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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide15.html
October 01, 2014 - 15. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
A flow chart where the first topic flows into the second, and so on.
Panel reviewed updated evidence and made recommendations based on evidence.
Manuscript drafted and reviewed by…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide16.html
October 01, 2014 - 16. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Topics for the update were solicited from the panel and public (about 100 topics suggested).
Literature searches conducted on about half of the topics.
Abstracts obtained.
A…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide17.html
October 01, 2014 - 17. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence tables created by literature reviewers.
Initial meta-analyses conducted.
Panel reviewed relevant literature and meta-analytic results.
Panel formed tentative conclusion…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide19.html
October 01, 2014 - 19. Final Selected Topics
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Effectiveness of proactive quitlines.
Effectiveness of combining counseling and medication relative to either counseling or medication alone.
Effectiveness of varenicline.
Effectiveness o…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide18.html
October 01, 2014 - 18. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Panel reviewed updated evidence and made recommendations based on evidence.
Manuscript drafted and reviewed by panel.
Additional manuscript drafts reviewed by panel.
Manuscript …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide20.html
October 01, 2014 - 20. Final Selected Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Effectiveness of cessation interventions for adolescent smokers.
Effectiveness of cessation interventions for pregnant smokers.
Effectiveness of cessation interventions for indi…
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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/slide26.html
October 01, 2014 - 26. Inclusion Criteria for Articles in a Meta-Analysis
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Randomized control trial (RCT)
Published in a peer review journal
Published in English
With noted exceptions, randomized at level of subject
Data analysis d…
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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
Previous Slide Contents Next Slide
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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…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide149.html
October 01, 2014 - 149. Treatment Recommendations: Medications-Varenicline (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Dosage
Start varenicline one week before the quit date at 0.5 mg once daily for 3 days followed by 0.5 mg twice daily for 4 days followed by 1 mg…
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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-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/slide214.html
October 01, 2014 - 214. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Suggested interventions for hospitalized patients
For every hospitalized patient, the following steps should be taken:
Ask each patient on admission if he or sh…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide215.html
October 01, 2014 - 215. Helpful Web Sites
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Helpful Web Sites
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide18.html
October 01, 2014 - 18. Pro-Active Quitlines (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for quitline counseling and medication compared to medication alone (n = 6 studies).
Intervention
Number of arms
Es…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide30.html
October 01, 2014 - 30. Adolescent Smokers (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Children and Adolescents:
Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the importance of t…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide31.html
October 01, 2014 - 31. Pregnant Smokers
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated pre-parturition abstinence rates for psychosocial interventions with pregnant smokers (n = 8 studies).
Pregnant smokers
Number of arms
Estimated odd…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide29.html
October 01, 2014 - 29. Adolescent Smokers
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for counseling interventions with adolescent smokers (n = 7 studies).
Adolescent smokers
Number of arms
Estimated odds ratio (95%…
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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…