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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-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…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide112.html
October 01, 2014 - 112. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
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 …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide120.html
October 01, 2014 - 120. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Coding rules for medication duration and dose (Continued)
Nicotine Inhaler and
Nasal Spray
Usual duration
Up to 6 months
Long duration
> …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide138.html
October 01, 2014 - 138. Treatment Recommendations: Medications-Nicotine Lozenge
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Patient selection
Appropriate as a first-line medication for treating tobacco use
Precautions, warnings, contraindications and side effects (see F…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide144.html
October 01, 2014 - 144. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Patch
Recommendation: The nicotine patch is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A).
Previ…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide157.html
October 01, 2014 - 157. Treatment Recommendations: Medications-Relative Effectiveness
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medication Number of arms Estimated odds ratio (95% C. I.)
Medication
Number of arms
Estimated odds ratio (95% C. I.)
Nicotine Patch (re…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide164.html
October 01, 2014 - 164. Treatment Recommendations: Intensive Treatment (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensive counseling is especially effective. There is a strong dose-response relation between counseling intensity and quitting success. In general, the m…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide176.html
October 01, 2014 - 176. Systems-Clinician Training and Reminder Systems
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation: All clinicians and clinicians-in-training should be trained in effective strategies to assist tobacco users willing to make a quit attempt and to motiv…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide182.html
October 01, 2014 - 182. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of training combined with charting on providing materials ("Assist") (n = 2 studies)
Intervention
Number of ar…