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In particular, our analysis revealed that a risk model-based surveillance strategy for SPLC, which combines comprehensive smoking history (such as smoking status, cigarettes per day, smoking duration) with clinical factors (such as history of cancer, treatment, and cancer staging), outperforms existing criteria that rely solely on smoking history and age (USPSTF criteria) or clinical factors like treatment history and staging (NCCN guidelines)

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The Tobacco Products Control Act, revised in 2017, formally classified ENDS as tobacco products, thereby extending restrictions on their use in public spaces and prohibiting all forms of advertising and promotion 10