ITEMS IN AFP WITH KEYWORD:
Tobacco Abuse and Dependence
Among adults who smoked a median of 15 cigarettes per day, those who were randomized to receive e-cigarettes were more likely to be abstinent at one year than those who received nicotine replacement (number needed to treat [NNT] = 12).
Although e-cigarettes have been marketed as healthier alternatives to traditional cigarettes, they carry risks such as exposure to heavy metals and other toxins and a high risk of nicotine addiction. E-cigarettes are not recommended for smoking cessation, because there is low certainty of evidence and research is ongoing. All patients should be screened for e-cigarette use during screening for tobacco use and provided with appropriate counseling.
Jul 1, 2018 Issue
Individual Behavioral Counseling for Smoking Cessation [Cochrane for Clinicians]
Individual behavioral counseling conducted by a trained therapist provides some benefit when compared with brief counseling and support; however, this benefit is less pronounced in the context of pharmacotherapy.
Pharmacotherapy alone and pharmacotherapy plus counseling are effective for tobacco cessation among patients being treated for or recovering from alcohol and substance use disorders. Counseling interventions without pharmacotherapy are not effective for tobacco cessation among patients in treatment for or recovery from substance use disorders.
Do the benefits outweigh the harms of using varenicline (Chantix) for smoking cessation? Read more to find out.
May 15, 2016 Issue
Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Women: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration (FDA)–approved pharmacotherapy for cessation to adults who use tobacco.
May 15, 2016 Issue
Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Women [Putting Prevention into Practice]
A 40-year-old woman presents for a routine antepartum visit. She is 20 weeks pregnant and smokes half a pack of cigarettes per day despite efforts to quit. She has no other concerns, and her physical examination findings are normal. The patient asks if your clinic offers services to help with tobacc...
Nicotine-containing e-cigarettes may be more effective than placebo devices for smoking cessation. They may also aid in smoking reduction, but the quality of available evidence is low. Little is known about their safety.
Electronic cigarettes with nicotine increase smoking cessation rates compared with placebo, with effectiveness similar to that of nicotine patches. In addition, more patients using electronic cigarettes with nicotine were able to halve their use of cigarettes than those using placebo electronic ciga...
Nov 15, 2014 Issue
Primary Care Interventions to Prevent Tobacco Use in Children and Adolescents: Recommendation Statement [U.S. Preventive Services Task Force]
The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents.