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tobacco use: 6 chewing tobacco, 1 pipe, 1 cigar. Of the 19 current smokers, discussions regarding cessation were documented in only 13 (68%). Ten of these patients (77%) accepted medical cessation therapy (6 nicotine patches, 4 nicotine gum/lozenges, and 2 varenicline). Conclusion: 1. The majority of H&N cancer patients in our practice are former smokers. 2. Current smokers made up 17% of our population, which is similar to the overall smoking rate of Oregon adults (17.7% in 2012). 3. All patients need to be asked about smoking history and clinic staff need to be prepared to discuss cessation strategies. The majority of current smokers are ready to discuss cessation and accept therapy.

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