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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide200.html
October 01, 2014 - 200. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
Women
There is evid…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide208.html
October 01, 2014 - 208. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical practice suggestions for assisting a pregnant patient in stopping smoking
Clinical practice
Rationale
Assess pregnant woma…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide215.html
October 01, 2014 - 215. Helpful Web Sites
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Helpful Web Sites
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide04.html
October 01, 2014 - 4. 2008 PHS Clinical Practice Guideline: Treating Tobacco Use and Dependence Update
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
History:
1996—Initial Guideline published; literature from 1975-1995; approximately 3,000 articles.
2000—Revised Guideline…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide15.html
October 01, 2014 - 15. Treatment Recommendations-Counseling
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Combining Counseling and Medication
Recommendation: The combination of counseling and medication is more effective for smoking cessation than either medication or couns…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide21.html
October 01, 2014 - 21. Nicotine Lozenge
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of the nicotine lozenge: Results from the single randomized controlled trial.
Lozenge Dose
N for active/
N for placebo
Estimated odds ratio (95% C.I.)
Continuo…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide25.html
October 01, 2014 - 25. Specific Populations (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
HIV-positive smokers.
Hospitalized smokers.
Lesbian/gay/bisexual/ transgender smokers.
Smokers with low SES/limited formal education.
Smokers with medical comorbidit…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide118.html
October 01, 2014 - 118. Treatment Recommendations: Medication
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation: Clinicians should encourage all patients attempting to quit to use effective medications for tobacco dependence treatment except where contraindicated or for spe…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide131.html
October 01, 2014 - 131. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Gum
Recommendation : Nicotine gum is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A).
Recommendation:…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide140.html
October 01, 2014 - 140. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Effectiveness of the nicotine lozenge: Results from the single randomized controlled trial.
Lozenge dose
N for active/N for placebo
Odds Ratio (95% C.I.)
Continuou…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide170.html
October 01, 2014 - 170. System Strategies
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Implementing a tobacco-user identification system in every clinic ( Systems Strategy 1 ).
Providing adequate training, resources, and feedback to ensure that providers consistently deliver effec…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide175.html
October 01, 2014 - 175. Systems Strategy 5. Include tobacco dependence treatments (both counseling and medication) identified as effective in this Guideline, as paid or covered services for all subscribers or members of health insurance packages
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide191.html
October 01, 2014 - 191. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
HIV-positive
No long-…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide198.html
October 01, 2014 - 198. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
Psychiatric disorders i…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide213.html
October 01, 2014 - 213. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical issues for treating specific populations
Issue
Approach
Language
Ensure that interventions are provided in a language the patient underst…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide222.html
October 01, 2014 - 222. Obtaining the 2008 Guideline (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The full text of the 2008 Guideline, the general references and the references for the randomized control trials used in the meta-analyses can be reviewed and downloaded by vi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide06.html
October 01, 2014 - 6. Funded by
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Agency for Healthcare Research and Quality
National Cancer Institute
National Heart, Lung & Blood Institute
National Institute on Drug Abuse
Centers for Disease Control and Prevention
The…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide11.html
October 01, 2014 - 11. Peer Review/Public Comment
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Over 90 independent tobacco treatment experts served as peer reviewers.
Federal Register notice announced availability of guideline for public comment.
Previous Slide …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide17.html
October 01, 2014 - 17. Pro-Active Quitlines
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for quitline counseling compared to minimal interventions, self-help or no counseling (n = 9 studies).
Intervention
Number of arm…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide20.html
October 01, 2014 - 20. Varenicline
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness and abstinence rates for various medications and medication combinations compared to placebo at 6-months post-quit (n = 86 studies).
Medication
Number of arms
Estimated o…