Smoking may worsen pain for cancer patients
Source: www.medscape.com Author: Fran Lowry Patients with cancer who continue to smoke despite their diagnosis experience greater pain severity than their counterparts who quit or who have never smoked, according to new research published in the January 2011 issue of Pain. Not only is their pain more severe, but it interferes more with their activities of daily living, lead author Joseph W. Ditre, PhD, a clinical psychologist at Texas A & M University in College Station, told Medscape Medical News. "Many smokers, when they get cancer, feel that smoking is one of the only pleasures they have left to them and refuse to quit," he said in an interview. "But our research suggests that quitting has definite benefits. It’s one more thing that doctors can tell their patients to help them stop smoking." Continued smoking has been associated with an increased risk of developing a second primary tumor, reduces the effectiveness of treatment, and is associated with poorer survival rates, Dr. Ditre said. "The subtext for this is that smoking can also worsen cancer-related symptoms and treatment side effects, such as pain and fatigue." "About 75% of people with advanced-stage cancer report moderate to very severe pain, so it is a very big factor in terms of the disease course, and yet there is surprisingly little research on this topic," he added. Dr. Ditre, who led this work while he was earning his doctorate at the University of South Florida and Moffitt Cancer Center in Tampa, told Medscape Medical News [...]