Skip to main content

Tobacco Use and Smoking Cessation

Felix B. Chang Cruz, MD, FAAMA, ABIHM and Daniel Molinar, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Use of tobacco of any form

  • The second leading actual cause of death in the United States

  • Smokeless tobacco refers to tobacco products that are vaporized, sniffed, sucked, or chewed.

  • Nic...

DIAGNOSIS

HISTORY

  • Ask about tobacco use and secondhand smoke exposure at every physician encounter.

  • Type and quantity of tobacco used:

    • “Heavy smoking” is 20 or more cigarettes per day or 20 or more pack-...

TREATMENT

Both behavioral counseling and pharmacotherapy benefit patients who are trying to quit smoking especially when used in combination. 
ALERT

A provider tobacco cessation recommendation at every ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Follow up 3 to 7 days after scheduled quit date and at least monthly for 3 months thereafter.

  • Refraining from tobacco products for first 2 weeks is critical to lon...

REFERENCES

1
Cahill K, Stevens S, Perera R, et al. Pharmacological interventions for smoking cessation: an overview and network meta-analysis. Cochrane Database Syst Rev.  2013;(5):CD009329. [View...

ADDITIONAL READING

  • Babb S, Malarcher A, Schauer G, et al. Quitting smoking among adults—United States, 2000–2015. MMWR Morb Mortal Wkly Rep.  2017;65(52):1457–1464. [View Abstract on OvidMedline]

  • ...

CODES

ICD10

  • F17.210 Nicotine dependence, cigarettes, uncomplicated

  • F17.213 Nicotine dependence, cigarettes, with withdrawal

  • F17.211 Nicotine dependence, cigarettes, in remission

  • Z71.6 Tobacco abuse counse...

CLINICAL PEARLS

  • Tobacco use is the leading cause of preventable disease, disability, and death in the United States.

  • Every patient who uses tobacco should be offered cessation advice.

  • Use the 5 As for t...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×