Smoking Cessation

Smoking cessation is an important part of chronic obstructive pulmonary disease (COPD) management.1,2 In fact, among patients who continue to smoke (about 50% of patients diagnosed with COPD), smoking cessation is the most effective strategy to slow down disease progression and reduce mortality.3 Many tools are available to assist patients in quitting various types of tobacco products, which may include  cigars, cigarettes, e-cigarettes and vaping devices.2,3 They may consist of behavior interventions and/or pharmacotherapy, with combination therapy  shown to be more effective than either intervention alone.3 Recidivism rates can be high, with up to 85% still smoking after one year.3,4 Second-line strategies for reducing harmful effects of COPD on progression can include a reduction in the amount of smoked cigarettes.4 Asking about tobacco use at every visit and assessing patient willingness to quit are vital clinical interventions in the pathway to smoking cessation.5 Please visit the additional resources page for more tools to help your patients quit smoking.

References

  1. Agarwal AK, et al. Chronic obstructive pulmonary disease. Stat Pearls. 2023. Last update 8/7/23. https://www.ncbi.nlm.nih.gov/books/NBK559281/
  2. American Lung Association (ALA). Join Freedom From Smoking®. https://www.lung.org/quit-smoking/join-freedom-from-smoking
  3. Tashkin DP. Smoking cessation in chronic obstructive pulmonary disease. Semin Respir Crit Care Med. 2015;36:491-507.
  4. Tashkin DP. Smoking cessation in COPD: Confronting the challenge. Intern Emerg Med. 2021;16:545-547.
  5. Centers for Disease Control and Prevention (CDC). A practical guide to help your patients quit using tobacco. https://www.cdc.gov/tobacco/patient-care/pdfs/hcp-conversation-guide.pdf

All URLS accessed 1/31/24.

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