Smoking Cessation

Patel, Monali; Steinberg, Michael B.

doi:10.7326/aitc201603010

Cited by 21 publications

(13 citation statements)

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“…However, the American College of Chest Physicians did not explicitly endorse use of varenicline over bupropion, likely because of a paucity of clinical data at the time of the Toolkit’s publication. A 2016 American College of Physicians publication discusses varenicline’s efficacy but did not directly compare bupropion with varenicline or recommend one over the other ( 66 ).…”

Section: Questions and Recommendationsmentioning

confidence: 99%

Initiating Pharmacologic Treatment in Tobacco-Dependent Adults. An Official American Thoracic Society Clinical Practice Guideline

Leone

Zhang

Evers-Casey

et al. 2020

Am J Respir Crit Care Med

143

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Background: Current tobacco treatment guidelines have established the efficacy of available interventions, but they do not provide detailed guidance for common implementation questions frequently faced in the clinic. An evidence-based guideline was created that addresses several pharmacotherapy-initiation questions that routinely confront treatment teams. Methods: Individuals with diverse expertise related to smoking cessation were empaneled to prioritize questions and outcomes important to clinicians. An evidence-synthesis team conducted systematic reviews, which informed recommendations to answer the questions. The GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) approach was used to rate the certainty in the estimated effects and the strength of recommendations. Results: The guideline panel formulated five strong recommendations and two conditional recommendations regarding pharmacotherapy choices. Strong recommendations include using varenicline rather than a nicotine patch, using varenicline rather than bupropion, using varenicline rather than a nicotine patch in adults with a comorbid psychiatric condition, initiating varenicline in adults even if they are unready to quit, and using controller therapy for an extended treatment duration greater than 12 weeks. Conditional recommendations include combining a nicotine patch with varenicline rather than using varenicline alone and using varenicline rather than electronic cigarettes. Conclusions: Seven recommendations are provided, which represent simple practice changes that are likely to increase the effectiveness of tobacco-dependence pharmacotherapy.

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Section: Questions and Recommendationsmentioning

confidence: 99%

Initiating Pharmacologic Treatment in Tobacco-Dependent Adults. An Official American Thoracic Society Clinical Practice Guideline

Leone

Zhang

Evers-Casey

et al. 2020

Am J Respir Crit Care Med

143

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4] However, physicians not only have the potential to help their patients quit smoking; they are also considered Brole models.^5 Although training physicians on tobacco cessation improves their adherence to smoking treatment guidelines, their counseling performance may ultimately have little impact on the smoking status of their patients. [6][7][8][9][10] Moreover, while positive attitudes towards cessation advice appear to be correlated with greater odds of providing such advice, 11 physicians' perceptions of the effectiveness of and recommendation of cessation counseling may be negatively affected by their personal smoking status.…”

Section: Introductionmentioning

confidence: 99%

Smoking-Related Attitudes and Knowledge Among Medical Students and Recent Graduates in Argentina: A Cross-Sectional Study

et al. 2016

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BACKGROUND: Physicians in Argentina smoke at rates similar to the general population, and do not have a clear role in tobacco control strategies. OBJECTIVE: To describe the attitudes and knowledge of medical students and recent graduates towards smoking behavior in Argentina. DESIGN: Cross-sectional self-administered online survey conducted in 2011. PARTICIPANTS: Medical students and recent medical graduates from the University of Buenos Aires. MAIN MEASURES: Attitudes and knowledge were evaluated by responses to 16 statements regarding the effects of smoking cigarettes and the role of physicians in tobacco control. Rates of agreement with a full ban on indoor smoking in different public settings were assessed. KEY RESULTS: The sample included 1659 participants (response rate: 35.1 %), 453 of whom (27.3 %) were current smokers. Only 52 % of participants agreed that doctors should set an example for their patients by not smoking, 30.9 % thought that medical advice had little effect on patients' cessation behavior, and 19.4 % believed that physicians could decline to care for smoking patients who failed to quit. In adjusted logistic regression models, current smokers had less supportive attitudes about tobacco control and were less likely than non-smokers to agree with a full indoor smoking ban in hospitals ( Recent medical graduates had more accurate knowledge about cessation and were more likely to agree with a full smoking ban in recreational venues. CONCLUSIONS: Although most participants reported a strong anti-tobacco attitude, a proportion still failed to recognize the importance of their role as physicians in tobacco control strategies. Current smokers and current students were less likely to support indoor smoking bans. Specific educational curricula could address these factors.

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“…To our knowledge, the efficacy of the combination therapy of pharmacological intervention and auricular acupuncture for smoking cessation compared to monotherapy has not been studied. NRT, bupropion and varenicline are the first-line pharmacotherapies for smoking cessation 9,10 , as their efficacy has been proven 8 . Using a combination of first-line agents seemed more effective in previous studies, but they also showed more side effects 12,22 .…”

Section: Discussionmentioning

confidence: 99%

“…Nicotine replacement therapy (NRT) was found to be superior to a placebo, increasing abstinence rate up to twofold 7 , and the efficacies of bupropion and varenicline have been also proven through randomized trials 8 . Although some side effects occur, such as nausea, insomnia, and headache, the consensus among experts is that NRT, bupropion and varenicline are the first-line pharmacological therapies for smoking cessation today 9,10 .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of auricular acupuncture combined with nicotine replacement therapy for smoking cessation

Hyun¹,

Huh²,

Kang³

2018

Tob. Induc. Dis.

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INTRODUCTION The aim of this study was to establish if the auricular acupuncture treatment can play a complementary role in enhancing the smoking cessation rate of the smokers receiving conventional therapy, such as NRT and behavioral counseling. METHODS This was a retrospective cohort study. Republic of Korea Air Force soldiers who visited the clinic with the intention to quit smoking from September 2016 to March 2017 were reviewed. The smoking cessation program consisted of a 6-weeks treatment period with follow-up at 3 and 6 months from the baseline. Smokers who chose to receive nicotine replacement therapy (NRT) were compared with those who chose to receive auricular acupuncture combined with NRT. Both groups received behavioral counseling. RESULTS A total of 148 subjects were reviewed in the study. Of the 86 smokers who received combination therapy, 41 achieved continuous abstinence (47.7%), while 19 out of the 62 smokers stayed abstinent from the NRT group (30.6%). There was a significant difference between the two groups (p=0.037). Minnesota Nicotine Withdrawal Scale scores significantly decreased after the treatment in both groups, but there was no significant difference between the two groups (p=0.681). No serious adverse events were reported from both groups. CONCLUSIONS The results of this study indicate that conventional treatments, such as NRT and behavioral counseling, when combined with auricular acupuncture could be a safer and more effective smoking cessation treatment than conventional treatments alone.

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Smoking Cessation

Cited by 21 publications

References 0 publications

Initiating Pharmacologic Treatment in Tobacco-Dependent Adults. An Official American Thoracic Society Clinical Practice Guideline

Initiating Pharmacologic Treatment in Tobacco-Dependent Adults. An Official American Thoracic Society Clinical Practice Guideline

Smoking-Related Attitudes and Knowledge Among Medical Students and Recent Graduates in Argentina: A Cross-Sectional Study

Effectiveness of auricular acupuncture combined with nicotine replacement therapy for smoking cessation

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