Thursday, June 3, 2010

Lung Cancer Prevention

Smoking is the largest cause and risk factor of lung cancer. So, one of the most thing that can do to prevent lung cancer is stop smoking. By stop smoking, it will reduce the lung cancer risk greatly. But, stop smoking is not a simple matter. For those who are heavy smoker, stop smoking is a very hard deal. To stop smoking habit, many countries that release a guidance to stop smoking in order to prevent the spread of lung cancer. Since, the lung cancer patient keeps increasing every single year and now, the one that endanger lung cancer is not only men. The statistic shows that the increasing of lung cancer patient is far more rapid in women than in men.


The government of each country is supporting the stop smoking to prevent and reducing lung cancer. The Ministerial Council on Drug Strategy endorsed an action plan under the National Drug Strategic Framework, the National Tobacco Strategy (NTS) 1999 to 2002–03, in June 1999 and then to make sure the lung cancer risk is reduce it is reproduced. Britain also supporting the lung cancer prevention through smoking, the guidelines for smoking cessation published in Britain consisting of guidelines for clinicians, health administrators and managers in a complete version in conjunction with cost-effectiveness guidance as well as a shortened version. These were based on systematic reviews by the Cochrane Tobacco Addiction Review Group and the US Agency for Health Care Policy and Research.

Similarly, the US Public Health Service Report Treating tobacco use and dependence: a clinical practice guideline has been published recently and summarized in a consensus statement. These were produced by a panel charged with identifying effective, experimentally validated tobacco dependence treatments and practices and highlight differences from the original AHCPR 1996 Smoking cessation clinical practice guideline.

Overall the essential features of smoking cessation advice can be summarized as the five A’s:
  • Ask
    about smoking at every opportunity
  • Advise
    all smokers to stop
  • Assess
    willingness to quit
  • Assist
    the smoker to stop
  • Arrange
    follow-up

Further guideline details to prevent lung cancer including effective counseling and behavioral techniques, pharmacotherapy, enhancing motivation to quit, brief strategies for preventing relapse, and intensive smoking cessation intervention components, are published in the aforementioned references. In addition, there are specific guidelines in relation to hospital patients, pregnant smokers, young people, low income smokers, sex, weight gain, and training for health professionals, telephone help line workers and health administrators. The Royal Australian and New Zealand College of Obstetricians and Gynecologists have published a statement regarding women and smoking, including information on smoking and pregnancy.

Source:
Raw M, McNeill A, West R. Smoking Cessation Guidelines for Health Professionals. A Guide to Effective Smoking Cessation Interventions for the Health Care System. Health Education Authority. Thorax 1998; 53 Suppl 5 Pt 1: S1–19.
Parrott S, Godfrey C, Raw M, West R, McNeill A. Guidance for Commissioners on the Cost Effectiveness of Smoking Cessation Interventions. Health Educational Authority. Thorax 1998; 53 Suppl 5 Pt 2: S1–38.
Raw M, McNeill A, West R. Smoking Cessation: Evidence Based Recommendations for the Healthcare System. BMJ 1999; 318(7177): 182–5.
Website: US Agency for Health Care Policy and Research. US Agency for Health Care Policy and Research . 2002. (AHCPR). www.ahcpr.gov
Fiore MC, et al. Treating Tobaccos Use and Dependence: A Clinical Practice Guideline. 18. 2000. Rockville MD, US Dept of Health and Human Services, Public Health Services.
A Clinical Practice Guideline for Treating Tobacco Use and Dependence: A US Public Health Service Report. The Tobacco Use and Dependence Clinical Practice Guideline Panel, Staff, and Consortium Representatives. JAMA 2000; 283(24): 3244–54.

Main Article - Lung Cancer Surgical Resection

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