Surgeon general links smoking to several illnesses

January 17, 2014
The Washington Post (1/16, Dennis) reports that, in “another round of evidence of tobacco’s potential to harm nearly every human organ,” Acting Surgeon General Boris D. Lushniak found in a new report released Friday that “smoking is a cause of liver cancer and colorectal cancer,” as well as “type 2 diabetes mellitus, age-related macular degeneration, erectile dysfunction and rheumatoid arthritis.” He also said “it can impair the immune system, worsen asthma and cause cleft lips and palates in fetuses,” while second-hand smoke exposure can cause strokes. The American Academy of Pediatrics and the American Heart Association, along with other public health and anti-tobacco groups, last week “called for a ‘new national commitment’ to eliminating tobacco-related deaths.” They suggested increasing tobacco taxes, more smoke-free workplace laws, stricter FDA oversight of tobacco, “and aggressive advertising campaigns to help smokers quit and keep nonsmokers from lighting up.”

USA Today (1/17, Szabo) writes that the report found “smoking causes even more physical and financial damage than previously estimated,” including 480,000 Americans dying each year and the lost of almost $286 billion a year in medical costs and lost productivity due to premature deaths. This is also the first time the surgeon general concluded smoking is “causally linked” to diabetes, colorectal cancer, and liver cancer. Thomas Frieden, director of the Centers for Disease Control and Prevention, said, “Amazingly, smoking is even worse than we knew,” adding, “Even after 50 years, we’re still finding new ways that smoking maims and kills people.”
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Little evidence vitamins prevent heart disease, cancer

November 12, 2013
On its website, Time (11/12, Sifferlin, 13.4M) reports that the “U.S. Preventive Services Task Force [USPSTF] says that for most vitamins and minerals, there is not enough evidence to determine whether the pills can lower risk of heart disease or cancer.” With regard “to beta-carotene (found in carrots and tomatoes) and vitamin E, there is no evidence that they can protect against either heart disease or cancer; in fact, beta-carotene use contributed to an increased risk of lung cancer in smokers.”

On its website, NBC News (11/12, Fox, 6.79M) reports that an analysis published in the Annals of Internal Medicine was “used as the basis” for the recommendations.
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Majority of Metastatic Colorectal Cancer Patients Lack KRAS Testing

October 2013
article authored by Christina Frangou

The majority of patients newly diagnosed with metastatic colorectal cancer (mCRC) in the United States have not undergone KRAS testing, despite recommendations to the contrary.

Only 47.5% of patients with mCRC who were diagnosed between Jan. 1 2008 and Dec. 31, 2011 underwent KRAS testing.

“This is extremely surprising,” said Sanjay Goel, MD, associate professor of medicine (oncology), Albert Einstein College of Medicine and Jack D. Weller Hospital, New York City, who was not affiliated with the study. “A small fraction of patients are being tested. This is not standard of care practice.”

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