5 As of Tobacco Cessation
Ask: Ask all patients about tobacco use at every visit and record their status
Assess: Ask if tobacco user is willing to quit within the next 30 days
Advice: Advise in a clear, strong, & personalized manner every tobacco and non-tobacco users to remain tobacco-free
Assist: Help all tobacco users to stop based on their willingness to quit with a quit plan
Arrange: Schedule follow-up contact, either in person or by telephone
Videos
Smoking cessation counseling: https://youtu.be/Oce0qXiUYBM
Podcasts
#252 Smoking Cessation Unfiltered - The Curbsiders
Apps
App for patients to help with quit attempt: iCanQuitPlus on the App Store
Toolkit
Rx for Change: Implementation Toolkit
Drug interactions with smoking table
Caffeine levels increase ~56% upon quitting smoking
Pharmacologic product guide
Articles
Smoking Cessation Interventions | AAFP
Pharmacological interventions for smoking cessation: an overview and network meta-analysis - PubMed
Comparison of interventions for smoking cessation (Odds ratio (95% CI)
Nicotine gum vs Placebo 1.7 (1.5-1.9)
Bupropion SR vs Placebo 1.9 (1.6-2.1)
Nicotine patch vs Placebo 1.9 (1.7-2.1)
Other NRT vs Placebo 2.0 (1.8-2.4)
Combination NRT vs Placebo 2.7 (2.1-3.7)
Varenicline vs Placebo 2.9 (2.4-3.5)
The study did not show a significant increase in neuropsychiatric adverse events attributable to varenicline or bupropion relative to nicotine patch or placebo
Lung Cancer Screening
Recommendation: Lung Cancer: Screening | United States Preventive Services Taskforce
Adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years