Smoking Cessation Clinical Practice Guideline Research Articles

Clinical Practice Guidelines for Smoking Cessation

—Dr Perry raises an important point in regard to the role of pediatricians in both primary and secondary prevention. The AHCPR Smoking Cessation Guideline Panel considered at some length inclusion of a primary prevention section, but felt it was of sufficient scope to merit its own guideline. As Perry's description of his smoking cessation program for adults indicates, pediatricians have a unique role to play in smoking cessation, given the connection between a child's health and the smoking behavior of adult caretakers. Dr Merrick argues strongly that the magnitude of nicotine addiction requires intensive, long-term treatment for a successful outcome. Some patients do benefit from more intense and sustained treatment; indeed, the meta-analyses that provided the scientific support for the AHCPR Smoking Cessation Clinical Practice Guideline found a strong, positive doseresponse relationship between both intensity and duration of treatment and successful cessation. As a result, this finding was the basis

Clinical Practice Guidelines for Smoking Cessation

ABSTRACT To the Editor. —I applaud the members of the Smoking Cessation Clinical Practice Guideline Panel and Staff for producing a comprehensive and clinically applicable consensus statement for the practitioner.1 To date, the medical establishment has yet to endorse a specific protocol for the primary care physician that identifies and offers realistic treatment for those individuals who abuse tobacco. The guidelines developed by Dr Fiore and colleagues provide a basic and coherent management approach for combating nicotine addiction—a strategy that can be readily implemented, offers effective medical intervention and immediate results, and ensures continuity of care and ongoing emotional support.It has been the policy of my ambulatory pediatric practice to offer a smoking cessation program to the parents, grandparents, and other primary caretakers of my patients. Subsequent to obtaining a history of the child's exposure to tobacco smoke, I discuss the specific risks to the child related to passive

Smoking Cessation: Information for Specialists

This Quick Reference Guide for Smoking Cessation Specialists contains strategies and recommendations from Smoking Cessation Clinical Practice Guideline No. 18, designed to assist clinicians, 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 Agency for Health Care Policy and Research Smoking Cessation Clinical Practice Guideline

To summarize the Smoking Cessation Clinical Practice Guideline that provides recommendations for 3 groups of professionals: primary care clinicians, smoking cessation specialists, and health care administrators, insurers, and purchasers.An independent panel of scientists, clinicians, consumers, and methodologists selected by the US Agency for Health Care Policy and Research.English-language, peer-reviewed literature published between 1975 and 1994 that addresses the assessment and treatment of tobacco dependence, nicotine addiction, and clinical practice.Four panel meetings were held over 2 years to evaluate meta-analytic and other results, to synthesize the results, and to develop recommendations. The Guideline was repeatedly reviewed and revised.The panel recommendations address 3 audiences. Major recommendations for primary care clinicians are to use officewide systems to identify smokers, treat every smoker with a cessation or motivational intervention, offer nicotine replacement except in special circumstances, and schedule follow-up contact to occur after cessation. Major recommendations to smoking cessation specialists are to use multiple individual or group counseling sessions lasting at least 20 minutes each with sessions spanning multiple weeks, offer nicotine replacement, and provide problem-solving and social support counseling. Major recommendations for health care administrators, insurers, and purchasers are that tobacco-user identification systems be used in all clinics and that smoking cessation treatment be supported through staff education and training, dedicated staff, changes in hospital policies, and the provision of reimbursement for tobacco-dependence treatment.

The Agency for Health Care Policy and Research Smoking Cessation Clinical Practice Guideline

The Agency for Health Care Policy and Research Smoking Cessation Clinical Practice Guideline