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The Future of Tobacco Treatment in the Health Care System

Nancy A. Rigotti, MD
[+] Article, Author, and Disclosure Information

From Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114.

Potential Financial Conflicts of Interest:Consultancies: Pfizer, Sanofi-Aventis. Grants received: Nabi Biopharmaceuticals, Pfizer, Sanofi-Aventis.

Requests for Single Reprints: Nancy A. Rigotti, MD, Massachusetts General Hospital, 50 Staniford Street, Boston, MA 02114; e-mail, nrigotti@partners.org.

Ann Intern Med. 2009;150(7):496-497. doi:10.7326/0003-4819-150-7-200904070-00011
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We face a conundrum in our efforts to treat tobacco use and dependence, the leading preventable cause of death in the United States (1). Most smokers know they should quit, 70% say they want to quit, and 40% report having tried to do so in the past year (23). Yet the large majority of these quit attempts failed to produce long-term tobacco abstinence, despite the availability of effective treatments. The reason? Most smokers trying to quit do not use these treatments (4).

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