Gabriela S. Ferreira, MD; Michael B. Steinberg, MD, MPH
This article was published at www.annals.org on 15 March 2016.
Disclosures: Dr. Steinberg reports personal fees from Arena Pharmaceuticals (March 2015), Major League Baseball (2015 to present), and Pfizer (2006 to 2007) outside the submitted work. Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0362.
Requests for Single Reprints: Michael B. Steinberg, MD, MPH, Rutgers Robert Wood Johnson Medical School, Division of General Internal Medicine, 125 Paterson Street, Suite 2300, New Brunswick, NJ 08903; e-mail, email@example.com.
Current Author Addresses: Drs. Ferreira and Steinberg: Rutgers Robert Wood Johnson Medical School, Division of General Internal Medicine, 125 Paterson Street, Suite 2300, New Brunswick, NJ 08903.
Ferreira G., Steinberg M.; Going Slow May Not Be Best When Quitting Smoking. Ann Intern Med. 2016;164:622-623. doi: 10.7326/M16-0362
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Published: Ann Intern Med. 2016;164(9):622-623.
Published at www.annals.org on 15 March 2016
Current guidelines for smoking cessation sponsored by the U.S. Public Health Service (1) and developed by the U.S. Preventive Services Task Force (2) recommend that physicians provide tailored pharmacotherapy and behavioral interventions to all smokers who want to quit. A 2012 systematic review of combined intensive behavioral therapy and pharmacotherapy (3) showed 6-month abstinence rates of 14.5% compared with 8% for patients receiving no or brief advice on quitting. Pharmacotherapies approved by the U.S. Food and Drug Administration for smoking cessation include nicotine replacement therapy (NRT), sustained-release bupropion, and varenicline. A systematic review of these therapies (4) showed that they all improved abstinence rates. Behavioral interventions should teach patients practical problem-solving skills to understand high-risk situations for relapse, develop coping skills to overcome obstacles, and develop a plan to quit while providing basic information about smoking cessation and successful strategies (2).
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Cardiology, Tobacco, Alcohol, and Other Substance Abuse, Coronary Risk Factors, Smoking.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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