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Revista médica de Chile

Print version ISSN 0034-9887

Abstract

CORVALAN B., María Paz et al. Clinical Practice Guidelines for Smoking Cessation. Rev. méd. Chile [online]. 2017, vol.145, n.11, pp.1471-1479. ISSN 0034-9887.  http://dx.doi.org/10.4067/s0034-98872017001101471.

Considering that a high proportion of the Chilean general population smokes, the Chilean Society of Respiratory Diseases in collaboration with the Chilean Societies of Cardiology and, Endocrinology and Diabetes, formed an interdisciplinary group, who issued a set of recommendations for the treatment of the smoker, methodologically advised by experts. These interventions should be prioritized in high-risk groups.

Methods

The panel elaborated and graded the recommendations following the GRADE methodology. To assess the effect of each intervention, systematic reviews and randomized clinical trials were identified. In addition, a search of studies done with the Chilean population was carried out. For each of the questions, the panel determined the direction and strength of the recommendation through a decision evidence table.

Recommendations

For all smokers, the panel recommends using brief counseling ABC on non-intervention, using mobile telephone interventions on non-intervention, using text message on non-intervention, (strong recommendation; moderate certainty in the evidence of the effects). For motivated individuals, with indication for quitting drugs the panel recommends using nicotine replacement therapy on non-intervention, using bupropion on non-intervention, using varenicline on non-intervention. (strong recommendation; moderate certainty in the evidence of the effects).

Discussion

This clinical practice guide provides recommendations based on the evidence for smoking cessation.

Keywords : Smoking cessation; tobacco use disorder; varenicline; burpopion; nicotine; counseling.

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