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This delay in diagnosis often leads to advanced-stage detection, reducing treatment success

The present study complies with the PRISMA guidelines 190 (Supplementary Tables 9 and 10 and Supplementary Information 1.5) and Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER) recommendations 191 (Supplementary Table 11)

Exposure of Interest: Past-Year Blunt Use The PATH Study defined blunts as, Sometimes people take tobacco out of a cigar, cigarillo or filtered cigar and replace it with marijuana

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Cigarette smoking is the major cause of lung cancer deaths and accounts for a substantial proportion of all cancer deaths according to CDC data

Al-Sawalha NA, Almomani BA, Mokhemer E, Al-Shatnawi SF, Bdeir R