-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide09.html
October 01, 2014 - 9. Guideline Update Development Phases
Treating Tobacco Use and Dependence: 2008 Update Overview
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
Rele…
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide23.html
October 01, 2014 - 23. Medication Recommendation
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Recommendation: Certain combinations of first-line medications have been shown to be effective smoking cessation treatments. Therefore, clinicians should consider using these combin…
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide25.html
October 01, 2014 - 25. 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 counseling and behavioral therapies
No counseling.
No perso…
-
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…
-
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…
-
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…
-
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).
…
-
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…
-
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…
-
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
…
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide67.html
October 01, 2014 - 67. 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 intra-treatment social support.
Provide a supportive clin…
-
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…
-
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 …
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide105.html
October 01, 2014 - 105. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Follow-up Assessment and Procedures
Recommendation: All patients who receive a tobacco dependence intervention should be assessed for abstinence at the completion …
-
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
> …
-
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…
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide135.html
October 01, 2014 - 135. Treatment Recommendations: Medications-Nicotine Inhaler
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…
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide134.html
October 01, 2014 - 134. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Inhaler:
Recommendation: The nicotine inhaler is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A).
…
-
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…
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide166.html
October 01, 2014 - 166. Components of Intensive Treatment
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Assessment
Assessments should determine whether tobacco users are willing to make a quit attempt using an intensive treatment program. Other assessments can provide informati…