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Smoking History Is Clinically Determinative and Should Be Recorded by Stewart, Bernard W is a Social Sciences article available to read on EtoBox.

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The debate raised by Sitas and colleagues about whether smoking status should be recorded on death certificates 1 represents data acquisition at the last point. What needs to be considered is not the merits of the proposal, but the systematic failure to record this crucial data in patients' clinical records. The argument I present here concerns cancer, but may be extrapolated to other smokingrelated diseases. The absence of smoking history from the clinical records of patients with cancer up until now is understandable. Unlike the situation with infectious diseases, causative agents have had no relevance to the prognosis or the treatment of malignancy. Even if this pregenomic outlook persisted, the evidence we now have, showing that smoking affects response to therapy (eg, in prostate cancer), 2 would warrant documentation of smoking history for every cancer patient. Among developed countries, the risk attributable to smoking in lung cancer is 70%-90%. In single-gene terms, polyc yclic a roma tic hydroc a rbo ns and tobacco-specific nitrosamines such as 4-(methylnitrosamino)-1-(3-pyridyl)-1butanone mediate malignant transformation by point mutations in onocogenes and tumour suppres

Who reads Smoking History Is Clinically Determinative and Should Be Recorded?

Author

Stewart, Bernard W

Publisher

Australasian Medical Publishing Company; Australasian Medical Publishing Co. Pty. Ltd.; Sydney: Australasian Medical Pub. Co., 1996-; AMPCo; Wiley; Australasian Medical Publishing Co. Pty Ltd. (AMPCo) (ISSN 0025-729X)

Published

2010

Language

EN

Field

Social Sciences