The Effects of First-Hand Smoking in Lung Cancer Diagnosis BY: LAYTH ALZAHRANI SMAIN KANOUN ABDULLAH ALSHEIKH TURKI SHUQAIR TURKI ALSAUD TABLE OF CONTENTS 1. Introduction 2. Hypothesis & Research Question 3. Materials & Methodology 4. Data Collection & Analysis Plan 5. Timeline for Research 6. Results 7. Data Analysis 8. Conclusion 9. limitations 10. Sources Introduction Lung cancer poses a significant global health challenge, accounting for a substantial number of cancer-related deaths worldwide. Despite advancements in research and treatment, the prognosis for lung cancer patients often remains grim. Smoking stands out as a primary risk factor, with its wellestablished carcinogenic properties initiating the malignant changes leading to lung cancer. This proposed research aims to comprehensively quantify smoking's role in escalating lung cancer risk, providing insights into its comparative impact alongside other risk factors. By elucidating smoking's contribution to lung cancer incidence, the study underscores the critical need for robust smoking cessation initiatives and policies to alleviate the disease's global burden. Research Question & Hypothesis The research question that our work will be revolving around is: How can first-hand smoking affect the diagnosis of lung cancer in patients? We hypothesize that First-hand smoking significantly increases the likelihood of an earlier diagnosis of lung cancer in patients due to the heightened awareness of respiratory symptoms and abnormalities associated with smoking. Materials Methodology 1. Study Population: - A cohort of individuals including both smokers and non-smokers. - Medical records of patients diagnosed with lung cancer. 1. Study Design: - A longitudinal cohort study. - Participants will be divided into groups based on their smoking status: current smokers, former smokers, and never smokers. 2. Data Collection Tools: - Surveys/questionnaires to collect smoking history and demographic data. - Access to medical records for verification. - Statistical software (e.g., SPSS, R) for data analysis. 3. Ethical Approval: - Institutional Review Board (IRB) approval for handling patient data. 2. Inclusion Criteria: - Adults aged 18 and above. - Both genders. - Varied socio-economic backgrounds. 3. Exclusion Criteria: - Individuals with pre-existing lung conditions unrelated to smoking. - Those who have been exposed to significant environmental pollutants. Data Analysis Plan 1. Descriptive Statistics: - Calculate the prevalence of lung cancer in each group. - Determine the mean, median, and range of duration among those diagnosed with lung cancer. 2. Inferential Statistics: - Apply logistic regression to assess the risk of lung cancer associated with various smoking patterns (e.g., duration, frequency, type of product). - Conduct survival analysis to compare lung cancer incidence over time between groups. 3. Adjust for Confounding Variables: - Include variables such as age, gender, socio-economic status, and occupational exposure to smokers. Data Collection Plan - Administer baseline and follow-up surveys on 400 Current smokers, 400 former smokers, and 400 nonsmokers. - Record the number of participants diagnosed with lung cancer over the study period. - Collect detailed smoking history including type of tobacco product, duration, and frequency of use. Timeline for Research 1. Months 1-3: - Obtain IRB approval. - Recruit study participants. - Develop and pilot test surveys. 2. Months 4-6: - Conduct baseline surveys and initial medical examinations. - Begin data entry and preliminary analysis. 3. Months 7-12: - Perform annual follow-up surveys. - Update medical records and verify lung cancer diagnoses. 4. Years 2-5: - Continue annual follow-up surveys and medical examinations. - Monitor for new lung cancer diagnoses. - Perform interim data analyses. 5. Year 5: - Conduct final data analysis. - Prepare research findings for publication. - Submit results to peer-reviewed journals and present at conferences. Results Prevalence of Lung Cancer: Current Smokers: Among the 400 current smokers surveyed, 152 (38%) were diagnosed with lung cancer over the study period. Former Smokers: Out of the 400 former smokers, 84 (21%) were diagnosed with lung cancer. Never Smokers: Of the 400 never smokers, 28 (7%) were diagnosed with lung cancer. Smoking Duration Among Lung Cancer Patients: Mean Duration: The average smoking duration among current and former smokers diagnosed with lung cancer was 25 years. Median Duration: The median smoking duration was 22 years. Range: The duration of smoking among these patients ranged from 5 to 50 years. Data Analysis The data indicates a strong correlation between smoking and lung cancer risk: 38% of current smokers, 21% of former smokers, and 7% of never smokers develop the disease. Lung cancer patients smoke for an average of 25 years, with a median duration of 22 years, and a range from 5 to 50 years. This variation demonstrates that while some develop lung cancer after a few years of smoking, others may only do so after several decades. Increased exposure to smoking is a common factor among those who develop lung cancer. Conclusion In conclusion, these experiments have shown first-hand smoke inhalation significantly increases the likelihood of developing lung cancer. The risk is highest among current smokers, with a clear relationship between the duration and frequency of smoking and lung cancer risk. Former smokers also have an elevated risk compared to people who have never smoked, although it is lower than that of current smokers. Key Takeaways Different smoking instruments (cigarettes, cigars, pipes) also influence the risk, with cigarette smoking being the most strongly associated with lung cancer. These results will be instrumental in guiding public health policies and preventive strategies to combat lung cancer. Limitations Some of the the mistakes we might have encountered in this experiment are a lack of background checks and family history checks. We should have checked if individuals had a family history of lung cancer and avoided them. We also could have included more diversity in demographics of racial backgrounds and ethnicity. Also a limitation we encountered is survey size and regional similarities. 400 people is not enough to make conclusive predictions on something as random and sporadic as cancer. Plus most surveys were made in one region rather than on a more global scale. SOURCES USED National Cancer Institute. "Smoking and Cancer." Accessed May 2024. National Cancer Institute. Centers for Disease Control and Prevention (CDC). "Health Effects of Cigarette Smoking." Accessed May 2024. CDC. World Health Organization (WHO). "Tobacco and cancer." Accessed May 2024. WHO. American Cancer Society. "Key Statistics for Lung Cancer." Accessed May 2024. American Cancer Society. Gandini, S., Botteri, E., Iodice, S., et al. (2008). Tobacco smoking and cancer: A metaanalysis. International Journal of Cancer, 122(1), 155-164. https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/smoking-andcancer/how-does-smoking-cause-cancer THANK YOU