Treatment Of Tobacco Use In Lung Cancer: Diagnosis And Management Of Lung Cancer
Publication Date: May 1, 2013
Last Updated: March 14, 2022
Recommendations
We recommend that current smokers undergoing LDCT screening be provided with cessation interventions that include counseling and pharmacotherapy. (1, B)
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Among current smokers with demonstrated smoking related pulmonary disease we recommend providing intensive cessation interventions. (1, B)
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Among lung cancer patients undergoing surgery, we recommend perioperative cessation pharmacotherapy as a method for improving abstinence rates. (1, B)
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Among lung cancer patients undergoing surgery for whom pharmacotherapeutic support is either contraindicated or refused, we suggest cessation counseling alone during the perioperative period. (2, C)
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Among lung cancer patients undergoing surgery, the timing of cessation does not appear to increase the risk of post-operative complications; we suggest that cessation interventions be initiated in the pre-operative period. (2, C)
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For lung cancer patients attempting cessation in conjunction with surgical interventions, we recommend initiating counseling and pharmacotherapy at the outset of surgical intervention. (1, B)
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Among lung cancer patients undergoing chemotherapy, we recommend cessation interventions that include counseling and pharmacotherapy to improve abstinence rates. (1, B)
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Among lung cancer patients with depressive symptoms, we suggest cessation pharmacotherapy with bupropion as a method to improve abstinence rates, depressive symptoms, and QOL. (2, B)
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Among lung cancer patients for whom pharmacotherapeutic support is either contraindicated or refused, we suggest cessation counseling alone as a method to improve abstinence rates. (2, C)
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Among lung cancer patients undergoing radiotherapy, we recommend cessation interventions that include counseling and pharmacotherapy. (1, C)
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Title
Treatment Of Tobacco Use In Lung Cancer: Diagnosis And Management Of Lung Cancer
Authoring Organization
American College of Chest Physicians
Publication Month/Year
May 1, 2013
Last Updated Month/Year
January 9, 2024
External Publication Status
Published
Country of Publication
US
Document Objectives
Continued tobacco use in the setting of lung cancer management is frequently confounding and always of critical importance. We summarized the published literature concerning the management of tobacco dependence in patients with lung cancer and offer recommendations for integrating dependence treatment into ongoing oncologic care.
Target Patient Population
Patients with lung cancer and continued tobacco use
Inclusion Criteria
Female, Male, Adolescent, Adult, Older adult
Health Care Settings
Ambulatory, Long term care, Outpatient
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Counseling, Management, Treatment
Diseases/Conditions (MeSH)
D008175 - Lung Neoplasms, D014026 - Tobacco, D000073869 - Tobacco Smoking, D064424 - Tobacco Use
Keywords
lung cancer, smoking, smoking cessation