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The 2014 Surgeon General's report: “The Health Consequences of Smoking–50 Years of Progress”: A paradigm shift in cancer care

On rare occasions, clinicians are presented with evidence supporting a paradigm shift in clinical care. On January 17, 2014, the Surgeon General’s report (SGR), “The Health Consequences of Smoking–50 Years of Progress,” was published updating the evidence of the adverse effects of tobacco on health. Of course, the evidence linking smoking to a wide range of health consequences has been well established for decades. However, what was new in this report, and that is specifically relevant to clinicians involved in caring for patients with cancer, is the finding that tobacco smoking is causally associated with adverse health outcomes in patients with cancer. As noted in the executive summary and described in detail in the section on cancer, the report concludes the following: