Abstract
However, unlike most cancers, lung cancer is associated with a specific behaviour—namely, smoking cigarettes. It has been proposed that informing cigarette smokers of negative lung cancer screening results could give them permission, licence or a “green light” to continue smoking. If a screening procedure leads to increased smoking rates, it is possible that any health benefits associated with early detection of lung cancer would be offset by an increase in the prevalence of lung cancer due to increased smoking rates.

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