What every physician must remember to do:
|Brief advice to quit smoking from a clinician increases cessation rates by 30%.|
|The goal is to educate about the importance of quitting smoking. You needn't provide all of the elements of this counseling; that can be done by referral to a cessation program. Just get the process started.|
Of all the evidence-based guidelines in preventive healthcare, this is perhaps the most important.
Major Steps to Intervention (The "5A's")
Clinical Practice Guideline:
Treating Tobacco Use and Dependence
Fiore MC, Bailey WC, Cohen SJ, et al.; Rockville, MD: US Department of Health and Human Services, Public Health Service; 2000.
Management of Nicotine Addiction, Fact Sheet
US Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2000.
Policy recommendations for smoking cessation
and treatment of tobacco dependence
World Health Organization. Geneva, Switzerland; 2003.