{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T01:27:01Z","timestamp":1777166821616,"version":"3.51.4"},"reference-count":53,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2012,1,23]],"date-time":"2012-01-23T00:00:00Z","timestamp":1327276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2012,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND:<\/jats:title><jats:p>Continued smoking after a cancer diagnosis may adversely affect treatment effectiveness, subsequent cancer risk, and survival. The prevalence of continued smoking after cancer diagnosis is understudied.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>In the multi\u2010regional Cancer Care Outcomes Research and Surveillance cohort (lung cancer [N = 2456], colorectal cancer [N = 3063]), the authors examined smoking rates at diagnosis and 5 months after diagnosis and also study factors associated with continued smoking.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Overall, 90.2% of patients with lung cancer and 54.8% of patients with colorectal cancer reported ever smoking. At diagnosis, 38.7% of patients with lung cancer and 13.7% of patients with colorectal cancer were smoking; whereas, 5 months after diagnosis, 14.2% of patients with lung cancer and 9.0% of patients with colorectal cancer were smoking. Factors that were associated independently with continued smoking among patients with nonmetastatic lung cancer were coverage by Medicare, other public\/unspecified insurance, not receiving chemotherapy, not undergoing surgery, prior cardiovascular disease, lower body mass index, lower emotional support, and higher daily ever\u2010smoking rates (all <jats:italic>P<\/jats:italic> &lt; .05). Factors that were associated independently with continued smoking among patients with nonmetastatic colorectal cancer were male sex, high school education, being uninsured, not undergoing surgery, and higher daily ever\u2010smoking rates (all <jats:italic>P<\/jats:italic> &lt; .05).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>After diagnosis, a substantial minority of patients with lung and colorectal cancers continued smoking. Patients with lung cancer had higher rates of smoking at diagnosis and after diagnosis; whereas patients with colorectal cancer were less likely to quit smoking after diagnosis. Factors that were associated with continued smoking differed between lung and colorectal cancer patients. Future smoking\u2010cessation efforts should examine differences by cancer type, particularly when comparing cancers for which smoking is a well established risk factor versus cancers for which it is not. Cancer 2012;118: 3153\u201364. \u00a9 2012 American Cancer Society.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.26545","type":"journal-article","created":{"date-parts":[[2012,1,23]],"date-time":"2012-01-23T12:21:29Z","timestamp":1327321289000},"page":"3153-3164","source":"Crossref","is-referenced-by-count":97,"title":["A snapshot of smokers after lung and colorectal cancer diagnosis"],"prefix":"10.1002","volume":"118","author":[{"given":"Elyse R.","family":"Park","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra J.","family":"Japuntich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy A.","family":"Rigotti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Traeger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yulei","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert B.","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Malin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer P.","family":"Zallen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy L.","family":"Keating","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,23]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"Cancer Facts & Figures","author":"American Cancer Society","year":"2009"},{"key":"e_1_2_7_3_2","first-page":"1006","article-title":"Smoking exposure as a risk factor for prevalent and recurrent colorectal adenomas","volume":"12","author":"Reid ME","year":"2003","journal-title":"Cancer Epidemiol Biomarkers Prev."},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwp210"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-06-0519"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2003.08671.x"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/92.23.1888"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.126.6.1733"},{"key":"e_1_2_7_9_2","first-page":"1157","article-title":"Cigarette smoking among adults\u2014United States, 2006","volume":"56","author":"Centers for Disease Control and Prevention (CDC)","year":"2007","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0b013e318215a4dc"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.10.001"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clon.2006.04.009"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.21875"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21598"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0169-5002(02)00455-5"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-119-5-199309010-00006"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/89.23.1782"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/COC.0b013e318059adfc"},{"key":"e_1_2_7_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b5569"},{"key":"e_1_2_7_20_2","unstructured":"National Cancer Institute. Screening of people at high\u2010risk for lung cancer with low dose CT significantly reduces lung cancer death: twenty percent fewer cancer deaths seen among those screened with CT than with chest x\u2010ray in a trial conducted by the American College of Radiology Imaging Network and the Lung Cancer Screening Study Group [press release]. Available at:http:\/\/www.cancer.gov\/newscenter\/pressreleases\/NLSTresultsReleaseAccessed November 17 2010."},{"key":"e_1_2_7_21_2","volume-title":"Cancer Facts & Figures","author":"American Cancer Society","year":"2010"},{"key":"e_1_2_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69086-7"},{"key":"e_1_2_7_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00053129"},{"key":"e_1_2_7_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.1995.tb00810.x"},{"key":"e_1_2_7_25_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.110.5.1199"},{"key":"e_1_2_7_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-198506000-00002"},{"key":"e_1_2_7_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21248"},{"key":"e_1_2_7_28_2","unstructured":"National Cancer Institute. Cancer Care Outcomes Research and Surveillance Consortium. Available at:http:\/\/healthservices.cacner.gov\/cancors\/2010. Accessed January 25 2011."},{"key":"e_1_2_7_29_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.06.020"},{"key":"e_1_2_7_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-005-0902-8"},{"key":"e_1_2_7_31_2","unstructured":"American Association for Public Opinion Research. Standard Definitions: Final dispositions of case codes and outcome rates for surveys. Available at:http:\/\/www.aapor.org\/uploads\/Standard_Definitions_04_08_Final.pdf. Accessed January 25 2011."},{"key":"e_1_2_7_32_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.26.8870"},{"key":"e_1_2_7_33_2","unstructured":"CatalanoP.Representativeness of CanCORS participants relative to Surveillance Epidemiology and End Results (SEER) cancer registries. Paper presented at: 2008 Academy Health Annual Research Meeting; June 8\u201010 2008; Washington DC."},{"key":"e_1_2_7_34_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/85.5.365"},{"key":"e_1_2_7_35_2","first-page":"129","article-title":"Pain assessment: global use of the brief pain inventory","volume":"23","author":"Cleeland CS RK","year":"1994","journal-title":"Ann Acad Med Singapore."},{"key":"e_1_2_7_36_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610299005694"},{"key":"e_1_2_7_37_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-199510000-00008"},{"key":"e_1_2_7_38_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_2_7_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(91)90150-B"},{"key":"e_1_2_7_40_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.06.102"},{"key":"e_1_2_7_41_2","volume-title":"Statistical Analysis With Missing Data","author":"Little RJ","year":"1986"},{"key":"e_1_2_7_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/0962280208101273"},{"key":"e_1_2_7_43_2","doi-asserted-by":"publisher","DOI":"10.1002\/0471722146"},{"key":"e_1_2_7_44_2","first-page":"1226","article-title":"Smoking\u2010attributable mortality, years of potential life lost, and productivity losses\u2014United States, 2000\u20102004","volume":"57","author":"Centers for Disease Control and Prevention (CDC)","year":"2008","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"e_1_2_7_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.09.024"},{"key":"e_1_2_7_46_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-009-0978-9"},{"key":"e_1_2_7_47_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2010-0034"},{"key":"e_1_2_7_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lungcan.2009.01.021"},{"key":"e_1_2_7_49_2","unstructured":"American Society of Clinical Oncology. The Quality Oncology Practice Initiative: Program Overview. Available at:http:\/\/qopi.asco.org\/Documents\/QOPIProgramOverview9\u201021\u201009_000.pdf. Accessed January 26 2010."},{"key":"e_1_2_7_50_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.10.085"},{"key":"e_1_2_7_51_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2003.04.122"},{"key":"e_1_2_7_52_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20350"},{"key":"e_1_2_7_53_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.21.7232"},{"key":"e_1_2_7_54_2","volume-title":"Treating Tobacco Use and Dependence: 2008 Update","author":"Fiore MC","year":"2008"}],"container-title":["Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcncr.26545","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.26545","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T14:46:37Z","timestamp":1760280397000},"score":1,"resource":{"primary":{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/10.1002\/cncr.26545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,23]]},"references-count":53,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2012,6,15]]}},"alternative-id":["10.1002\/cncr.26545"],"URL":"https:\/\/doi.org\/10.1002\/cncr.26545","archive":["Portico"],"relation":{},"ISSN":["0008-543X","1097-0142"],"issn-type":[{"value":"0008-543X","type":"print"},{"value":"1097-0142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1,23]]}}}