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Pack years were determined by first calculating the duration of cigarette smoking (in years) for respondents reporting current or former smoking and then multiplying the duration of smoking by cigarette packs smoked per day 19 (cigarettes smoked per day divided by 20)

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Danan ER, Joseph AM, Sherman SE, et al

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Our findings reinforce the existing evidence that vented cigarette filters have contributed to an increase in the number of cases of lung adenocarcinoma