Targetting special populations for tobacco intervention in managed care
Facilitating smoking cessation in cancer patients
Ellen R Gritz
MD Anderson
Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USA;
egritz@mdanderson.org
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Smoking is directly attributable to almost one third of cancer deaths, including causal relationships with cancers of the lung, oral cavity, larynx, and oesophagus, and linkages to cancers of the bladder, pancreas, kidney, stomach, and uterine cervix.1 2 Treating nicotine addiction is an obvious component of any disease management program for cancer patients, but also requires explicit and sensitive tailoring to meet patient needs.
Lung cancer patients who smoke often experience tremendous guilt and
responsibility for their disease, and feel it might be too late for
them. Others, like head and neck cancer patients, may not be aware of
the relation of their smoking to their cancer. By discussing the causal
risk factors related to their disease and how tobacco use jeopardizes
their treatment (for example, impairing wound healing, compromising the
immune system, increasing the risk of developing another cancer, and
reducing their likelihood of survival), many patients can be propelled
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