Maximizing smoking cessation in clinical practice: pharmacologic and behavioral interventions.

Mitchell Nides, Scott Leischow, Linda Sarna, Sarah E. Evans

Research output: Contribution to journalReview article

8 Citations (Scopus)

Abstract

Clinicians are in a unique position to reduce cardiovascular morbidity and mortality by helping their patients quit smoking. At each visit, clinicians should document smoking status, provide strong and clear advice to quit, and recommend and prescribe pharmacotherapy for patients who are motivated to quit, which can double the odds of success. Effective pharmacotherapies include nicotine replacement, bupropion, and varenicline, which was recently approved by the Food and Drug Administration. Behavioral counseling to develop a quit plan and extended follow-up are critical to maximize quit rates but are rarely provided by clinicians due to time constraints and lack of expertise. As an alternative, the authors recommend referral to telephone quitlines that provide no-cost behavioral counseling by specialists. Hospitals should implement systemwide procedures to ensure that smokers are identified at admission and trained staff is available to provide smoking cessation consults that include a minimum of 20 minutes of inpatient counseling with follow-up for at least 1 month.

Original languageEnglish (US)
Pages (from-to)23-30
Number of pages8
JournalPreventive Cardiology
Volume10
Issue number2 Suppl 1
StatePublished - Mar 1 2007
Externally publishedYes

Fingerprint

Smoking Cessation
Counseling
Smoking
Bupropion
Drug Therapy
United States Food and Drug Administration
Nicotine
Telephone
Inpatients
Referral and Consultation
Morbidity
Costs and Cost Analysis
Mortality

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Cardiology and Cardiovascular Medicine

Cite this

Maximizing smoking cessation in clinical practice : pharmacologic and behavioral interventions. / Nides, Mitchell; Leischow, Scott; Sarna, Linda; Evans, Sarah E.

In: Preventive Cardiology, Vol. 10, No. 2 Suppl 1, 01.03.2007, p. 23-30.

Research output: Contribution to journalReview article

Nides, Mitchell ; Leischow, Scott ; Sarna, Linda ; Evans, Sarah E. / Maximizing smoking cessation in clinical practice : pharmacologic and behavioral interventions. In: Preventive Cardiology. 2007 ; Vol. 10, No. 2 Suppl 1. pp. 23-30.
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