tobacco consumption in oncology: a narrative review
Lucchiari, C., Masiero, M. A., Botturi, A., & Pravettoni, G. (2016) · SpringerPlus · doi:10.1186/s40064-016-2798-9 · Cited by 43 · see citing works
Lauridsen, S. V., Thomsen, T., Kaldan, G., Lydom, L. N., & Tønnesen, H. (2017) · BMC Cancer · doi:10.1186/s12885-017-3792-5 · Cited by 42 · see citing works
“On the other hand, half of patients with cancer who smoked before diagnosis continue to smoke during treatment [13, 20, 23].”
BackgroundRoach, M. C., Rehman, S. S. U., DeWees, T. A., Abraham, C. D., Bradley, J. D., & Robinson, C. G. (2015) · Practical Radiation Oncology · doi:10.1016/j.prro.2015.09.005 · Cited by 41 · see citing works
“The rate of smoking after treatment was high at 73% in this study, which is within the wide range (6–83%) reported by studies of surgically treated early stage NSCLC(8,24)and comparable to the rate seen in patients treated for other cancers in United States populationbased studies at 69% (25).”
ResultLi, W. H. C., Wang, M. P., Ho, K. Y., Lam, K. K. W., Cheung, Y. T. D., Cheung, Y. T. Y., Lam, T., & Chan, S. S. C. (2018) · Scientific Reports · doi:10.1038/s41598-018-21207-1 · Cited by 39 · see citing works
Guimond, A., Audet-Croteau, V., Savard, M., Bernard, P., Ivers, H., & Savard, J. (2016) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9834-4 · Cited by 37 · see citing works
Warren, G. W., & Ward, K. D. (2015) · PubMed Central · doi:10.3978/j.issn.2218-6751.2015.07.15 · Cited by 36 · see citing works
“Principles of follow-up and relapse prevention are also discussed, which is highly applicable to cancer patients who are at risk for restarting tobacco use after a cancer diagnosis and treatment (33,50,80).”
BackgroundSmoking and Smoking Cessation Among Persons with Tobacco- and Non-tobacco-Associated Cancers
Gallaway, M. S., Huang, B., Chen, Q., Tucker, T. C., McDowell, J. K., Durbin, E. B., Stewart, S. L., & Tai, E. W. (2019) · Journal of Community Health · doi:10.1007/s10900-019-00622-z · Cited by 34 · see citing works
Hawkins, M. L., Buys, S. S., Gren, L. H., Simonsen, S. E., Kirchhoff, A. C., & Hashibe, M. (2016) · Journal of Cancer Survivorship · doi:10.1007/s11764-016-0581-0 · Cited by 33 · see citing works
“A study from the Cancer Prevention Study-II Nutrition Cohort found that the quit rates of current smokers over the course of 2 years was higher in those diagnosed with cancer as compared to smokers without cancer [46].”
BackgroundPostdiagnosis Changes in Cigarette Smoking and Survival Following Breast Cancer
Parada, H., Bradshaw, P. T., Steck, S. E., Engel, L. S., Conway, K., Teitelbaum, S. L., Neugut, A. I., Santella, R. M., & Gammon, M. D. (2017) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkx001 · Cited by 33 · see citing works
“For the 10% to 20% of women who are smokers at the time of breast cancer diagnosis (5,6), smoking cessation is one important behavioral change that may improve survival after breast cancer.”
BackgroundResultDay, F. L., Sherwood, E., Chen, T. Y., Barbouttis, M., Varlow, M., Martin, J. M., Weber, M. F., Sitas, F., & Paul, C. L. (2018) · Asia-Pacific Journal of Clinical Oncology · doi:10.1111/ajco.12876 · Cited by 31 · see citing works
Gaalema, D., Pericot-Valverde, I., Bunn, J., Villanti, A., Cepeda-Benito, A., Doogan, N., Keith, D., Kurti, A., Lopez, A., Nighbor, T., et al. (2018) · Preventive Medicine · doi:10.1016/j.ypmed.2018.05.004 · Cited by 28 · see citing works
Increased Surgical Complications in Smokers Undergoing Radical Cystectomy
Sathianathen, N. J., Weight, C., Jarosek, S. L., & Konety, B. R. (2018) · Bladder Cancer · doi:10.3233/blc-180185 · Cited by 30 · see citing works
Park, E. R., Ostroff, J. S., Perez, G. K., Hyland, K. A., Rigotti, N. A., Borderud, S. P., Regan, S., Muzikansky, A., Friedman, E. R., Levy, D. E., et al. (2016) · Contemporary Clinical Trials · doi:10.1016/j.cct.2016.07.016 · Cited by 29 · see citing works
“Persistent smoking following a cancer diagnosis is associated with diminished effectiveness of cancer treatment, increased risks of recurrence and second primary cancer diagnoses [4-10], decreased overall survival [11-14], diminished quality of life [11,15,16], and increased complications from surgery, radiation, and…”
BackgroundTollosa, D. N., Holliday, E. G., Hure, A. J., Tavener, M., & James, E. L. (2020) · Breast Cancer Research and Treatment · doi:10.1007/s10549-020-05704-4 · Cited by 30 · see citing works
Rabenstein, A., Catarino, C. B., Rampeltshammer, V., Schindler, D. K., Gallenmüller, C., Priglinger, C., Pogarell, O. M., Rüther, T., & Klopstock, T. (2021) · Orphanet Journal of Rare Diseases · doi:10.1186/s13023-021-01724-5 · Cited by 29 · see citing works
Mutational load and mutational patterns in relation to age in head and neck cancer
Meucci, S., Keilholz, U., Tinhofer, I., & Ebner, O. A. (2016) · Oncotarget · doi:10.18632/oncotarget.11312 · Cited by 29 · see citing works
“com/oncotarget adolescence or young adult age, and smoking cessation is associated with the diagnosis of the malignancy [14,15].”
BackgroundSinger, S., Bartels, M. J., Briest, S., Einenkel, J., Niederwieser, D. W., Papsdorf, K., Stolzenburg, J., Künstler, S., Taubenheim, S., & Krauß, O. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3528-0 · Cited by 29 · see citing works
Using a Quitline to Deliver Opt-Out Smoking Cessation for Cancer Patients
Notier, A. E., Hager, P., Brown, K. S., Petersen, L., Bedard, L., & Warren, G. W. (2020) · JCO Oncology Practice · doi:10.1200/jop.19.00296 · Cited by 27 · see citing works
“Consequently, many patients with cancer who use tobacco at the time of diagnosis continue to engage in tobacco use.(8,9) Barriers to providing smoking cessation treatment include a lack of provider time, training, and resources.”
BackgroundMethodThe characteristics of patients who quit smoking in the year following a cancer diagnosis
Gummerson, S. P., Lowe, J. T., Taylor, K. L., Lobo, T., & Jensen, R. E. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01009-7 · Cited by 28 · see citing works
Davidson, S. M., Boldt, G., & Louie, A. V. (2018) · Current Oncology · doi:10.3747/co.25.3921 · Cited by 25 · see citing works
Deng, Z., Jones, M. R., Wang, M.-C., & Visvanathan, K. (2022) · npj Breast Cancer · doi:10.1038/s41523-022-00447-5 · Cited by 24 · see citing works
HIV Care Initiation: A Teachable Moment for Smoking Cessation?
Vidrine, D. J., Frank-Pearce, S. G., Savin, M. J., Waters, A. J., Li, Y., Chen, S., Fletcher, F. E., Arduino, R. C., & Gritz, E. R. (2017) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntx218 · Cited by 24 · see citing works
Shoemaker, M. L., White, M. C., Hawkins, N. A., & Hayes, N. S. (2016) · Oncology nursing forum · doi:10.1188/16.onf.43-04ap · Cited by 22 · see citing works
“A study by Westmaas et al. (2015) estimated that 31% of smokers quit two years after a cancer diagnosis, compared to estimates in the current study of 11% of survivors who quit within one year after diagnosis.”
Prevalence and Predictors of Sustained Smoking after a Cancer Diagnosis in Korean Men
Koo, H. Y., Lee, K., Park, S. M., Chang, J., Kim, K., Choi, S., Cho, M. H., Jun, J.-H., & Kim, S. M. (2019) · Cancer Research and Treatment · doi:10.4143/crt.2018.609 · Cited by 21 · see citing works
Preventing smoking relapse in patients with cancer: A randomized controlled trial
Simmons, V. N., Sutton, S. K., Meltzer, L. R., Martínez, Ú., Palmer, A. M., Meade, C. D., Jacobsen, P. B., McCaffrey, J. C., Haura, E. B., & Brandon, T. H. (2020) · Cancer · doi:10.1002/cncr.33162 · Cited by 20 · see citing works
Changes in Cigarette Smoking Behavior in Cancer Survivors During Diagnosis and Treatment
Jose, T., Schroeder, D. R., & Warner, D. O. (2022) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntac072 · Cited by 19 · see citing works
Fit4Surgery for cancer patients during covid-19 lockdown – A systematic review and meta-analysis
van Gestel, T., Groen, L. C. B., Puik, J. R., van Rooijen, S. J., van der Zaag–Loonen, H. J., Schoonmade, L. J., Danjoux, G. R., Daams, F. D., Schreurs, W. H., & Bruns, E. R. J. (2022) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2022.02.010 · Cited by 18 · see citing works
“Recent studies have shown that if prehabilitation is tailored to the environment of the patient motivation and adherence will increase [49,52,53].”
Giuliani, M., Liu, G., Xu, W., Dirlea, M., Selby, P. L., Papadakos, J., Abdelmutti, N., Yang, D., Eng, L., Goldstein, D. P., et al. (2018) · Journal of Medical Internet Research · doi:10.2196/11735 · Cited by 18 · see citing works
“…[3,11,21-24] and the fact that many newly diagnosed cancer patients are motivated to quit smoking and are open to discussions on how to do this [25-27], there remain significant challenges in terms of the implementation of these recommendations and strategies in oncology care settings [20,28].”
Relationships Between Fear of Cancer Recurrence and Lifestyle Factors Among Cancer Survivors
Reed, S. C., Bell, J. F., Miglioretti, D. L., Nekhlyudov, L., Fairman, N. P., & Joseph, J. G. (2019) · Journal of Cancer Education · doi:10.1007/s13187-019-01509-2 · Cited by 16 · see citing works
Implementation of Tobacco Dependence Treatment Programs in Oncology Settings
Sarna, L. P., & Bialous, S. A. (2016) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2016.05.002 · Cited by 16 · see citing works
Cancer Screening and Diagnosis: Opportunities for Smoking Cessation Intervention
Land, S. R., & Marcus, P. M. (2015) · Journal of Clinical Oncology · doi:10.1200/jco.2015.61.2077 · Cited by 16 · see citing works
Stress-related health depreciation: Using allostatic load to predict self-rated health
Barry, L. E., O’Neill, S., Heaney, L. G., & O’Neill, C. (2021) · Social Science & Medicine · doi:10.1016/j.socscimed.2021.114170 · Cited by 15 · see citing works
Westmaas, J. L., McDonald, B., & Portier, K. M. (2017) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntx064 · Cited by 15 · see citing works
Land, S., Baker, L., Bachand, J. V., Twesten, J., Reyes-Guzman, C. M., & Kaufman, A. R. (2022) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntac059 · Cited by 13 · see citing works
“13 individuals are more likely to quit smoking altogether after a cancer diagnosis, those cancer survivors who do continue are more dependent and are, therefore, daily smokers.(18) A cancer diagnosis frequently motivates cigarette smokers to attempt to quit; more heavily dependent smokers, who are more likely to be da…”
BackgroundUnderuse and underreporting of smoking cessation for smokers with a new urologic cancer diagnosis
Macleod, L. C., Dai, J. C., Holt, S. K., Bassett, J. C., Wright, J. L., & Gore, J. L. (2015) · Urologic Oncology Seminars and Original Investigations · doi:10.1016/j.urolonc.2015.07.008 · Cited by 14 · see citing works
“An index diagnosis of smoking-related urologic cancer is a pivotal moment for patients when smoking cessation interventions may be more efficacious [19] and may serve as an intervention trigger for providers.”
BackgroundAvila, J. C., Lee, S. C., Osuoha, E., Maglalang, D. D., Sokolovsky, A. W., & Ahluwalia, J. S. (2022) · Addictive Behaviors · doi:10.1016/j.addbeh.2022.107454 · Cited by 13 · see citing works
A smoking cessation and pain management program for cancer survivors
Pollak, K. I., Fish, L. J., Sutton, L., Gao, X., Lyna, P. R., Owen, L. J., Patel, M. L., & Somers, T. J. (2018) · Journal of Cancer Survivorship · doi:10.1007/s11764-018-0719-3 · Cited by 13 · see citing works
Parada, H., Sun, X., Tse, C., Olshan, A. F., Troester, M. A., & Conway, K. (2017) · Cancer Causes & Control · doi:10.1007/s10552-017-0923-x · Cited by 13 · see citing works
“within two years of diagnosis [47] and as one research group has shown [48], post-diagnosis smoking cessation may”
BackgroundDerksen, J. W. G., Beijer, S., Koopman, M., Verkooijen, H. M., van de Poll-Franse, L. V., & May, A. M. (2018) · European Journal of Cancer · doi:10.1016/j.ejca.2018.06.017 · Cited by 13 · see citing works
Smoking cessation among men following cancer diagnosis: a matched cohort study
Robinson, C. D., Gonzalez‐Feliciano, A. G., Mucci, L. A., & Markt, S. C. (2018) · Journal of Cancer Survivorship · doi:10.1007/s11764-018-0715-7 · Cited by 13 · see citing works
Merianos, A. L., Fevrier, B., & Mahabee‐Gittens, E. M. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2020.598905 · Cited by 13 · see citing works
“There are increases in smoking abstinence rates when cessation interventions are conducted during “teachable moments” such as during children’s visits for acute illnesses (46), during cancer screenings (47), when having a cancer diagnosis (48), when initiating HIV treatment (49), and during pregnancy (50).”
BackgroundScholten, P., Stalpers, L. J. A., Bronsema, I., van Os, R., Westerveld, H. G., & van Lonkhuijzen, L. R. C. W. (2023) · Journal of Cancer Policy · doi:10.1016/j.jcpo.2023.100463 · Cited by 13 · see citing works
LeLaurin, J. H., Gurka, M. J., Chi, X., Lee, J., Hall, J., Warren, G. W., & Salloum, R. G. (2021) · JCO Clinical Cancer Informatics · doi:10.1200/cci.20.00187 · Cited by 12 · see citing works
Casper, A. C., Parsons, M. W., Chipman, J., Burt, L., Suneja, G., Maurer, K. A., & Gaffney, D. K. (2021) · Gynecologic Oncology · doi:10.1016/j.ygyno.2021.05.034 · Cited by 11 · see citing works
Limited Changes in Lifestyle Behaviours after Non-Muscle Invasive Bladder Cancer Diagnosis
Beeren, I., de Goeij, L., Dandis, R., Vidra, N., van Zutphen, M., Witjes, J. A., Kampman, E., Kiemeney, L. A. L. M., & Vrieling, A. (2022) · Cancers · doi:10.3390/cancers14040960 · Cited by 11 · see citing works
Carroll, A. J., Veluz‐Wilkins, A. K., Blazekovic, S., Kalhan, R., Leone, F. T., Wileyto, E. P., Schnoll, R. A., & Hitsman, B. L. (2017) · Psycho-Oncology · doi:10.1002/pon.4483 · Cited by 11 · see citing works
“A cancer diagnosis can be a teachable moment for smoking cessation,(6) as evidenced by higher quit rates among adults with a cancer diagnosis.(3,7) Unfortunately, even if they initially quit smoking, smokers diagnosed with cancer have particularly high rates of relapse, and an estimated 50% of smokers continue to smok…”
BackgroundNicolas, M., Grandal, B., Dubost, E., Kassara, A., Guerin, J., Toussaint, A., Laas, E., Féron, J.-G., Fourchotte, V., Lecuru, F. R., et al. (2021) · Cancers · doi:10.3390/cancers13102423 · Cited by 11 · see citing works
Ostroff, J. S., Goffin, J. R., Khuri, F. R., & Warren, G. W. (2016) · Journal of Oncology Practice · doi:10.1200/jop.2015.006148 · Cited by 11 · see citing works
The diagnosis of bladder cancer: are we missing a teachable moment for smoking cessation?
Sosnowski, R., Kamecki, H., Bjurlin, M. A., & Przewoźniak, K. (2019) · Translational Andrology and Urology · doi:10.21037/tau.2019.05.15 · Cited by 11 · see citing works
Trosman, J. R., Weldon, C. B., Rapkin, B. D., Benson, A. B., Makower, D., Liang, S., Kulkarni, S., Perez, C. B., Lo, S. S., Krueger, E. A., et al. (2021) · JCO Oncology Practice · doi:10.1200/op.21.00161 · Cited by 10 · see citing works
Raag, M., & Pärna, K. (2018) · BMC Public Health · doi:10.1186/s12889-018-5105-6 · Cited by 10 · see citing works
“Although we do not know the timing of events (taking up smoking, quitting, disease occurrence), which inhibits causal interpretation of attributable risks, it has been observed that people more often quit than start smoking after getting pulmonary [49] or cardiovascular diseases [50].”
BackgroundCOPD promotes migration of A549 lung cancer cells: the role of chemokine CCL21
Kuźnar-Kamińska, B., Mikuła‐Pietrasik, J., Sosińska, P., Książek, K., & Batura‐Gabryel, H. (2016) · International Journal of COPD · doi:10.2147/copd.s96490 · Cited by 10 · see citing works
“this disease decline significantly in a function of the time that has passed since the patient ceased smoking.(23,24) As per the GOLD criteria, the level of CCL21 and CXCL12 started to increase in patients in stage 2, 3, and 4 of the disease, that is, patients in whom the obturation became significant.”
Anesthesiologists and the Other Pandemic: Tobacco Use
Warner, D. O. (2022) · Anesthesiology · doi:10.1097/aln.0000000000004346 · Cited by 9 · see citing works
Yao Zong, Y. U. A. N., Taneja, M., & Connor, A. E. (2018) · Journal of Women s Health · doi:10.1089/jwh.2018.7360 · Cited by 9 · see citing works
“Studies have shown that 10%–20% of BC survivors are current smokers at the time of their BC diagnosis.(20,21) Although AA women, in general, start smoking later in life when compared with white women, they are more likely to die from smoking-related diseases.”
BackgroundMatulewicz, R. S., Bjurlin, M. A., Feuer, Z. S., Makarov, D. V., Sherman, S. E., Scheidell, J. D., Khan, M. R., Shahawy, O. E., & Ward, K. (2021) · The Journal of Smoking Cessation · doi:10.1155/2021/6683014 · Cited by 9 · see citing works
“Two additional populationbased studies using data from the NCI’s HINTS survey (2003-2007) and the CPS-II Nutrition Cohort (1992-2009) demonstrated discordant findings [7, 20].”
BackgroundMethodInfluentialLand, S. R., Baker, L., Twesten, J., Reyes-Guzman, C. M., & Kaufman, A. R. (2022) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-22-0651 · Cited by 8 · see citing works
Prevalence and determinants of quitting smoking after cancer diagnosis: a prospective cohort study
Taborelli, M., Maso, L. D., Zucchetto, A., Lamaj, E., Paoli, P. D., Carbone, A., & Serraino, D. (2021) · Tumori Journal · doi:10.1177/03008916211009301 · Cited by 8 · see citing works
“Sex Male 258 (26) 77 (30) 104 (40) 77 (30) Female 753 (74) 145 (19) 177 (24) 431 (57) Age, y 18–49 271 (27) 77 (28) 52 (19) 142 (52) 50–64 356 (35) 87 (24) 88 (25) 181 (51) ⩾65 384 (38) 58 (15) 141 (37) 185 (48) Education, ya <9 475 (48) 103 (22) 128 (27) 244 (51) ⩾9 518 (52) 115 (22) 147 (28) 256 (49) Marital statusa…”
Lee, J. M., Suh, H.-W., Lee, H., Choi, M., Kim, J. S., Lee, K., Kim, S.-H., Sohn, J. W., Yoon, H. J., Paek, Y., et al. (2025) · Cancers · doi:10.3390/cancers17223623 · Cited by 7 · see citing works
“Although most lung cancer patients attempt to quit after diagnosis [55], sustained abstinence is achieved by only a minority of patients [14,56].”
Manhapra, A., & Rosenheck, R. A. (2017) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000311 · Cited by 7 · see citing works
“These rates may be even higher among veterans (Wagner et al., 2007) and those with smoking-related chronic disease (Kalman et al., 2005; Darville and Hahn, 2014; Westmaas et al., 2015).”
BackgroundInvestigating the Smoking Cessation Informational Needs of Cancer Patients and Informal Caregivers
Giuliani, M., Brual, J., Eng, L., Liu, G., Papadakos, T. J., Giannopoulos, E., & Papadakos, J. (2019) · Journal of Cancer Education · doi:10.1007/s13187-019-01547-w · Cited by 7 · see citing works
Westmaas, J. L., Strollo, S. E., Newton, C. C., Carter, B. D., Diver, W. R., Flanders, W. D., Stevens, V. L., Patel, A. V., Alcaraz, K. I., Thrul, J., et al. (2021) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-20-1810 · Cited by 7 · see citing works
“, cancer diagnosis (36), past quit attempts, use of other tobacco products, etc.”
BackgroundBauer, A., Brenner, L., Moser, J., Trudzinski, F. C., Köllner, V., & Bals, R. (2020) · PubMed Central · doi:10.3205/000282 · Cited by 6 · see citing works
“Being hospitalized for a smoking-related disease such as COPD and lung cancer and suffering from respiratory symptoms might be strong motivators to quit smoking [8], [9], [43], [44], [45].”
BackgroundFathi, J. T., Cinciripini, P. M., DePrimo, M. J., Houston, T. P., Kathuria, H., Park, E. R., Pua, B. B., Roelke, T., Taylor, K. L., Toll, B. A., et al. (2025) · Cancer · doi:10.1002/cncr.35972 · Cited by 5 · see citing works
Cosci, F., Bertoli, G., Pistelli, F., & Carrozzi, L. (2016) · Medical Express · doi:10.5935/medicalexpress.2016.01.03 · Cited by 5 · see citing works
Mańczuk, M., Łobaszewski, J., Sulkowska, U., Hashim, D., & Boffetta, P. (2018) · European Journal of Cancer Prevention · doi:10.1097/cej.0000000000000429 · Cited by 5 · see citing works
“The relationship between being diagnosed with chronic illness and higher odds for smoking cessation was identified in other research (Wilkes and Evans, 1999; Gulliford, 2001; Westmaas et al., 2015); however, inconclusive results obtained by Patel et al.”
ResultCadmium, Selenium and Breast Cancer Risk by Molecular Subtype Among Women from Northern Mexico
Rojas-Lima, E., Rothenberg, S. J., Gamboa-Loira, B., Mérida-Ortega, Á., Cebrián, M. E., & López‐Carrillo, L. (2021) · Exposure and Health · doi:10.1007/s12403-021-00393-w · Cited by 5 · see citing works
“At the same time, about 30% of smokers have been reported to stop smoking after BC diagnosis (Bell et al. 2012; Westmaas et al. 2015), which would reduce urinary Cd levels (Adams and Newcomb 2014).”
BackgroundEffective Timing of Introducing an Inpatient Smoking Cessation Program to Cancer Patients
Choe, Y., Choi, J.-W., Jeong, J., Doh, H.-M., Kim, M.-L., Nam, M.-S., Kho, H.-J., Park, H.-Y., Ahn, H.-R., Kweon, S., et al. (2023) · Yonsei Medical Journal · doi:10.3349/ymj.2022.0499 · Cited by 5 · see citing works
Diagnostic challenges in survivors of early stage lung cancer
van Iersel-Vet, M. T. A., Thunnissen, E., Spoelstra, F. O. B., Ylstra, B., Slotman, B. J., & Senan, S. (2015) · Lung Cancer · doi:10.1016/j.lungcan.2015.08.013 · Cited by 4 · see citing works
Somatic genome alterations in relation to age in lung adenocarcinoma
Meucci, S., Keilholz, U., Heim, D., Klauschen, F., & Cacciatore, S. (2019) · International Journal of Cancer · doi:10.1002/ijc.32265 · Cited by 4 · see citing works
Kalkhoran, S. M., Streck, J. M., Kruse, G. R., Rigotti, N. A., Perez, G. K., Regan, S., Ponzani, C. J., Muzikansky, A., Park, E. R., & Ostroff, J. S. (2022) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntac031 · Cited by 4 · see citing works
Gali, K., Bokemeyer, F., Behrens, S., Möhl, A., Obi, N., Becher, H., & Chang-Claude, J. C. (2022) · Cancer Epidemiology · doi:10.1016/j.canep.2022.102282 · Cited by 4 · see citing works
Hawari, F. I., Alhalawa, M. A. A., Alshraiedeh, R. H., Nawaiseh, A. M. A., Khamis, A., Dodin, Y., & Obeidat, N. A. (2022) · Current Oncology · doi:10.3390/curroncol29120732 · Cited by 4 · see citing works
Smoking Behaviors Among Black and Hispanic Cancer Patients: A Systematic Review of the Literature
Rabin, J. T., Castelin, S., Strauss, N., Philpotts, L. L., Park, E. R., & Perez, G. K. (2022) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-022-01423-8 · Cited by 4 · see citing works
“Though many cancer patients are more likely to be smokers at diagnosis, they are also more likely to quit than non-cancer patients following their diagnosis, even when controlling for cancer treatment [1, 24].”
BackgroundDeutsch, A., & Saintignon, J. G.-D. (2016) · ONCOLOGIE · doi:10.1007/s10269-016-2618-4 · Cited by 4 · see citing works
McCall, M. H., Boyd, C. T., Kerr, N. D., Daniel, S. S., & Sutfin, E. L. (2025) · Psycho-Oncology · doi:10.1002/pon.70074 · Cited by 3 · see citing works
“Although a cancer diagnosis can be a catalyst for addressing smoking, 12.7% of patients with cancer continue to smoke cigarettes [5, 6].”
InfluentialSomatic genome alterations in relation to age in lung squamous cell carcinoma
Meucci, S., Keilholz, U., Heim, D., Klauschen, F., & Cacciatore, S. (2018) · Oncotarget · doi:10.18632/oncotarget.25848 · Cited by 3 · see citing works
“Although the age at diagnosis of lung tumors is very closely correlated with the duration of smoking [13, 14], a previous study performed on 34 tumor types of the TCGA dataset [15], showed significant negative correlations between SNPs and patient age only in LUSC and LUAD.”
ResultAn Overview of the Epidemiology, Types of Lung Cancer, Staging, and Rehabilitation Continuum of Care
Watson, A. G., & Orada, R. B. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-83404-9.00010-4 · Cited by 3 · see citing works
Neil, J. M., Senecal, C., Ballini, L., Chang, Y., Goshe, B., Flores, E. J., Ostroff, J. S., & Park, E. R. (2022) · JMIR Cancer · doi:10.2196/37526 · Cited by 3 · see citing works
“Continued cigarette smoking is prevalent in approximately 10% to 30% of patients with recently diagnosed cancer [1,2].”
BackgroundBronsema, I., van Lonkhuijzen, L. R. C. W., Scholten, P. W. A., Laan, J. J., Westerveld, H. G., & Stalpers, L. J. A. (2023) · Technical Innovations & Patient Support in Radiation Oncology · doi:10.1016/j.tipsro.2023.100225 · Cited by 3 · see citing works
“More-over, prolonged smoking cessation is more frequently seen after a recent oncological diagnosis [15].”
BackgroundGemine, R. E., Haider, S. A., Ravara, S., & Lewis, K. E. (2021) · European Respiratory Society eBooks · doi:10.1183/2312508x.10012220 · Cited by 3 · see citing works
A Survey of Baseline Tobacco Cessation Clinical Practices and Receptivity to Academic Detailing.
Adsit, R. T., Wisinski, K. B., Mattison, R. J., Bailey, H. H., & Fiore, M. C. (2016) · PubMed · Cited by 3 · see citing works
Smoking Cessation Treatment Programs Offered at Hospitals Providing Oncology Services
Gallaway, M. S., Tai, E. W., & Rohan, E. A. (2018) · The Journal of Smoking Cessation · doi:10.1017/jsc.2018.15 · Cited by 3 · see citing works
“…some have reported that smokers may be motivated to quit smoking following a cancer diagnosis, (Nayan, Gupta, Strychowsky, & Sommer, 2013; Westmaas et al., 2015), but health professionals often miss opportunities to recommend smoking cessation (Earle & Neville, 2004; Sabatino, 2007;…”
Prostate cancer and subsequent nutritional outcomes: the role of diagnosis and treatment
Slade, A. N. (2019) · Journal of Cancer Survivorship · doi:10.1007/s11764-019-00739-z · Cited by 3 · see citing works
- Authors
- Westmaas, J. L., Newton, C. C., Stevens, V. L., Flanders, W. D., Gapstur, S. M., & Jacobs, E. J.
- Affiliations
- American Cancer Society (US)
- ORCID
- Venue
- Journal of Clinical Oncology
- Published
- 2015-05-20
- Volume
- 33
- Issue
- 15
- Pages
- 1647-1652
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W2101545667
- Cited by
- 124
- References
- 26
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 2 · 2023: 5 · 2022: 18 · 2021: 20 · 2020: 9 · 2019: 13 · 2018: 18 · 2017: 10 · 2016: 16 · 2015: 5
- FWCI
- 12.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed (publishedVersion)
- 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
- smoking cessation, cancer diagnosis, teachable moments, cancer survivors, lung cancer, head and neck cancer, esophageal cancer, metastatic cancer, cardiovascular disease, chronic obstructive pulmonary disease, Cancer Prevention Study II Nutrition Cohort
- MeSH terms
- Smoking Prevention, Adult, Aged, Female, Follow-Up Studies, Humans, Life Style, Male, Middle Aged, Motivation, Neoplasms, Prognosis, Prospective Studies, Surveys and Questionnaires, Time Factors, Tobacco Use Disorder, United States, Smoking Cessation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
