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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide41.html
October 01, 2014 - 41. What's New in 2008?-New Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Lozenge:
Recommendation: The nicotine lozenge is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidenc…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide42.html
October 01, 2014 - 42. What's New in 2008?-New Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Varenicline:
Recommendation: Varenicline is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A).
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide54.html
October 01, 2014 - 54. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Providing Smoking Cessation Treatments as a Covered Benefit:
2000 Guideline: Recommendation: Smoking cessation treatments (both Medication and c…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide53.html
October 01, 2014 - 53. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Tobacco Dependence Treatment as a Part of Assessing Health Care Quality:
2000 Guideline: Recommendation: Provision of guideline-based interventi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide52.html
October 01, 2014 - 52. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Cost-Effectiveness of Tobacco Dependence Interventions:
2000 Guideline: Recommendation: Sufficient resources should be allocated for clinician r…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide61.html
October 01, 2014 - 61. For the Patient Willing To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A1. Ask— Systematically identify all tobacco users at every visit
Action
Strategies for implementation
Implement an office wide system that ensures that, for E…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide60.html
October 01, 2014 - 60. For the Patient Willing To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
For the Patient Willing To Quit
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide82.html
October 01, 2014 - 82. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Specialized Assessment
Recommendation: Once a tobacco user is identified and advised to quit, the clinician should assess the patient's willingness to quit at this …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide83.html
October 01, 2014 - 83. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Specialized Assessment
Recommendation: Tobacco dependence treatment is effective and should be delivered even if specialized assessments are not used or available. …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide88.html
October 01, 2014 - 88. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Recommendation: There is a strong dose-response relation between the session length of person-to-person contact and successful t…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide89.html
October 01, 2014 - 89. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Recommendation: Person-to-person treatment delivered for four or more sessions appears especially effective in increasing abstin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide97.html
October 01, 2014 - 97. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Formats of Psychosocial Treatments
Recommendation: Proactive telephone counseling, group counseling, and individual counseling formats are effective and should be u…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide98.html
October 01, 2014 - 98. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Formats of Psychosocial Treatments
Recommendation: Smoking cessation interventions that are delivered in multiple formats increase abstinence rates and should be en…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide111.html
October 01, 2014 - 111. 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/slide110.html
October 01, 2014 - 110. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2000): Effectiveness of and estimated abstinence rates for acupuncture (n = 5 studies)
Treatment
Number of arms
Estimated odds ratio (95% C…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide121.html
October 01, 2014 - 121. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and abstinence rates for various medications and medication combinations compared to placebo at 6-months post-quit (n = 86 studie…
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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/slide129.html
October 01, 2014 - 129. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Bupropion SR (Sustained Release)
Recommendation: Bupropion SR is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide139.html
October 01, 2014 - 139. Treatment Recommendations: Medications-Nicotine Lozenge (continue
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
OTC only
Prescribing instructions
Lozenge use -The lozenge should be allowed to dissolve in the mouth rather than chewi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide143.html
October 01, 2014 - 143. Treatment Recommendations: Medications-Nicotine Nasal Spray (cont
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Dosage
A dose of nicotine nasal spray consists of one 0.5 mg dose delivered to each nostril (1 mg total). Initial dosing should be 1-2 doses p…