Doctors

Counseling is a must with this smoking cessation aid : for many smokers, the benefits of quitting will outweigh the risks associated with varenicline

This Priority Updates from the Research Literature (PURLs) states that doctors should inform patients who are interested in taking varenicline that there is a small cardiovascular risk associated with it, as well as neuropsychiatric risks.

Cardiology Rx for Change : improving clinical attention to tobacco use and secondhand smoke exposure in cardiology

This study centers on the development and evaluation of an evidence-based model curriculum for improving clinical attention to tobacco use and secondhand smoke (SHS) exposure in cardiology. The 1-hour Cardiology Rx for Change curriculum (available online via http://rxforchange.ucsf.edu) curriculum was evaluated with 22 cardiology fellows and 77 medical residents.

Cardiovascular disease prevention practices by U.S. physicians for patients with diabetes

Described patterns of cardiovascular disease primary prevention practices used for patients with diabetes by U.S. office-based physicians. Among their findings: those who had diabetes and hypertension or who smoked were no more likely than those without to receive antihypertensive medications or smoking cessation counseling, respectively.

Perceptions of the relative harmfulness of snus among Norwegian general practitioners and their effect on the tendency to recommend snus in smoking cessation

Questionnaires completed by 900 general practitioners (GPs) reveal 36% perceieved snus to be much less dangerous compared with cigarettes while 15% percieved it was just as hazardous as or more hazardous than cigarettes. GPs who believed snus was much less dangerous more frequently recommended snus.

How to help your patients stop smoking

General overview of the steps physicians may take in assisting their patients in quitting smoking.

The price paid : manipulation of otolaryngologists by the tobacco industry to obfuscate the emerging truth that smoking causes cancer

Explores the multifaceted campaign by the tobacco industry to enlist otolaryngologists in support of their efforts to reassure consumers that cigarettes were safe, and to elucidate the incentives that led so many leading otolaryngologists to give testimony denying a causal linkage between tobacco use and head and neck cancer.

Physicians' attitudes towards prevention : importance of intervention-specific barriers and physicians' health habits

This cross-sectional survey of general physicians in Switzerland examines attitudes and barriers to providing preventive interventions. For alcohol and smoking counselling, four physician characteristics predicted negative attitudes: consuming more than three alcoholic drinks per day, sedentary lifestyle, lack of national certification and not knowing their blood pressure.

Primary care providers advising smokers to quit : comparing effectiveness between those with and without alcohol, drug, or mental disorders

Findings reveal those who smoked with and without alcohol, drug, or mental (ADM) disorders were both likely to receive cessation counselling; however, those who smoked with ADM disorders were more likely to quit with cessation counselling than those who smoked without ADM disorders.

Treatment of tobacco dependence

The authors examine Cochrane meta-analyses and German-language and American guidelines for recommendations for helping people quit smoking. Doctors can play a role in cessation, from motivational interviewing to prescribing medications. They determine that with a combination of medications and psychotherapeutic support, abstinence rates of up to 40% can be achieved.

Treating smokers in the health care setting

Treatment of smokers in the health care setting begins with a case vignette: a 45-year-old overweight woman with a recurrence of acute bronchitis, and multiple failed attempts to quit. She is worried about the ill effects of smoking on her health and that of her children. She is reluctant to attempt to quit now, because she fears failure. What should the clinician advise? Includes clinical recommendations.

Sponsorship by tobacco companies : CMA's stand

This letter contains the text of a letter sent by Dr. Everett Coffin, then president of the Canadian Medical Association (CMA) to the Canadian Ski Association and others, encouraging the association to reject funding or sponsorship from tobacco and alcohol industries.

Pharmacotherapy for smoking cessation : present and future

Geared towards doctors, this review discusses the three medications approved by the FDA for smoking cessation: nicotine replacement therapy, sustained-release bupropion and varenicline. Also discusses the potential of clonidine and nortriptyline as second-line medications and identifies promising new drugs for smoking cessation.

A 12 month follow-up of a dissemination study to train physicians to help patients with smoking cessation

Evaluated the Canadian Council on Smoking and Health (CCSH) training program "Guide your Patients to a Smoke-Free Future" after 12 months. This follow-up demonstrated significant increases in knowledge, and significant increases in involvement in asking and advising, but not assisting. Results indicated that the program was successful in the dissemination phase.

An evaluation of a dissemination study to train physicians to help patients with smoking cessation

Evaluated the Canadian Council on Smoking and Health (CCSH) physician training program “Guide your Patients to a Smoke-Free Future”. Results indicated that the training appeared to increase knowledge and involvement in smoking cessation, and the program appeared successful in delivering training effectively to those who want it most.

Is smoking status routinely recorded when patients register with a new GP?

Authors analyzed the electronic medical records of patients who joined a general practice that added data to The Health Improvement Network (THIN) database annually between 1990 and 2006. Overall, 74.2% of patients who enrolled in 1990 did not have their smoking status documented within 90 days of joining; however, this number increased to 26.7% in 2006.

Role of the physician in smoking prevention

This statement from the Canadian Paediatric Society reviews the issue of smoking among children and youth, investigates factors of initiation and examines the role of paediatricians in the prevention of smoking among children and youth.

Management of smokers motivated to quit : a qualitative study of smokers and GPs

Explores how individuals who smoke who are motivated to quit are managed in the GP consultation, specifically how treatment and referral are negotiated from the perspectives of both parties. Three strategies (treatment and follow-up by the GP, referral to SSS without treatment and immediate treatment with referral for follow-up) were evidenced in patient and GP accounts.

The cardiologist and smoking cessation

In-hospital interventions to assist cardiovascular disease patients with smoking cessation and to provide adequate follow-up are the most cost-effective strategies to improve the survival of the cardiovascular patient. Strong commitment from cardiologists to provide cessation therapies and counseling is required.

Smoking cessation and neuropsychiatric adverse events : are family physicians caught between a rock and a hard place?

In this commentary, the authors examine the associations between mood and tobacco use, tobacco abstinence, and medications used to quit smoking. A safety-sensitive algorithm is also presented.

Smoking cessation and the cardiovascular specialist : Canadian Cardiovascular Society position paper

In the view of the Canadian Cardiovascular Society, all patients in every medical setting—private office, outpatient clinic, or hospital—should have their smoking status systematically identified and documented and be offered specific assistance in initiating a cessation attempt.

Contained Collections:

Cessation

 

Interventions

 

Nicotine Replacement Therapy

 

Surveys

 

Youth

 

Geographic Regions

Presents practices and interventions delivered by doctors in different countries to assist people who smoke and/or use tobacco. Please use the left-hand menu to browse through selected resources from Australia, Canada, Great Britain and the United States.