
Patients Need More Help to Quit Smoking
Counseling and Pharmacotherapy Double Success Rate
Lynne Lamberg
JAMA. 2004;292:1286-1290.
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It takes only two questions to assess a patient's nicotine dependence: How soon after you wake up do you smoke your first cigarette? How many cigarettes do you smoke per day?
Smoking at least 20 cigarettes a day or within 30 minutes of arising indicates high nicotine dependence.
Smoking at least 10 cigarettes per day or smoking within 60 minutes of arising suggests moderate nicotine dependence, experts say. One exception: teenagers may develop dependence with even lower levels of smoking (Ann Epidemiol. 2002;12:353-362; Arch Pediatr Adolesc Med. 2002;156:397-403). New cigarettes flavored with berry, mint, chocolate, and other candy tastes may lure young smokers.
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Brief counseling and pharmacological therapies can substantially increase a patient's odds of kicking a tobacco habit. (Photo credit: Ted Grudzinski/AMA)
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Tobacco use is the nation's leading preventable cause of disease and death. It leads to approximately 440 000 deaths and generates about . . . [Full Text of this Article]
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