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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide144.html
October 01, 2014 - 144. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Patch
Recommendation: The nicotine patch is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A).
Previ…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide176.html
October 01, 2014 - 176. Systems-Clinician Training and Reminder Systems
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation: All clinicians and clinicians-in-training should be trained in effective strategies to assist tobacco users willing to make a quit attempt and to motiv…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide201.html
October 01, 2014 - 201. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
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 impor…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide202.html
October 01, 2014 - 202. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated abstinence rates for counseling interventions with adolescent smokers (n = 7 studies)
Adolescent smokers …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide212.html
October 01, 2014 - 212. Specific Populations and Other Topics - Weight Gain (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinician statements to help a patient prepare for, and cope with, postcessation weight gain
Clinician statements:
The great majority of smokers g…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide211.html
October 01, 2014 - 211. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Weight Gain After Stopping Smoking
Recommendation: For smokers who are greatly concerned about weight gain, it may be most appropriate to prescribe or recommend bu…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide07.html
October 01, 2014 - 7. Panel Members
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Michael C. Fiore, MD, MPH, Chair
Carlos Roberto Jaén, MD, PhD, FAAFP, Vice-Chair
Timothy Baker, PhD, Senior Scientist
William C. Bailey, MD, FACP, FCCP
Neal Benowitz, MD
Susan J. Curry, PhD …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide06.html
October 01, 2014 - 6. Funded by
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Agency for Healthcare Research and Quality
National Cancer Institute
National Heart, Lung & Blood Institute
National Institute on Drug Abuse
Centers for Disease Control and Prevention
The…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide05.html
October 01, 2014 - 5. 2008 PHS Clinical Practice Guideline: Treating Tobacco Use and Dependence Update (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Update process started 7-1-06.
Scope remains the treatment of tobacco use and dependence.
Update rather than a…
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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…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide21.html
October 01, 2014 - 21. Nicotine Lozenge
Treating Tobacco Use and Dependence: 2008 Update Overview
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
Estimated odds ratio (95% C.I.)
Continuo…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide22.html
October 01, 2014 - 22. Relative Efficacy
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Medication
Number of arms
Estimated odds ratio (95% C.I.)
Nicotine Patch (reference group)
32
1.0
Varenicline (2 mg/day)
5
1.6
(1.3, 2.0)
Patch (long-…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide43.html
October 01, 2014 - 43. The "5 A's" Model for Treating Tobacco Use and Dependence-2008
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Ask about tobacco use. Identify and document tobacco use status for every patient at every visit.
Advise to quit. In a clear, strong, and p…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide146.html
October 01, 2014 - 146. Treatment Recommendations: Medications-Nicotine Patch (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
OTC or prescription
Type
Duration
Dosage
Step-Down Dosage
4 weeks
21 mg/24 hours
Step-Down Dosage
the…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide168.html
October 01, 2014 - 168. Components of Intensive Treatment (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medication
Every smoker should be offered medications endorsed in this Guideline, except where contraindicated or for specific populations for which there is insu…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide167.html
October 01, 2014 - 167. Components of Intensive Treatment (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Program format
Either individual or group counseling may be used. Telephone counseling also is effective and can supplement treatments provided in the clinical se…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide169.html
October 01, 2014 - 169. Systems
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/slide179.html
October 01, 2014 - 179. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of clinician training combined with charting on asking about smoking status ("Ask") (n = 3 studies)
Intervention…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide178.html
October 01, 2014 - 178. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of clinician training on rates of providing treatment ("Assist") (n = 2 studies)
Intervention
Number of arms…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide177.html
October 01, 2014 - 177. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and estimated abstinence rates for clinician training (n = 2 studies)
Intervention
Number of arms
Od…