GRAND ROUNDS CLINICIAN’S CORNER AT THE NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE Strategies to Help a Smoker Who Is Struggling to Quit Nancy A. Rigotti, MD Tobacco use is the leading preventable cause of death worldwide. Stopping tobacco use benefits virtually every smoker. Most of the 19% of US resi- PATIENT PRESENTATION dents who smoke want to quit and have tried to do so. Most individual quit A 50-year-old man (hypothetical sce- attempts fail, but two-thirds of smokers use no treatment when trying to nario) with hypertension and a his- tory of depression treated with fluox- quit. Treating tobacco dependence is one of the most cost-effective actions etine smokes 15 to 20 cigarettes daily. in health care. With a brief intervention, physicians can prompt smokers to When asked about his interest in quit- attempt to quit and connect them to evidence-based treatment that in- ting smoking, he says, “I know that I cludes pharmacotherapy and behavioral support (ie, counseling). Physi- should, but I’ve tried everything. Noth- cians can link smokers to effective counseling support offered by a free na- ing works.” He used a nicotine patch tional network of telephone quit lines. Smokers who use nicotine replacement for 5
JAMA – American Medical Association
Published: Oct 17, 2012
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