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Clinical Practice
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Volume 346:506-512 February 14, 2002 Number 7
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Treatment of Tobacco Use and Dependence
Nancy A. Rigotti, M.D.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 66-year-old woman with stable angina and a history of depression smokes 25 cigarettes daily. She would like to stop smoking but is concerned about weight gain. She has tried to quit several times on her own without success. What should her physician recommend?

The Clinical Problem

Tobacco use is the leading preventable cause of death in the United States, responsible for more than 400,000 . . . [Full Text of this Article]

Strategies and Evidence

Interventions by Physicians

Counseling

Pharmacotherapy

            Nicotine-Replacement Therapy

            Non-Nicotine Therapy

Other Methods

Weight Gain after Smoking Cessation

Areas of Uncertainty

Guidelines

Conclusions and Recommendations


Source Information

From the Tobacco Research and Treatment Center, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston.

Address reprint requests to Dr. Rigotti at the Tobacco Research and Treatment Center, Massachusetts General Hospital, 50 Staniford St., 9th Fl., Boston, MA 02114, or at nrigotti@partners.org.

References


Related Letters:

Treatment of Tobacco Use and Dependence
Butler C. C., Rollnick S., Gatt M. E., Heyman S. N., Rigotti N.
Extract | Full Text | PDF  
N Engl J Med 2002; 347:294-295, Jul 25, 2002. Correspondence

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