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PulmonaryPack Years

Pack Years Calculator

Calculate cigarette smoking exposure in pack-years.

Content updated: View sources

years

Packs per day

Years

Pack-years

About

Pack-years summarize cumulative cigarette exposure as average packs smoked per day multiplied by years smoked. The default conversion assumes 20 cigarettes per pack and can be adjusted for a different pack size. The value does not by itself determine eligibility for lung-cancer screening.

Formula

Pack-years = packs per day × years smoked
Packs per day = cigarettes per day / cigarettes per pack
Default pack size = 20 cigarettes

Interpretation

Use: Enter an average exposure for the period represented. If smoking intensity changed substantially, calculate each period separately and add the results.

Screening context: Screening criteria also depend on age, current versus former smoking, time since quitting, health status, and the guideline used.

Worked example: 15 cigarettes/day for 20 years with 20 cigarettes/pack equals 0.75 packs/day × 20 = 15 pack-years.

References

  1. CDC. Health Effects of Cigarettes: Cancer — definition of pack-year and screening context.
  2. US Preventive Services Task Force. Screening for Lung Cancer. JAMA. 2021;325:962-970.

FAQ

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Disclaimer

Educational and informational reference only. Not intended to replace professional medical advice, diagnosis, treatment, or independent verification.