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know the lung cancer facts Lung Cancer:1 is the #1 cancer killer in the world ccounts for 28% a of all cancer deaths impacts both men and women Don’t let lung cancer surprise you. One way to take preventative measures if you are currently or have been a smoker is to get screened. The National Lung Screening Trial (NLST) reported initial trial results, showing 20% fewer lung cancer deaths among trial participants (53,000 former or current smokers, ages 55–74) screened with low-dose helical CT (also known as spiral CT) compared to those screened with chest x-rays. This technology can be used to determine how advanced a cancer is after diagnosis or it can be used to find early lung cancer.2 Be an advocate for your health. There may be several ways to reduce your risk of developing lung cancer.3 Don’t smoke or quit smoking Make your home safer by testing for radon Avoid secondhand smoke Be careful at work — avoid carcinogens Tobacco use is the major cause of lung cancer in the United States.1, 3 bout 90% of lung cancer deaths in men and almost 80% of lung cancer deaths A in women in this country are due to smoking.3 ompared to nonsmokers, men are 23 times and women are 13 times more likely to C develop lung cancer.3 Tobacco use is responsible for nearly 1 in 5 deaths in the U.S.1 The most important thing that you can do to lower your risk of lung cancer is to not start smoking or to quit smoking.3 Smoking-related diseases remain the world’s most preventable cause of death. 1 lung cancer facts & screening take action Symptoms may include:3 persistent cough know the facts When smokers quit, what are the benefits? 4 12 hours later: The carbon monoxide level in the blood drops to normal. chest pain 2 weeks to 3 months: Circulation improves and lung function increases. voice change to 9 months: Coughing and shortness of breath decrease. The lungs’ 1 immunological defenses and ability to clear mucus improve. r ecurrent pneumonia or bronchitis shortness of breath 0 years: The lung cancer death rate is about half that of a continuing 1 smoker’s. The risk of cancer of the mouth, throat, esophagus, bladder, cervix and pancreas decreases. wheezing 15 years: The risk of coronary heart disease and stroke is that of a nonsmoker’s. coughing up blood feeling very tired all the time weight loss with no known cause Know your surgical treatment options. Advances in technology have made it possible to treat lung cancer with minimally invasive procedures. Using minimally invasive procedures like Video Assisted Thoracic Surgery (VATS) may result in the potential benefits of:* reduced overall postoperative complications and pain5 improved overall functionality over the short term5 faster return to pre-operative activities5 reduced length of hospital stay6 less bleeding/fewer transfusions7 improved ability to receive adjuvant chemotherapy without delay or reduce dosages8 *When compared to open thoracic surgery in patients with clinical stage 1 non-small cell lung cancer undergoing lung lobectomy Possible complications during and soon after surgery depend on the extent of the surgery and the person’s health beforehand. Serious complications can include:9 excess bleeding pneumonia wound infections As with any procedure, VATS may present risks. You should consult your physician to see what procedure is right for you. earn more about treatment options for lung cancer and find a surgeon for L VATS at www.smarterpatient.com/lungcancer 1. American Cancer Society: Cancer Facts & Figures 2014. American Cancer Society Website. 2014 p. 4, 10, 43. Available at http://www.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2014/ 2. National Lung Screening Trial (NLST) Initial Results: Fast Facts. National Cancer Institute. Available at http://www.cancer.gov/newscenter/newsfromnci/2011/NLSTFastFacts/print 3. Lung Cancer Prevention. Centers for Disease Control and Prevention Website. Available at http://www.cdc.gov/cancer/lung/basic_info/prevention.htm. 4. American Cancer Society http://www.cancer.org/healthy/ stayawayfromtobacco/guidetoquittingsmoking/guide-to-quitting-smoking-benefits 5. Downey RJ, Cheng D, Kernstine K, et al. Video assisted thoracic surgery for lung cancer resection: a consensus statement of the International Society of Minimally Invasive Cardiothoracic Surgery (ISMICS). Innovations (Phila). 2007;2(6):293-302. 6. In patients with clinical stage 1 non-small cell lung cancer undergoing lung lobectomy n= 3,074 patients (VATS=2,218 and open=856); Length of Stay VATS 8.3 days vs. Open 13.3 days, P=0.016. Whitson B, Groth S, Duval S, et al. Surgery for early-stage non-small cell lung cancer: A systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg. 2008;86:2008-2016. 7. In patients with clinical stage 1 non-small cell lung cancer undergoing lung lobectomy n=1,281 patients, VATS 31 (2.4%) vs. Open 60. (4.7%), P=0.0028 in a propensity-matched analysis. Paul S, Altorki NK, Sheng S, et al. Thoracoscopic Lobectomy is associated with lower morbidity than open lobectomy: A propensity-matched analysis from the STS database. J Thorac Cardiovasc Surg. 2010;139:366-378. 8. In patients with clinical stage 1 non-small cell lung cancer undergoing lung lobectomy n=100 patients, retrospective study VATS 61% vs. Open 40%, P=0.03. Received 75% or more of their planned adjuvant regimen without delayed or reduced doses. Petersen R, Pham D, Burfeind W, et al. Thoracoscopic lobectomy facilitates the delivery of chemotherapy after resection for lung cancer. Ann Thorac Surg. 2007;83(4):1245-1250. 9. American Cancer Society: Surgery to treat lung carcinoid tumors, 2015. American Cancer Society Website. Available at http://www.cancer.org/cancer/lungcarcinoidtumor/detailedguide/lung-carcinoid-tumor-treating-surgery ©2015 Ethicon US, LLC. All rights reserved. 012372-140321