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Letters |15 November 2016

Gradual Versus Abrupt Smoking Cessation

Robert West, PhD; Nicola Lindson-Hawley, PhD; Paul Aveyard, PhD

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Dr. Hughes and Mr. Klemperer and Dr. Schuurmans rightly point to the limits of the generalizability of our study's findings. When designing a randomized, controlled trial, selecting a particular intervention and choosing what to compare it with is always difficult. Smoking reduction is a complex issue—many possible ways and scenarios to achieve reduction are available, which may result in varying success rates. This strategy is in contrast to abrupt quitting, which allows for less opportunity for variation. Therefore, the general question of whether trying to reduce consumption ahead of a target quit date is counterproductive may have no answer apart from, “It depends.”
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West R, Lindson-Hawley N, Aveyard P. Gradual Versus Abrupt Smoking Cessation. Ann Intern Med. 2016;165:742. doi: 10.7326/L16-0401

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Published: Ann Intern Med. 2016;165(10):742.

DOI: 10.7326/L16-0401

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2016 American College of Physicians
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