News | Lung Imaging | August 14, 2020

Smoking Linked to Lower Use of Cancer Screening Services by Women

 

Smoking is strongly linked to lower use of cancer screening services by women, and more advanced disease once cancer is diagnosed, reveals research published in the online journal BMJ Open.

Getty Images

August 14, 2020 — Smoking is strongly linked to lower use of cancer screening services by women, and more advanced disease once cancer is diagnosed, reveals research published in the online journal BMJ Open.

Tobacco use is falling in many parts of the world, but it's falling less rapidly among women than it is among men. And lung cancer remains the leading cause of cancer death among women, say the researchers.

The evidence also suggests that women underuse cancer screening services, so the researchers wanted to find out if lower take up of these services might be linked to active smoking.

They drew on survey responses from 89,058 women who had gone through the menopause and were taking part in the nationally representative Women's Health Initiative Observational Cohort (WHI-OS) study.

Among the 89,058 participants, more than half (53%) had never smoked; 41% were ex-smokers; and 6% were active smokers, although nearly half (49.5%) had stopped smoking by the time of the last data collection.

Their health and use of cancer screening services were tracked for an average of nearly 9 years, during which time 7054 cases of breast cancer, 1600 cases of bowel cancer, and 61 cases of cervical cancer were diagnosed.

Former smokers were more likely than non-smokers to regularly attend cancer screening appointments. But current smokers were significantly less likely to do so.

"Concern for personal health is the most common reason given for smoking cessation among former smokers, and may explain why this health-conscious population seeks cancer screening more frequently than never smokers," suggest the researchers. "On the contrary, smokers are overly optimistic about their health and consistently underestimate the magnitude of their cancer risk," they add.

Compared with women who had never smoked, current smokers were 45% less likely to get screened for breast cancer, 47% less likely to get screened for cervical cancer, and 29% less likely to get screened for bowel cancer.

And the higher the daily tally of cigarettes smoked among both former and current smokers, the less likely were these women to use cancer screening services.

Failure to regularly attend screening appointments was also associated with more advanced disease at diagnosis, with current smokers nearly 3 times as likely to be diagnosed with late stage breast cancer, and more than twice as likely to be diagnosed with late stage bowel cancer as those who had never smoked.

This is an observational study, and as such, can't establish cause. Participants included only postmenopausal women and relied on subjective reporting, note the researchers.

Nevertheless, they conclude: "Active smoking is associated with decreased use of breast, colorectal, and cervical cancer screening services in a dose dependent manner.

"Additionally, while cancer screening is important for avoiding late-stage presentation in patients of all smoking statuses, active smokers without appropriate screening have significantly higher odds of being diagnosed with advanced breast or colorectal cancer."

Doctors should emphasise the importance not only of giving up smoking, but also of making use of cancer screening services in this group of high risk women, they advise.

For more information: www.bmj.com

Related Content

a) Includes scintigraphy and PET with and without concomitant CT. b) Includes conventional radiography, dual-energy x-ray absorptiometry, fluoroscopy, and radiography performed during radiologic interventions. c) Includes general, cardiothoracic, maxillary, plastic, and orthopedic surgery and neurosurgery. d) Includes allergology, cardiology, geriatrics, general internal medicine, pulmonology, gastroenterology, and rheumatology

a) Includes scintigraphy and PET with and without concomitant CT. b) Includes conventional radiography, dual-energy x-ray absorptiometry, fluoroscopy, and radiography performed during radiologic interventions. c) Includes general, cardiothoracic, maxillary, plastic, and orthopedic surgery and neurosurgery. d) Includes allergology, cardiology, geriatrics, general internal medicine, pulmonology, gastroenterology, and rheumatology. Image courtesy of American Roentgen Ray Society (ARRS), American Journal of Roentgenology (AJR)

News | Radiology Imaging | August 14, 2020
August 14, 2020 — According to ARRS' ...
There was a higher incidence and severity of physical intimate partner violence (IPV) among patients seen at a large, academic medical center in the U.S. during the COVID-19 pandemic compared with the prior three years, according to new a study published in Radiology.

Getty Images

News | Coronavirus (COVID-19) | August 13, 2020
August 13, 2020 — There was a higher incidence and severity of physical intimate partner violence (IPV) among patient
As healthcare providers and essential personnel work on the front lines of the COVID-19 pandemic, the U.S. Food and Drug Administration (FDA) wants clinicians to know that it is here to help through this critical time. Below is a preview of the latest recorded remarks given by FDA Commissioner, Stephen Hahn, M.D.
News | Coronavirus (COVID-19) | August 12, 2020
August 12, 2020 — As healthcare providers and essential personnel work on the front lines of the COVID-19 pandemic, t
Rafael Rivero, M.D., Global Head of Medical Affairs at MSI, said: "The importance of MyoStrain cannot be understated because of the test's immense clinical value and ability to quantify intramyocardial dysfunction across 48 segments of the heart. In a six-heartbeat MRI scan, MyoStrain arms physicians with novel clinical information about a patient's heart health."
News | Cardiac Imaging | August 11, 2020
August 11, 2020 — Myocardial Solutions, Inc. and United Imaging, Inc.
SyntheticMR announced its imaging software SyMRI is compatible with additional scanners from Siemens Healthineers on the US market, including 1.5T scanners such as Magnetom Altea, Sola and Sola Fit, as well as 3T scanners such as MAGNETOM Skyra and Prisma.
News | Information Technology | August 11, 2020
August 11, 2020 — SyntheticMR announced its imaging softwar
A special issue of the Journal of Medical Imaging and Radiation Sciences features stories about the interpersonal skills beyond the technical aspects to care for and guide patients through medical imaging and radiation therapy procedures

Image courtesy of Canon

News | Patient Engagement | August 11, 2020
August 11, 2020 — "I went into the MRI
High resolution in-vivo MR-STAT using a matrix-free and parallelized reconstruction algorithm being developed by Philips and UMC.

In-vivo T1, T2 and proton density maps reconstructed with MR-STAT using eight (first column), four (second column), two (third column) and one (fourth column) of the acquired k-spaces in the reconstruction. The acquisition times were 13.6, 6.8, 3.4 and 1.7 seconds respectively on a 1.5T Philips Ingenia MRI system. Find more images and information in this article.[1] 

 

News | Magnetic Resonance Imaging (MRI) | August 10, 2020
August 10, 2020 — During the International Society for Magnetic...
The global X-ray devices market is estimated to grow at a CAGR of 5.14% from a market size of USDX10.793 billion in 2019 to a market size of USD14.580 billion by 2025

Getty Images

News | X-Ray | August 07, 2020
August 7, 2020 — The global X-ray devices mark