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Smoking Resumption After Heart or Lung Transplantation: a Systematic Review and Suggestions for Screening and Management

Overview
Journal J Thorac Dis
Specialty Pulmonary Medicine
Date 2018 Sep 4
PMID 30174913
Citations 8
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Abstract

Smoking remains the leading cause of preventable disease and death in the developed world and kills half of all long-term users. Smoking resumption after heart or lung transplantation is associated with allograft dysfunction, higher incidence of cancer, and reduced overall survival. Although self-reporting is considered an unreliable method for tobacco use detection, implementing systematic cotinine-based screening has proven challenging. This review examines the prevalence of smoking resumption in thoracic transplant patients, explores the risk factors associated with a post-transplant smoking resumption and discusses the currently available smoking cessation interventions for transplant patients.

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