Health and Smoking


Smokers at Risk for Rheumatoid Arthritis

A new study on female smokers determined that heavy cigarette use doubles the risk of developing rheumatoid arthritis, MSNBC reported Oct. 30, 2000.

Researchers at the Mayo Clinic in Rochester, Minn., tracked 30,000 Iowa women, age 55 to 89, to investigate the influence of smoking. According to Dr. James R. Cerhan, an assistant professor of health sciences research, women who smoked 20 "pack-years" -- the equivalent of smoking a pack of cigarettes a day for twenty years -- were twice as likely to develop rheumatoid arthritis than non-smokers.

The research further found that women who quit 10 years or longer before the beginning of the study were not at an increased risk of developing rheumatoid arthritis, regardless of how much they smoked. "This means we could prevent a fair number of cases of rheumatoid arthritis if we could get women to quit smoking," Cerhan said.

The results of the study were presented at this week's annual meeting of the American College of Rheumatology.

Research: Smoking Affects Back Pain, Bone Health

Smoking can restrict the blood supply to the lower spine, leading to chronic back pain, and also can slow recovery from bone surgery, Reuters reported March 5.

A 50-year study, unveiled at the recent annual meeting of the American Academy of Orthopedia Surgeons, was called the best evidence to date that smoking is related to back pain and degenerative disk disease.

In another study, researchers from the University of Toronto found that smokers were more likely to fail at a procedure used to repair weak bones. Thirty percent of smokers had problems with the procedure, called IIizarov reconstruction, compared to 8 percent of nonsmokers.

Doctors who perform the procedure require patients to stop smoking. Abstinence can improve outcomes by boosting blood flow to the healing bone, experts said.

Chest X-Ray of a Lung Cancer

This is a chest x-ray of a lung cancer. It is the same patient whose CT-scan is provided at this site. Comparing the two , the tumor is much more obvious on the CT-scan. The lung is labelled "lung". The cancer is labelled "CA". "A" is for aorta. Chest x-rays are cheap screening tests for abnormalities in the thorax. However, their sensitivity (ability not to miss something) is not high. It is the only screening test we have for lung cancer. Sputum cytology (coughing up material in a jar) has been tried in high risk patients (uranium miners) with only variable (make that little) success.   cxray1a.jpg (19847 bytes)

CT Scan of a Lung Cancer

This is a CT ( computerized tomography ) scan of the lung. It is a sophisticated x-ray which uses a computer to create cross sections of the body. The scanner consists of a doughnut shaped ring which has a table which slides in and out. It is painless and simple. The patient must lay fairly still and machine does the rest.  Various organs have different densities. This particular scan has the lung tissue made transparent so the tumor can be seen more clearly. Lung - lung, A - aorta, Ca - lung cancer, S - spine. 
squctlrg.jpg (19214 bytes) CT scans are quite sensitive in detecting lung masses, particularly if there is a known area to be closely studied. However, they are expensive and time consuming. For these reasons they are not a good screening tool for lung cancer.

Death Rates

wpe9.gif (43817 bytes) Annual Probability of Dying diesmok.gif (12904 bytes) Annual Death Rate from Lung Cancer

  Click on the thumbnails to see the full view.