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Revista chilena de enfermedades respiratorias

versión On-line ISSN 0717-7348

Resumen

CORVALAN B., María Paz et al. Clinical Practice Guidelines for Smoking Cessation. Rev. chil. enferm. respir. [online]. 2017, vol.33, n.3, pp.167-175. ISSN 0717-7348.  http://dx.doi.org/10.4067/s0717-73482017000300167.

Considering that Chilean population has a high tobacco consumption history, 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.

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

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