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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide63.html
October 01, 2014 - 63. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A3. Assess —Determine willingness to make a quit attempt
Action
Strategies for implementation
Assess every tobacco user's willingness to make a qui…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide82.html
October 01, 2014 - 82. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Specialized Assessment
Recommendation: Once a tobacco user is identified and advised to quit, the clinician should assess the patient's willingness to quit at this …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide81.html
October 01, 2014 - 81. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (1996): Impact of having a tobacco use status identification system in place on abstinence rates among patients who smoke (n = 3 studies)
Screeni…
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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/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/slide95.html
October 01, 2014 - 95. 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 interventions delivered by different types of clinicians (n =29 studies)
Type of clin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide128.html
October 01, 2014 - 128. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
Should nicotine replacement therapies be avoided in patien…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide126.html
October 01, 2014 - 126. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
What medications should a clinician use with a patient who…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide127.html
October 01, 2014 - 127. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
When should second-line agents be used for treating tobacc…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide145.html
October 01, 2014 - 145. Treatment Recommendations: Medications-Nicotine Patch
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…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide159.html
October 01, 2014 - 159. 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/slide157.html
October 01, 2014 - 157. Treatment Recommendations: Medications-Relative Effectiveness
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medication Number of arms Estimated odds ratio (95% C. I.)
Medication
Number of arms
Estimated odds ratio (95% C. I.)
Nicotine Patch (re…
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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/slide174.html
October 01, 2014 - 174. Systems Strategy 4. Promote hospital policies that support and provide inpatient tobacco dependence services
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Provide tobacco dependence treatment to all tobacco user…
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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/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/slide188.html
October 01, 2014 - 188. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit Recommendation (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Estimated abstinence rates for individuals who received tobacco use interventions as a …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide19.html
October 01, 2014 - 19. Medication
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Seven first-line medications shown to be effective and recommended for use by the Guideline Panel:
Bupropion SR
Nicotine Gum
Nicotine Inhaler
Nicotine Lozenge
Nicotine Nasal Spray
Nic…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide20.html
October 01, 2014 - 20. Varenicline
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness and abstinence rates for various medications and medication combinations compared to placebo at 6-months post-quit (n = 86 studies).
Medication
Number of arms
Estimated o…
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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…