Active tobacco smoking (current smoker OR cessation <15 years) OR smokeless tobacco use O...
Детермінований перегляд YAML-сутності з джерельної бази. Клінічний авторитет лишається за вказаними source ID та статусом клінічного sign-off.
| ID | RF-LIFESTYLE-TOBACCO-CANCER-PREVENTION |
|---|---|
| Тип | Тривожна ознака |
| Статус | переглянуто 2026-05-18 | очікує клінічного підпису |
| Хвороби | DIS-AML DIS-HCC DIS-NSCLC DIS-PDAC DIS-SCLC DIS-UROTHELIAL |
| Джерела | SRC-NCCN-BCELL-2025 |
Походження тривожної ознаки
| Визначення | Active tobacco smoking (current smoker OR cessation <15 years) OR smokeless tobacco use OR significant secondhand smoke exposure. IARC Group 1 carcinogen — established etiological driver of lung cancer (NSCLC + SCLC; population-attributable fraction ~80-90%), urothelial bladder cancer, head + neck squamous cell carcinoma, oropharyngeal, laryngeal, esophageal SCC, pancreatic cancer, kidney (RCC), cervical, acute myeloid leukemia (component cause), and others (~20 cancer types per US Surgeon General reports). Tobacco cessation is the single highest-impact modifiable cancer-risk-factor intervention. Prevention- persona RedFlag (§20 v0.3 lifestyle pilot). |
|---|---|
| Клінічний напрям | investigate |
| Категорія | other |
Логіка спрацьовування
{
"any_of": [
{
"finding": "tobacco_status_current_smoker",
"value": true
},
{
"finding": "tobacco_pack_years_ge_20",
"value": true
},
{
"finding": "tobacco_cessation_within_15y",
"value": true
},
{
"finding": "smokeless_tobacco_use",
"value": true
},
{
"finding": "significant_secondhand_smoke_exposure",
"value": true
}
],
"type": "lab_value"
}
Нотатки
Prevention-persona RedFlag for active tobacco use. Highest-impact modifiable cancer-risk-factor intervention. Engine routes to PreventionPlan recommending structured cessation counseling + pharmacotherapy + LDCT lung screening if USPSTF-eligible. STUB pending two-Clinical-Co-Lead signoff per CHARTER §6.1 dev-mode.
Де використовується
Indications
IND-ENVIRONMENTAL-AIR-POLLUTION-LUNG-PREVENTION-MITIGATION- IND-ENVIRONMENTAL-AIR-POLLUTION-LUNG-PREVENTION-MITIGATIONIND-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION-PHOTOPROTECTION- IND-ENVIRONMENTAL-OUTDOOR-UV-SKIN-PREVENTION-PHOTOPROTECTIONIND-ENVIRONMENTAL-SECONDHAND-SMOKE-LUNG-PREVENTION-ELIMINATION- IND-ENVIRONMENTAL-SECONDHAND-SMOKE-LUNG-PREVENTION-ELIMINATIONIND-LIFESTYLE-TOBACCO-PREVENTION-CESSATION- IND-LIFESTYLE-TOBACCO-PREVENTION-CESSATIONIND-LIFESTYLE-TOBACCO-PREVENTION-OBSERVATION- IND-LIFESTYLE-TOBACCO-PREVENTION-OBSERVATION