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To the Editor: In their article about the health risks of cigar smoking, Dr Baker and colleagues¹ failed to describe a dose-response relationship. Although there is actually a wide range in how often cigar smokers smoke, the data that linked cigar smoking to lung cancer were limited to men who smoked 3 or more cigars a day. This group experienced lung cancer death at two-thirds the rate of those who smoke 1 pack of cigarettes per day. However, only 5% of cigar smokers smoke 3 or more cigars a day.² In fact, about half of all cigar smokers smoke less than once a week, and another 17.9% smoke 6 or fewer cigars a week.³ Baker et al did cite a study that showed there is a dose-response effect for oral cavity cancer and larynx cancer.⁴ Would they concede that more than 70% of all cigars smokers are at low risk . . . [Full Text of this Article]

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JAMA. 2000;284(6):735-740.
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