We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Absolute Risk of Tobacco Deaths: One in Two Smokers Will Be Killed by Smoking Comment on “Smoking and All-Cause Mortality in Older People”

Tai Hing Lam, MD
Arch Intern Med. 2012;172(11):845-846. doi:10.1001/archinternmed.2012.1927.
Text Size: A A A
Published online


Smoking kills by causing serious diseases, as confirmed by many systematic reviews and meta-analyses on specific diseases. The US Surgeon General Report does not include total mortality.1 The first meta-analysis on total mortality by Shavelle et al2 on 14 cohort studies in men showed that the relative risk (RR) in light, medium (10-15 cigarettes per day), and heavy smokers was 1.47, 2.02, and 2.38, respectively. In women, the RRs from 11 studies were similar (1.50, 2.02, and 2.66, respectively). The average age of the cohorts ranged from 30 to 65 years or older, with no significant trend of RR with age in either sex.2

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment
Bravo--Now we need an update on how to get paid for physician-led cessation.
Posted on June 12, 2012
Stephen Hansen, MD
Internist, Med. Dir. SVRMC
Conflict of Interest: None Declared

Another bill to get insurers to pay for tobacco cessation just failed in California. Is there a current list anywhere of codes, payment sources, time requirements, etc.?

Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

13 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Evidence to Support the Update

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Original Article: Is This Woman Perimenopausal?