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Smoking Cessation in Clinical Practice: How to Get Patients to Stop.
- Source :
-
Seminars in thoracic and cardiovascular surgery [Semin Thorac Cardiovasc Surg] 2018 Spring; Vol. 30 (1), pp. 87-91. Date of Electronic Publication: 2018 Mar 07. - Publication Year :
- 2018
-
Abstract
- Tobacco use is an etiologic agent for many diseases treated by cardiac, vascular, and thoracic surgeons and contributes to increased perioperative complications and long-term risk. Smoking cessation may be challenging for patients and can be frustrating for clinicians. Lack of familiarity and pessimistic views toward cessation methods lead to underuse by physicians. Evidence-supported measures that increase chances of cessation include direct physician advice, approved pharmacotherapy, structured counseling, and a follow-up plan. Approved pharmacotherapy consists of varenicline, bupropion, or nicotine replacement therapy in the form of long-acting patches and short-acting forms of nicotine such as gum, lozenges, prescription nasal spray, or prescription inhaler. Direct physician advice is critical and strengthened when combined with more in-depth counseling from a specialist who may have more expertise and time. Integrating assessment and referral to counseling services into a clinical workflow can deliver resources in an efficient manner with the goal of providing the best available resources to all patients.<br /> (Copyright © 2018. Published by Elsevier Inc.)
- Subjects :
- Attitude of Health Personnel
Health Knowledge, Attitudes, Practice
Humans
Patient Compliance
Physician-Patient Relations
Recurrence
Risk Factors
Risk Reduction Behavior
Smoking Cessation psychology
Tobacco Smoking adverse effects
Tobacco Use Disorder diagnostic imaging
Tobacco Use Disorder psychology
Treatment Outcome
Counseling
Smokers psychology
Smoking Cessation methods
Tobacco Smoking prevention & control
Tobacco Use Cessation Devices adverse effects
Tobacco Use Disorder therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1532-9488
- Volume :
- 30
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Seminars in thoracic and cardiovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 29524601
- Full Text :
- https://doi.org/10.1053/j.semtcvs.2018.02.033