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Screening for Lung Cancer: US Preventive Services Task Force Recommendation Statement | Cancer Screening, Prevention, Control | JAMA
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Target Audience and Goal Statement: Pulmonologists, primary care physicians
The goal of the updated U.S. Preventive Services Task Force (USPSTF) recommendation statement was to evaluate the benefits and harms of primary care interventions on tobacco use cessation in adults, including pregnant persons.
Question Addressed:
What were the benefits and harms of primary care interventions on tobacco use cessation in adults, including pregnant persons?
Synopsis and Perspective:
In 1964, the U.S. Surgeon General released a report concluding that cigarette smoking was a cause of lung cancer in men, a probable cause of lung cancer in women, and the most important cause of chronic bronchitis. More than half a century later, another report was issued concluding that smoking cessation decreased the risk of all-cause mortality, cardiovascular diseases, chronic obstructive pulmonary disease, adverse reproductive health outcomes, and 12 types of cancer.
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de Weerd M, Greving JP, Hedblad B, et al. Prevalence of asymptomatic carotid artery stenosis in the general population: an individual participant data meta-analysis.
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Abbott AL, Brunser AM, Giannoukas A, et al. Misconceptions regarding the adequacy of best medical intervention alone for asymptomatic carotid stenosis.
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Leading causes of death. Centers for Disease Control and Prevention. Published October 30, 2020. Accessed December 9, 2020. https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
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LeFevre ML; US Preventive Services Task Force. Screening for asymptomatic carotid artery stenosis: U.S. Preventive Services Task Force recommendation statement.
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Procedure Manual. US Preventive Services Task Force. Published December 2015. Accessed December 9, 2020. https://www.uspreventiveservicestaskforce.org/uspstf/proce
Addressing Systemic Racism Through Clinical Preventive Service Recommendations From the US Preventive Services Task Force | Guidelines | JAMA
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While research suggesting e-cigarettes may be useful for helping adult smokers quit continues to build, the evidence remains inadequate to support a formal recommendation, the U.S. Preventive Services Task Force (USPSTF) determined. JAMA, The USPSTF recommends that clinicians direct patients who use tobacco to other tobacco cessation interventions with proven effectiveness and established safety, the statement read.
The advisory group also found the data insufficient to assess the safety of established smoking cessation pharmacotherapies in pregnant women who smoke.
The task force did conclude, however, with high certainty that behavioral interventions can be useful for helping pregnant women quit smoking and improving perinatal outcomes.
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