Dorothy Hatsukami and colleagues have published a small clinical study documenting that smokeless tobacco products appeal to and satisfy smokers, reducing smoking and promoting abstinence
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Changes [in the industry] will also be driven by further legislation like the EUTPD, government bodies like FDA, as well as the introduction of plain packaging, says Thomas, and adds: The impact of adjacent products such as e-cigarettes or heat-not-burn products will also be very interesting to see and will possibly trigger additional changes. Its certainly testing times for an industry that is inextricably intertwined with the tobacco product manufacturing sector, but as always the stronger players will find a way
254 A recent survey of over 1,500 members of the International Association for the Study of Lung Cancer (IASLC) 255 and a parallel study of 1,197 ASCO members 256 observed that approximately 90% of physicians believe that tobacco affects outcomes, tobacco cessation should be a standard part of cancer care, and approximately 80% regularly advise patients to stop using tobacco, but only approximately 40% discuss medications or assist with quitting
