Addressing Smoking in Musculoskeletal Specialty Care

Abstract

Physicians who advise patients to quit smoking substantially improve cessation rates, but cessation counseling is currently underperformed.Counseling, pharmacotherapy, and additional interventions can improve the chance of successful smoking cessation. Most patients require multiple attempts at quitting to be successful.A list of referral contacts and resources should be developed and routinely offered to these patients. The national Quitline (1-800-QUIT-NOW) provides free access to trained counselors and “quit coaches” for each state program in the United States.Government and private insurance plans in the United States are required (in most cases) to cover the cost of 2 quitting attempts per year including counseling referrals and medications.Several biopsychosocial factors that affect orthopaedic outcomes (weight, anxiety, depression, etc.) are also relevant to smoking cessation; management of these factors is thus potentially aggregately advantageous.

Attitudes and influencing factors associated with smoking cessation: An online cross-sectional survey in China

“…Smoking addiction is very difficult resulting in a high rate of relapse 20 , therefore, multiple quit attempts are often required 21 . Evidence has been presented that the number of quit attempts increased the likelihood of relapse 22 .…”

“…According to a previous study, 70% of smokers believed that intention was both a necessary and sufficient condition for successful quitting 19 . Smoking addiction is very difficult resulting in a high rate of relapse 20 , therefore, multiple quit attempts are often required 21 . Evidence has been presented that the number of quit attempts increased the likelihood of relapse 22 .…”