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Pack Year Calculator

Measure lifetime smoking exposure in pack-years, used to decide on lung cancer screening.

About the Pack Year Calculator

A pack-year is smoking 20 cigarettes (one pack) a day for one year. The US Preventive Services Task Force (2021) recommends yearly low-dose CT lung cancer screening for adults aged 50–80 with at least 20 pack-years who currently smoke or quit within the past 15 years.

The formula

Pack-years = (cigarettes per day ÷ 20) × years smoked

Worked example

Example: Pack-years = 18.7

  1. Inputs: Cigarettes per day: 22; Years smoked: 17 years.
  2. Formula: Pack-years = (cigarettes per day ÷ 20) × years smoked
  3. Result: Pack-years = 18.7

Things to keep in mind

  • This is an estimate for general information, not medical advice. Talk to a doctor or other qualified professional about your health.

Questions people ask

Is it ever too late to quit?

No. Risk of heart disease drops within a year of quitting, and lung cancer risk falls steadily.

How do I count pack-years if my smoking changed over time?

Work out the pack-years for each period separately (packs a day × years) and add them up.

Sources