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Smoking exposure (pack-years)

Quantifies cumulative cigarette exposure (packs/day × years smoked) and checks annual lung cancer screening eligibility.

Arithmetic checks are available. Independent clinical review is pending. Inclusion in the catalogue does not constitute clinical validation.

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Method · Limits of application

Packs of 20 cigarettes; pack-years; USPSTF 2021 cutoff: age 50–80, ≥20 pack-years, cessation≤15 years

The USPSTF 2021 criteria concern annual screening with low-dose CT in adults aged 50–80 years with a history of at least 20 pack-years who currently smoke or quit within the past 15 years. The recommendation also calls for stopping screening after 15 years without smoking or when health conditions substantially limit life expectancy or the ability/willingness to undergo curative lung surgery. The pack-year calculation does not assess these clinical conditions.

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cigarettes · range 1–100
years · range 1–80
years · range 18–110
years · range 0–80

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

  • Cigarettes per day (average) · cigarettes
  • Years of smoking · years
  • Current status
  • Age (for screening) · years
  • Years since quitting (former smoker) · years

4/4 reference cases checked. Numerical tests are not clinical validation.

Relationship with cancer research

Specific oncological application

Quantification of tobacco exposure for risk studies and lung screening criteria. Calculated exposure alone does not determine eligibility or diagnosis.

Applications: Early detection and risk assessment · Epidemiology

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