EDITORIALS
Change in smoking status after low-dose spiral chest CT screening for lung cancer: opportunity for smoking intervention
1 Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA
2 Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA
3 Division of Medical Oncology, Mayo Clinic, Rochester, Minnesota, USA
Correspondence to:
Dr J R Jett, Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN55905, USA; jett.james@mayo.edu
| The first 150 words of the full text of this article appear below. |
Several studies have examined the effectiveness of low-dose spiral chest CT scan screening for early detection of lung cancer. Currently, most patients with lung cancer are diagnosed at an advanced stage. Early detection of lung cancer could help reduce the high mortality rate associated with lung cancer. It is hoped that the advanced technology of this new screening procedure may prove to be comparable to the reduction in mortality associated with having the recommended mammographies for early detection of breast cancer.
However, unlike most cancers, lung cancer is associated with a specific behaviour—namely, smoking cigarettes. It has been proposed that informing cigarette smokers of negative lung cancer screening results could give them permission, licence or a "green light" to continue smoking. If a screening procedure leads to increased smoking rates, it is possible that any health benefits associated with early detection of lung cancer would be offset by an increase
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