An evidence-based programme for smoking cessation: effectiveness in routine general practice.

摘要: BACKGROUND: Smoking cessation clinical practice guidelines are based on randomised trials reporting outcomes in persons who participate these studies. However, many practitioners sceptical about the effectiveness of recommendations when applied to general population everyday routine consultation. AIM: To evaluate results a comprehensive smoking programme primary care practice. METHOD: All smokers consulting 10 practices during one year participated non-randomised controlled trial. The percentages subjects intervention (n = 1203, seven practices) and control 565, three groups reported sustained abstinence between six 12 months follow-up were validated biochemically compared. effect was adjusted baseline differences both by multiple logistic regression analyses. RESULTS: resulted an increase five percentage points (95% CI 3.1%-6.8%) one-year probability, with 7.1% for all (adjusted OR 3.7, 95% 2.4-5.7). CONCLUSION: Programmes that combine advice stop attending offering support, follow-up, nicotine patches those willing feasible effective practice, as clinicians need only identify 20 get additional success attributable programme.