SmokingCessationPatientEducation.docx

SmokingCessationPatientEducation.docx - SORT: KEY...

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SORT: KEY RECOMMENDATIONS FOR PRACTICE http :// www . mdconsult . com / das / article / body /222474756- 6/ jorg = journal source sp sid =0/ N /544490/1. html ? issn =0002-838 X Patch appears to be the most convenient therapy to use among the NRTs. In one randomized controlled trial, [ 34 ] compliance was highest for Patch (82 %) compared with the gum (38 %), the spray (15 %), and the inhaler (11 %) Clinical recommendation (smoking cessation interventions) Evidence Rating Quit rates at six months (%) * Comments Single therapies Brief physician advice A 2 to 10 Brief intervention is five minutes or less in a single visit. Telephone counseling A 5 to 19 Overall effect likely to be small compared with no intervention. There is no additional benefit when combined with other interventions (e.g., physician advice, pharmacotherapy). Indirect evidence suggests that “quitlines” can be useful in smoking cessation. Self-help materials B 7 to 27 Successful interventions usually require multiple (up to six per week) contacts with self-help materials near the time of the quit date. Materials that are tailored to individual smokers may be more effective than standard materials Nicotine patch A 8 to 21 Less potential for addiction compared with gum Nicotine spray A 30 Higher potential for addiction compared with other NRTs [ 15 ] Nicotine inhaler A 23 Mimics hand-to-mouth motion of smoking Nicotine lozenge A 24 Similar results among smokers regardless of success or failure of previous pharmacologic therapy [ 17 ] Nicotine gum in highly dependent
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SmokingCessationPatientEducation.docx - SORT: KEY...

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