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ARTICLE |

Cessation of Cigarette Smoking and Pulmonary Disease FREE

Richard V. Ebert, MD
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JAMA. 1978;240(20):2159-2161. doi:10.1001/jama.1978.03290200037017
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THE PERIOD from 1940 to 1960 was the golden era in pulmonary disease. The development of effective treatment for tuberculosis dramatically altered the outlook for patients with this disease. Sanitariums were closed, resulting in the saving of large amounts of public money. Bronchiectasis became a rarity as a result of effective prevention and treatment of childhood respiratory infections. Empyema was seldom seen because of effective antibiotic treatment of pneumonia, and the prognosis of lung abscess was dramatically improved.

We are left with a group of chronic pulmonary diseases that are intractable to treatment and associated with high mortality. These diseases are often accompanied by discomfort, suffering, and lingering death. The most common of these diseases are cancer of the lung, chronic bronchitis, and pulmonary emphysema. Although large sums of money are spent in the treatment of chronic bronchitis and pulmonary emphysema, there is little evidence that present-day therapy alters the

REFERENCES

Weiss W, Boucot KR, Cooper D:  The Philadelphia pulmonary neoplasm research project: Survival factors in bronchogenic carcinoma . JAMA 216:2119-2123, 1971;.
 Epidemiology of lung cancer in man with special reference to air pollution , in Mohr U, Schmohl D, Tomatis L (eds): Air Pollution and Cancer in Man . Lyon, France, International Agency for Research in Cancer, 1977;, pp 169-256.
Schuman LM:  The benefits of cessation of smoking . Chest 59:421-427, 1971;.
Doll R, Peto R:  Mortality in relation to smoking: 20 years observation in male British doctors . Br Med J 2:1525-1536, 1976;.
Doll R:  The age distribution of cancer: Implications for models of carcinogenesis . J R Statistical Soc 134:133-155, 1971;.
Whittemore A, Altshuler G:  Lung cancer incidence in cigarette smokers: Further analysis of Doll and Hill's data for British physicians . Biometrics 32:805-816, 1976;.
Fletcher CM, Peto R, Tinker C, et al: The natural history of chronic bronchitis and emphysema: An eight-year study of early chronic obstructive lung disease in working men in London . Oxford, England, Oxford University Press, 1976;, pp 146-147.
Garfinkel L:  Cigarette smoking among physicians and other health professionals 1959-1972 . CA 26:373-375, 1976;.
Schacter S:  Pharmacological and psychologic determinants of smoking . Ann Intern Med 88:104-114, 1978;.
Russell MAH, Feyerabend C, Cole PV:  Plasma nicotine levels after cigarette smoking and chewing nicotine gum . Br Med J 1:1043-1046, 1976;.
Russell MAH:  Nicotine chewing gum as a substitute for smoking . Br Med J 1:1060-1063, 1977;.
Russell MAH, Wilson C, Feyerabend C, et al:  Effect of nicotine chewing gum in smoking behavior and as an aid to cigarette withdrawal . Br Med J 2:391-393, 1976;.
West DW, Graham S, Swanson M, et al:  Five year follow-up of smoking withdrawal clinic population . Am J Public Health 67:536-544, 1977;.
Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service . US Dept of Health, Education, and Welfare, Public Health Service, 1964;, pp 49-65.
Gori GB:  Low-risk cigarettes: A prescription . Science 194:1243-1246, 1976;.
Russell MAH:  Low tar medium-nicotine cigarettes . Br Med J 1:1430-1433, 1976;.
Hammond EC, Garfinkel L, Serdman H, et al:  "Tar" and nicotine content of cigarette smoke in relation to death rates . Environ Res 12:263-274, 1976;.
Wynder EL, Mabuchi K, Beattie EJ Jr:  The epidemiology of lung cancer: Recent trends . JAMA 213:2221-2228, 1970;.
Monthly Vital Statistics Report, Annual Summary for United States 1976 , vol 25, No. (13) . US National Center for Health Statistics, 1977;.

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Weiss W, Boucot KR, Cooper D:  The Philadelphia pulmonary neoplasm research project: Survival factors in bronchogenic carcinoma . JAMA 216:2119-2123, 1971;.
 Epidemiology of lung cancer in man with special reference to air pollution , in Mohr U, Schmohl D, Tomatis L (eds): Air Pollution and Cancer in Man . Lyon, France, International Agency for Research in Cancer, 1977;, pp 169-256.
Schuman LM:  The benefits of cessation of smoking . Chest 59:421-427, 1971;.
Doll R, Peto R:  Mortality in relation to smoking: 20 years observation in male British doctors . Br Med J 2:1525-1536, 1976;.
Doll R:  The age distribution of cancer: Implications for models of carcinogenesis . J R Statistical Soc 134:133-155, 1971;.
Whittemore A, Altshuler G:  Lung cancer incidence in cigarette smokers: Further analysis of Doll and Hill's data for British physicians . Biometrics 32:805-816, 1976;.
Fletcher CM, Peto R, Tinker C, et al: The natural history of chronic bronchitis and emphysema: An eight-year study of early chronic obstructive lung disease in working men in London . Oxford, England, Oxford University Press, 1976;, pp 146-147.
Garfinkel L:  Cigarette smoking among physicians and other health professionals 1959-1972 . CA 26:373-375, 1976;.
Schacter S:  Pharmacological and psychologic determinants of smoking . Ann Intern Med 88:104-114, 1978;.
Russell MAH, Feyerabend C, Cole PV:  Plasma nicotine levels after cigarette smoking and chewing nicotine gum . Br Med J 1:1043-1046, 1976;.
Russell MAH:  Nicotine chewing gum as a substitute for smoking . Br Med J 1:1060-1063, 1977;.
Russell MAH, Wilson C, Feyerabend C, et al:  Effect of nicotine chewing gum in smoking behavior and as an aid to cigarette withdrawal . Br Med J 2:391-393, 1976;.
West DW, Graham S, Swanson M, et al:  Five year follow-up of smoking withdrawal clinic population . Am J Public Health 67:536-544, 1977;.
Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service . US Dept of Health, Education, and Welfare, Public Health Service, 1964;, pp 49-65.
Gori GB:  Low-risk cigarettes: A prescription . Science 194:1243-1246, 1976;.
Russell MAH:  Low tar medium-nicotine cigarettes . Br Med J 1:1430-1433, 1976;.
Hammond EC, Garfinkel L, Serdman H, et al:  "Tar" and nicotine content of cigarette smoke in relation to death rates . Environ Res 12:263-274, 1976;.
Wynder EL, Mabuchi K, Beattie EJ Jr:  The epidemiology of lung cancer: Recent trends . JAMA 213:2221-2228, 1970;.
Monthly Vital Statistics Report, Annual Summary for United States 1976 , vol 25, No. (13) . US National Center for Health Statistics, 1977;.
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