Skip to main content

Tobacco Use and Smoking Cessation

Felix B. Chang, MD, DABMA, FAAMA and Daniel Molinar, MD Reviewed 06/2018
 


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 sniffed, sucked, or chewed.

  • Nicotine sourc...

DIAGNOSIS

HISTORY

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

  • Type and quantity of tobacco used

  • Pack-years = packs/day × years

  • Awareness of health risks

  • Assess interes...

TREATMENT

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

Provider recommending smoking cessation at every clin...

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. [Vie...

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...

SEE ALSO

Nicotine Addiction; Substance Use Disorders 

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 smoking cessation.

  • Use the 5 As for ...

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.

×