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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide137.html
October 01, 2014 - 137. Treatment Recommendations: Medications
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 Evidence = B).
P…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide143.html
October 01, 2014 - 143. Treatment Recommendations: Medications-Nicotine Nasal Spray (cont
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Dosage
A dose of nicotine nasal spray consists of one 0.5 mg dose delivered to each nostril (1 mg total). Initial dosing should be 1-2 doses p…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide158.html
October 01, 2014 - 158. Treatment Recommendations: Medications-Relative Effectiveness (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and abstinence rates of medications relative to the nicotine patch (n = 86 studies).
Medication
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide173.html
October 01, 2014 - 173. Systems Strategy 3. Dedicate staff to provide tobacco dependence treatment and assess the delivery of this treatment in staff performance evaluations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Clinical sites …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide181.html
October 01, 2014 - 181. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of training combined with charting on providing materials ("Assist") (n = 2 studies)
Intervention
Number of ar…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide189.html
October 01, 2014 - 189. Specific Populations and Other Topics
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/slide194.html
October 01, 2014 - 194. 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
Low SES/limited formal …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide200.html
October 01, 2014 - 200. 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
Women
There is evid…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide208.html
October 01, 2014 - 208. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical practice suggestions for assisting a pregnant patient in stopping smoking
Clinical practice
Rationale
Assess pregnant woma…
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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/slide04.html
October 01, 2014 - 4. 2008 PHS Clinical Practice Guideline: Treating Tobacco Use and Dependence Update
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
History:
1996—Initial Guideline published; literature from 1975-1995; approximately 3,000 articles.
2000—Revised Guideline…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide15.html
October 01, 2014 - 15. Treatment Recommendations-Counseling
Treating Tobacco Use and Dependence: 2008 Update Overview
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 couns…
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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/slide25.html
October 01, 2014 - 25. Specific Populations (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
HIV-positive smokers.
Hospitalized smokers.
Lesbian/gay/bisexual/ transgender smokers.
Smokers with low SES/limited formal education.
Smokers with medical comorbidit…
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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/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/slide170.html
October 01, 2014 - 170. System Strategies
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Implementing a tobacco-user identification system in every clinic ( Systems Strategy 1 ).
Providing adequate training, resources, and feedback to ensure that providers consistently deliver effec…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide175.html
October 01, 2014 - 175. Systems Strategy 5. Include tobacco dependence treatments (both counseling and medication) identified as effective in this Guideline, as paid or covered services for all subscribers or members of health insurance packages
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide191.html
October 01, 2014 - 191. 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
HIV-positive
No long-…