Smoking Cessation: Clinical Practice Guideline No. 18; Smoking Cessation:Information Specialists, Quick Reference Guide for Smoking Cessation Specialists No. 18; Helping Smokers Quit: A Guide for Primary Care Clinicians; You Can Quit Smoking: Consumer Ver

摘要

The guideline contains strategies and recommendations designed to assistclinicians, smoking cessation specialists, and health care administrators/insurers/purchasers in identifying tobacco users and supporting and delivering effective smoking cessation interventions. These recommendations were made as a result of an exhaustive and systematic review and analysis of the scientific literature. The primary analytic technique used was meta-analysis. The strength of evidence that served as the basis for each recommendation is clearly indicated in the guideline. Public testimony and a peer review were also part of the guideline's development process, as well as a notice in the Federal Register inviting review. The guideline's principal findings are; Every person who smokes should be offered smoking cessation treatment at every office visit; Clinicians should ask and record the tobacco-use status of every patient; Cessation treatments even as brief as 3 minutes a visit are effective; More intense treatment is more effective in producing long-term abstinence from tobacco; Nicotine replacement therapy (nicotine patches or gum), clinician-delivered social support, and skills training are particularly effective components of smoking cessation treatment; and Health care systems should make institutional changes that result in the systematic identification of, and intervention with, all tobacco users at every visit.