Tobacco Treatment [2012 update]
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- Advise all tobacco users to consider making a serious quit attempt.
- Assess all tobacco users for their readiness to quit.
- Refer those interested in quitting to a tobacco treatment specialist or tobacco treatment program.
- Tobacco use status should be routinely asked at each visit and documented for all patients in the medical record.
- Document attempts at tobacco counseling for all current users in the medical record.
Clinic sites should have a system to monitor and manage smoking cessation.
- Tobacco status should be routinely asked and documented for all patients.
- A tobacco treatment coordinator and procedures should be in place to provide patient education materials, follow-up on quit dates, and referrals to treatment counseling.
New in this update:
- Electronic cigarettes (E-cigarettes) are reviewed and not recommended for tobacco cessation.
- Combination nicotine replacement therapy has been shown to be an effective treatment option.
- Studies reconfirm that treatment (nicotine or bupropion) and modality (patch, gum, inhaler, spray, pill) should be based on patient preference and prior experience.
- Drug costs have been updated in Table 4 along with Black Box warnings for bupropion and varenicline.
- Information has been updated and added for special populations: pregnant smokers, hospitalized patients, and pre-operative patients.
The University of Michigan Medical School designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Release Date: January 2012
Termination Date: July 2021
Continued availability of CME credit for this activity depends on a thorough review of its content every three years. This activity was last reviewed for currency and accuracy in September 2017, and availability of CME credit continued.
David C Serlin, MD; Family Medicine
Michael A Clay, MD; General Internal Medicine
R Van Harrison, PhD; Medical Education
Linda A Thomas, MS, CTTS-M; UMHS Tobacco Consultation Service
Kirk J Brower, MD; Psychiatry
Financial Disclosure Information:
There are no financial relationships to disclose for this CME activity.
UMHS Guidelines Oversight Team:
Grant Greenberg, MD, MA, MHSA
R. Van Harrison, PhD
Connie J. Standiford, MD
Literature Search Services:
Taubman Medical Library