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This is an old revision of this page, as edited by 31.50.193.212 (talk) at 11:30, 11 April 2021 (→‎Smoker's paradox: +1). The present address (URL) is a permanent link to this revision, which may differ significantly from the current revision.

Smoker's paradox

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After reviewing the article's citations and searching for secondary sources on PubMed, one draws the conclusion that Smoker's paradox (SP) is not a term used in the literature for all cases of a possible inverse correlation between smoking and a disease's incidence or severity; it is rather almost exclusively used for cardiovascular diseases, and COVID19 as of late.[1] There is only one source, and actually far from what is considered a good medical one, that uses the term for general in-hospital mortality.[2] (In PubMed there's a study of trauma mortality drawing the conclusion of a "SP";[3] and there are some articles referring to the "smoking paradox" in the blunted correlation between smoking and lung cancer in Asian populations,[4] and in psoriasis.[5]) So the definition of SP in the article is unsubstantiated, and the article's current area of focus is wider than can be attributed to sources. Any synthesis of information from existing sources to talk about a wide ranging SP concept - like the current article does - would be a type of original research.

In the groups of diseases where the existence of SP has been hypothesized, namely cardiovascular diseases and COVID-19, it is far from certain.[1] As a statistical phenomenon, SP reappears in medical literature in the last 25 years for various findings, which are for the most part either attributed to confounding factors or eventually refuted.[6] Furthermore, it has currently no clinical significance, as nobody has ever suggested that patients should not quit smoking, and no treatment implications have been accepted. Even so, some very careful mention of SP as an unconfirmed concept could be considered in health effects of tobacco, myocardial infarction or myocardial revascularization, but the body of literature definitely doesn't warrant an independent article. Given that the majority of sources are primary ones, merging of the article as it is to health effects of tobacco doesn't seem appealing either.

I have notified the article's creator of the issues, and they kindly recognized them.

References

  1. ^ a b Usman MS, Siddiqi TJ, Khan MS, Patel UK, Shahid I, Ahmed J, et al. (2020). "Is there a smoker's paradox in COVID-19?". BMJ Evid Based Med. doi:10.1136/bmjebm-2020-111492. PMID 32788164.
  2. ^ Wang, Y.; Liu, B.; Li, S.; Jin, D.; Milekic, B. (May 2020). "Smoker'S Paradox: Not Just for the Heart". A50. VAPING, SMOKING, ALCOHOL, AND DRUG USE. American Thoracic Society: A1912–A1912. doi:10.1164/ajrccm-conference.2020.201.1_MeetingAbstracts.A1912.
  3. ^ Bell, TM, et al. (2015). ""Smoker's Paradox" in Patients Treated for Severe Injuries: Lower Risk of Mortality After Trauma Observed in Current Smokers". Nicotine Tob Res. PMID 25646350.
  4. ^ Jung KJ, Jeon C, Jee SH (2016). "The effect of smoking on lung cancer: ethnic differences and the smoking paradox". Epidemiol Health. 38: e2016060. doi:10.4178/epih.e2016060. PMC 5309724. PMID 28092929.
  5. ^ Pezzolo E, Naldi L (2019). "The relationship between smoking, psoriasis and psoriatic arthritis". Expert Rev Clin Immunol. 15 (1): 41–48. doi:10.1080/1744666X.2019.1543591. PMID 30380949.
  6. ^ Kirtane AJ, Kelly CR (2015). "Clearing the air on the "smoker's paradox"". J Am Coll Cardiol. 65 (11): 1116–8. doi:10.1016/j.jacc.2015.01.012. PMID 25790883.

NikosGouliaros (talk) 14:49, 3 April 2021 (UTC)[reply]

Note: This discussion has been included in the list of Medicine-related deletion discussions. Shellwood (talk) 14:54, 3 April 2021 (UTC)[reply]
Note: This discussion has been included in the list of Health and fitness-related deletion discussions. Spiderone(Talk to Spider) 19:04, 3 April 2021 (UTC)[reply]
Relisted to generate a more thorough discussion and clearer consensus.
Please add new comments below this notice. Thanks, Eddie891 Talk Work 23:32, 10 April 2021 (UTC)[reply]
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