Repeated Tobacco-Use Screening and Intervention in Clinical Practice

Solberg, Leif I.; Maciosek, Michael V.; Edwards, Nichol M.; Khanchandani, Hema S.; Goodman, Michael J.

doi:10.1016/j.amepre.2006.03.013

Cited by 120 publications

(89 citation statements)

References 90 publications

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“…Screening and brief advice on tobacco dependence is one of the three most cost-effective medical interventions (Solberg, Maciosek, Edwards, Khanchandani, & Goodman, 2006). However, doctors seldom advised or helped smokers to quit, and this situation did not change between 1996 and 2006.…”

Section: Physiciansmentioning

confidence: 99%

Smoking prevalence, cigarette consumption and advice received from physicians: Change between 1996 and 2006 in Geneva, Switzerland

Etter

2010

Addictive Behaviors

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a b s t r a c t a r t i c l e i n f o (29.2% in 1996, 32.1% in 2006, p = 0.52), but more smokers reported that they intended to quit in the next 6 months in 2006 (39.6%) than in 1996 (29.1%, p = 0.045). The association between smoking prevalence and income was stronger in 2006 (chi 2 = 53.7, p < 0.001) than in 1996 (chi 2 = 10.9, p = 0.012). In 2006 (no change since 1996), few smokers reported that, during their last medical visit, their physician told them to quit smoking (27.3%) or offered them help to quit (13.3%). Conclusions: Over these 10 years, smoking prevalence, nicotine dependence levels and the frequency of quit attempts remained stable, but smokers' motivation to quit increased. We observed a growing social gap in smoking prevalence and cigarette consumption. Smoking cessation advice was seldom received during medical visits.

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Section: Physiciansmentioning

confidence: 99%

Smoking prevalence, cigarette consumption and advice received from physicians: Change between 1996 and 2006 in Geneva, Switzerland

Etter

2010

Addictive Behaviors

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“…For such diseases, they are accepted as gold standard treatments in terms of cost effectiveness [20][21][22][23]. Moreover, more premature births can be prevented by the treatment of smoker pregnant women for cessation.…”

Section: Discussionmentioning

confidence: 99%

Can a Computer-Based Prescription of Free Medication Increase Smoking Cessation Rates Efficiently?

Fidan¹,

Çağlayan²,

Parmaksız³

et al. 2015

Turk Thorac J

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OBJECTIVES:In 2011, in the context of a research project, bupropion and varenicline were distributed to smoking cessation clinics by the Ministry of Health of Turkey to be prescribed free of charge by a computer-based system. In the present study, we compared smoking cessation rates between patients who were prescribed free medications during the period of the project and those who had to pay for their medication. MATERIAL AND METHODS:Six hundred four patients who applied during the project period were given either bupropion or varenicline, which were prescribed using an algorithm-based computer system. Three hundred sixteen patients who applied after that period were prescribed medicines deemed appropriate by the attending physician but had to pay for the medication on their own. Follow-up visits were arranged for one year. Carbon monoxide (CO) levels in the expired air were used as indicators of cessation. RESULTS:A total of 537 patients began treatment, of which 438 (81.6%) applied during the first period (group 1) and 99 (18.4%) applied during the second period (group 2). The mean age and concomitant disease presence were higher in the second-period patients (p< 0.05). Advanced age, comorbidities, pathological findings in spirometry, and chest X-ray were also higher in those who paid for the cost of their treatment (p= 0.009, 0.001, 0.006, 0.001, respectively). Smoking cessation rates were found to be 14.8% and 27.3% after six months (p= 0.008) and 10.7% and 18.2% after one year (p= 0.059), respectively, for group 1 and group 2. Age, dependence score, cigarettes smoked (as pack-years), and percentage of patients who paid for the treatment were found to be significantly higher (p< 0.001, 0.021, 0.018, 0.001, respectively) for those who quit smoking at the end of six months. For the patients who quit smoking at the end of one year, age was found to be significantly higher (p= 0.008), and the number of males was higher, although the difference was not statistically significant (p= 0.05). When logistic regression analysis was applied, age, dependence score, and paid treatment were found to be independent variables (p= 0.002, 0.008, 0.012, respectively) for those who quit smoking at the end of six months. Only age was found to be an independent variable for those who quit smoking at the end of one year (p= 0.029). CONCLUSION:More smokers could receive treatment by the distribution of free drugs. However, quitting rates at the end of six months were higher when patients had to pay for their treatment. On the other hand, quitting rates at the end of one year were not affected by whether the treatment was paid for or free of charge. The most important factor increasing quitting rates at the end of six months and one year was found to be advanced age.

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“…Although evidencebased guidelines for delivering smoking cessation treatments (medications and counseling) in primary care settings constitute standard care [9][10][11] and increase the likelihood of smoking cessation, 9 delivery of these services among healthcare providers remains low. [12][13][14][15] Given the number of smokers served in primary care 9 and particularly in CHCs, the medical costs of smoking-related illnesses, 2 and the availability of interventions that are among the most cost-effective in healthcare, 16 smoking cessation assistance should be a priority for all healthcare providers. This study is registered as an observational study at clinicaltrials.gov (#NCT02355132).…”

Section: Introductionmentioning

confidence: 99%

Effect of Gaining Insurance Coverage on Smoking Cessation in Community Health Centers: A Cohort Study

et al. 2016

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Repeated Tobacco-Use Screening and Intervention in Clinical Practice

Cited by 120 publications

References 90 publications

Smoking prevalence, cigarette consumption and advice received from physicians: Change between 1996 and 2006 in Geneva, Switzerland

Smoking prevalence, cigarette consumption and advice received from physicians: Change between 1996 and 2006 in Geneva, Switzerland

Can a Computer-Based Prescription of Free Medication Increase Smoking Cessation Rates Efficiently?

Effect of Gaining Insurance Coverage on Smoking Cessation in Community Health Centers: A Cohort Study

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