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There are some pragmatic issues also in support of reporting smoking duration: 1 ) patient recall is more reliable for years smoked than pack-years because use is variable over time, 2 ) widely used electronic medical record systems for patient care contain a field to document years of use, 3 ) tobacco years is a simplified approach to define exposure to smoking pipes, cigars, or hookah that are harder to quantify than cigarettes, and 4 ) duration provides a practical measure for population health surveys of tobacco use