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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/slide125.html
October 01, 2014 - 125. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (Continued)
Are there contraindications, warnings, precautions, other …
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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/slide188.html
October 01, 2014 - 188. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit Recommendation (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Estimated abstinence rates for individuals who received tobacco use interventions as a …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide193.html
October 01, 2014 - 193. 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
Lesbian, gay, bisex…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide199.html
October 01, 2014 - 199. 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
Racial/ethnic minoritie…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide209.html
October 01, 2014 - 209. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical practice
Rationale
Motivate quit attempts by providing educational messages about the impact of smoking on both maternal and…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide220.html
October 01, 2014 - 220. Helpful Web Sites (All Web sites listed are either government-sponsored organizations or nonprofit foundations) (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Tobacco Cessation Leadership Network: www.tcln.org
Tobacco-Free Nurses: www.tobaccofreen…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide16.html
October 01, 2014 - 16. Strength of Evidence for Recommendations
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Classification
Criteria
Strength of Evidence = A
Multiple well-designed randomized clinical trials, directly relevant to the recommendation, yielded a …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide26.html
October 01, 2014 - 26. Low Socio-Economic Status/Limited Formal Education
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for counseling interventions with low socio-economic status/limited formal education (n = 5 studies).
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide114.html
October 01, 2014 - 114. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated abstinence rates for the number of sessions of counseling in combination with medication versus medication alone …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide113.html
October 01, 2014 - 113. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated abstinence rates for the combination of counseling and medication versus medication alone (n = 18 studies)
…