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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide08.html
October 01, 2014 - 8. Development Process
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Began 7-1-06
Scope remains the clinical treatment of tobacco use and dependence.
Update rather than a full revision.
Very similar development process to 1996 and 2000.
Previous Slide…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide22.html
October 01, 2014 - 22. Topics Meta-Analyzed for the 2008 Guideline Update (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Topics Meta-Analyzed for the 2008 Guideline Update (Continued)
Characteristics analyzed
Categories of those characteristics
Providing toba…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide28.html
October 01, 2014 - 28. Ten Key Recommendations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
10 Key Recommendations
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide57.html
October 01, 2014 - 57. Model for Treating Tobacco Use and Dependence
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The model is a flow chart beginning with general population: patient presents to a health care setting (clinic, hospital, work site, others): ask—screen all patients for t…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide68.html
October 01, 2014 - 68. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A5. Arrange —Ensure follow-up contact
Action
Strategies for implementation
Arrange for follow-up contacts, either in person or via telephone
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide74.html
October 01, 2014 - 74. For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide81.html
October 01, 2014 - 81. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (1996): Impact of having a tobacco use status identification system in place on abstinence rates among patients who smoke (n = 3 studies)
Screeni…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide85.html
October 01, 2014 - 85. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Treatment Recommendations: Counseling (Continued)
Advice To Quit Smoking
Recommendation: All physicians should strongly advise every patient who smokes to quit …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide104.html
October 01, 2014 - 104. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Quitlines
Intervention
Number of arms
Estimated odds ratio
(95% C.I.)
Estimated abstinence rate
(95% C.I.)
Medication alone
6
1.0
23…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide05.html
October 01, 2014 - 5. History
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Previous Slide Contents Next Slide
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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
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide66.html
October 01, 2014 - 66. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication) (Continued)
Provide practical counseling (problem-solving/skills training).
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide06.html
October 01, 2014 - 6. History
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
1996—Initial Guideline published; literature from 1975-1995; approximately 3,000 articles.
2000—Revised Guideline published; literature from 1995-1999; approximately 6,000 articles.
2008—Updated Guideline…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide27.html
October 01, 2014 - 27. Summary of Strength of Evidence for Recommendations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strength of evidence classification
Criteria
Strength of Evidence = A
Multiple well-designed randomized clinical trials, directly relevant to the rec…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide69.html
October 01, 2014 - 69. For the Patient Unwilling To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
For the Patient Unwilling To Quit
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide11.html
October 01, 2014 - 11. PHS Liaisons
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Ernestine (Tina) Murray, RN, MAS, AHRQ (Project Officer)
Sandra Cummings, AHRQ
Christine Williams, AHRQ
Glen Bennett, NHLBI
Stephen Heishman, NIDA
Corrine Husten, CDC
Glen Morgan, NCI
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide12.html
October 01, 2014 - 12. Guideline Update Development Phases
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Identify update topics.
Meta-analysis of topics.
Panel/liaisons workgroups.
Establish recommendations and other content.
Draft text.
Peer review/public comment.
Panel …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide24.html
October 01, 2014 - 24. Topics Meta-Analyzed for the 1996 and 2000 Guidelines and Included
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Characteristics analyzed
Categories of those characteristics
Type of clinician
No clinician.
Self-help materials only.
Non-phy…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide56.html
October 01, 2014 - 56. Algorithm for Treating Tobacco Use
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
At the top of the flowchart is the question, Does patient now use tobacco? (See chapter 2). If the answer is "yes," ask, Is patient now willing to quit? If the answer is "yes," provi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide63.html
October 01, 2014 - 63. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A3. Assess —Determine willingness to make a quit attempt
Action
Strategies for implementation
Assess every tobacco user's willingness to make a qui…