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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide87.html
October 01, 2014 - 87. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Recommendation: Minimal interventions lasting less than 3 minutes increase overall tobacco abstinence rates. Every tobacco user …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide86.html
October 01, 2014 - 86. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (1996): Effectiveness of and estimated abstinence rates for advice to quit by a physician (n = 7 studies)
Advice
Number of arms
Estimated odd…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide93.html
October 01, 2014 - 93. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Type of Clinician
Recommendation: Treatment delivered by a variety of clinician types increases abstinence rates. Therefore, all clinicians should provide smoking c…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide94.html
October 01, 2014 - 94. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Type of Clinician
Recommendation: Treatments delivered by multiple types of clinicians are more effective than interventions delivered by a single type of clinician…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide103.html
October 01, 2014 - 103. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Quitlines
Effectiveness of and estimated abstinence rates for quitline counseling compared to minimal interventions, self-help or no counseling (n = 9 studies)
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide102.html
October 01, 2014 - 102. 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 number of types of self-help (n = 21 studies)
Factor
Number of arms
Estimated od…
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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/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/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)
…
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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/slide119.html
October 01, 2014 - 119. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Coding rules for medication duration and dose
Medication
Coding
Meaning
Nicotine Patch
Usual duration
6-14 weeks
Long duration
> 14…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide123.html
October 01, 2014 - 123. 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/slide122.html
October 01, 2014 - 122. 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/slide132.html
October 01, 2014 - 132. Treatment Recommendations: Medications-Nicotine Gum
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 FDA p…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide133.html
October 01, 2014 - 133. Treatment Recommendations: Medications-Nicotine Gum (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Prescribing instructions
Chewing technique -Gum should be chewed slowly until a “peppery” or “flavored” taste emerges, then “parked” between c…
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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/slide142.html
October 01, 2014 - 142. Treatment Recommendations: Medications-Nicotine Nasal Spray
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 (s…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide141.html
October 01, 2014 - 141. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Nasal Spray:
Recommendation: Nicotine nasal spray is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide148.html
October 01, 2014 - 148. Treatment Recommendations: Medications-Varenicline
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 FDA pa…