A Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update: A U.S. Public Health Service Report

Objective

To summarize the U.S. Public Health Service guideline Treating Tobacco Use and Dependence: 2008 Update, which provides recommendations for clinical interventions and system changes to promote the treatment of tobacco dependence.

Participants

An independent panel of 24 scientists and clinicians selected by the U.S. Agency for Healthcare Research and Quality on behalf of the U.S. Public Health Service. A consortium of eight governmental and nonprofit organizations sponsored the update.

Evidence

Approximately 8700 English-language, peer-reviewed articles and abstracts, published between 1975 and 2007, were reviewed for data that addressed assessment and treatment of tobacco dependence. This literature served as the basis for more than 35 meta-analyses.

Consensus process

Two panel meetings and numerous conference calls and staff meetings were held to evaluate meta-analyses and relevant literature, to synthesize the results, and to develop recommendations. The updated guideline was then externally reviewed by more than 90 experts, made available for public comment, and revised.

Conclusions

This evidence-based, updated guideline provides specific recommendations regarding brief and intensive tobacco-cessation interventions as well as system-level changes designed to promote the assessment and treatment of tobacco use. Brief clinical approaches for patients willing and unwilling to quit are described.

Carlos Roberto Jaén, MD, PhD, FAAFP, University of Texas Health Science Center at San Antonio

Timothy B. Baker, PhD, University of Wisconsin School of Medicine and Public Health

William C. Bailey, MD, FACP, FCCP, University of Alabama at Birmingham

Glenn Bennett, MPH, CHES, National Heart, Lung, and Blood Institute

Neal L. Benowitz, MD, University of California San Francisco

Bruce A. Christiansen, PhD, University of Wisconsin School of Medicine and Public Health

Michael Connell, BS, University of Wisconsin School of Medicine and Public Health

Susan J. Curry, PhD, University of Illinois-Chicago

Sally Faith Dorfman, MD, MSHSA, Ferring Pharmaceuticals, Inc, Parsippany NJ

David Fraser, MS, University of Wisconsin School of Medicine and Public Health

Erika S. Froelicher, RN, MA, MPH, PhD, University of California San Francisco

Michael G. Goldstein, MD, Institute for Healthcare Communication, New Haven CT

Victor Hasselblad, PhD, Duke University, Durham NC

Cheryl G. Healton, DrPH, American Legacy Foundation, Washington DC

Stephen Heishman, PhD, National Institute for Drug Abuse

Patricia Nez Henderson, MD, MPH, Black Hills Center for American Indian Health, Rapid City SD

Richard B. Heyman, MD, American Academy of Pediatrics, Cincinnati OH

Corinne Husten, MD, MPH, Partnership for Prevention (formerly with CDC)

Howard K. Koh, MD, MPH, FACP, Harvard School of Public Health

Thomas E. Kottke, MD, MSPH, University of Minnesota, St Paul MN

Harry A. Lando, PhD, University of Minnesota, Minneapolis MN

Cathlyn Leitzke, MSN, RN-C, University of Wisconsin School of Medicine and Public Health

Robert E. Mecklenburg, DDS, MPH, Consultant, Tobacco and Public Health, Potomac MD

Robin J. Mermelstein, PhD, University of Illinois-Chicago

Glen Morgan, PhD, National Cancer Institute

Patricia Dolan Mullen, DrPH, University of Texas School of Public Health

Ernestine W. Murray, RN, BSN, MAS, Agency for Health Care Research and Quality

C. Tracy Orleans, PhD, Robert Wood Johnson Foundation

Megan E. Piper, PhD, University of Wisconsin School of Medicine and Public Health

Lawrence Robinson, MD, MPH, Philadelphia Department of Public Health

Maxine L. Stitzer, PhD, Johns Hopkins/Bayview Medical Center, Baltimore MD

Wendy Theobald, PhD, University of Wisconsin School of Medicine and Public Health

Anthony C. Tommasello, PharmBS, PhD, University of Maryland School of Pharmacy, Baltimore MD

Louise Villejo, MPH, CHES, University of Texas M.D. Anderson Cancer Center, Houston TX

Mary Ellen Wewers, PhD, RN, MPH, Ohio State University, Columbus OH

Christine Williams, MEd, Agency for Health Care Research and Quality

⁎ Michael C. Fiore, MD, MPH, University of Wisconsin School of Medicine and Public Health

PII: S0749-3797(08)00332-2

doi:10.1016/j.amepre.2008.04.009

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