Recomendaciones en el abordaje diagnóstico y terapéutico del tabaquismo. Documento de consenso

Ruiz, CA Jiménez; Ferrero, Miguel Barrueco; Reina, S Solano; García, M. Ángeles; Grandal, F. Domínguez; Muñoz, JL Díaz-Maroto; Moreno, Javier; Amorós, E. de la Cruz; Muela, Ricardo Abengózar

doi:10.1157/13042417

Cited by 22 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Developing standardized recommendations for future studies (Table 4) may be advisable. For instance, future studies could quantify the number of daily cigarettes and total duration of tobacco consumption to establish a general classification (64), or use the Packs/year index (PPI) (65) to assess the risk of developing tobacco-related diseases and the probability of quitting smoking. Although these parameters are relatively simple to obtain, they have limitations in establishing differences between smokers in terms of the actual amount of tobacco consumed.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Cigarette smoking and risk of suicide in bipolar disorder: a systematic review

et al. 2023

View full text Add to dashboard Cite

ObjectiveBipolar disorder (BD) is a highly prevalent, chronic and recurrent mental illness. The smoking rates in patients with BD are much higher than those of the general population, and BD is associated with an increased risk of suicide. An association between smoking and suicidal behavior has been found in the general population, this systematic review examines whether there is evidence of an association between smoking and suicide behavior in patients with BD.MethodA database search was carried out in Medline, Embase, The Cochrane Library, Scopus, and Web of Science, updated until December 31st, 2021, according to the 2020 PRISMA guidelines. We identified prospective and retrospective studies that included patients diagnosed with BD types I, II, and not otherwise specified, and in which smoking and suicidal behavior were correlated. Articles that focused exclusively on other mental disorders were excluded. The Ottawa-Newcastle scale was used to assess the methodological quality of the included articles.ResultsFifteen articles (n = 7,395) met all the inclusion criteria. In nine of these articles, the authors found an association between smoking and suicidal behavior in BD, while in the remaining six articles, this association was not found. A great deal of variability was observed between articles, particularly in the measurement of suicidal behavior and tobacco consumption. The risk of bias, as assessed by the NOS, was high for most of the included articles, except for two papers, whose risk was low.ConclusionIt was not possible to establish a clear relationship between tobacco use and the risk of suicide in BD patients due to the heterogeneity of the articles included in this systematic review, which had different sample sizes and methodological issues. However, both conditions are highly prevalent and have a negative impact on the prognosis of BD. Therefore, a systematic approach is needed, based on accurate measurement of a patient’s smoking habits and their risk of suicidal behavior, in order to establish an appropriate therapeutic plan.Additional informationThis research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors and was registered on PROSPERO with the CRD42022301570 on January 21th 2022.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Values Interpretation Advantages Inconveniences Index of packages/year (IPA) (65) [(No. of cig/d x no.…”

Section: Instrumentmentioning

confidence: 99%

Cigarette smoking and risk of suicide in bipolar disorder: a systematic review

et al. 2023

View full text Add to dashboard Cite

show abstract

“…In general, abstinence rates increase with the intensity of the intervention, the time used in the intervention and the number and diversity of contacts with the healthcare professional, including follow-up visits [4,15]. Health interventions in tobacco consumption can be considered to have a low cost in relation to the quality and years of life gained.…”

Section: Introductionmentioning

confidence: 99%

Cluster randomized trial in smoking cessation with intensive advice in diabetic patients in primary care. ITADI Study

Roig¹,

Perez²,

Prieto

et al. 2010

BMC Public Health

View full text Add to dashboard Cite

BackgroundIt is a priority to achieve smoking cessation in diabetic smokers, given that this is a group of patients with elevated cardiovascular risk. Furthermore, tobacco has a multiplying effect on micro and macro vascular complications. Smoking abstinence rates increase as the intensity of the intervention, length of the intervention and number and diversity of contacts with the healthcare professional during the intervention increases. However, there are few published studies about smoking cessation in diabetics in primary care, a level of healthcare that plays an essential role in these patients. Therefore, the aim of the present study is to evaluate the effectiveness of an intensive smoking cessation intervention in diabetic patients in primary care.Methods/DesignCluster randomized trial, controlled and multicentric. Randomization unit: Primary Care Team. Study population: 546 diabetic smokers older than 14 years of age whose disease is controlled by one of the primary care teams in the study. Outcome Measures: Continuous tobacco abstinence (a person who has not smoked for at least six months and with a CO level of less than 6 ppm measured by a cooximeter) , evolution in the Prochaska and DiClemente's Transtheoretical Model of Change, number of cigarettes/day, length of the visit. Point of assessment: one- year post- inclusion in the study. Intervention: Brief motivational interview for diabetic smokers at the pre-contemplation and contemplation stage, intensive motivational interview with pharmacotherapy for diabetic smokers in the preparation-action stage and reinforcing intevention in the maintenance stage. Statistical Analysis: A descriptive analysis of all variables will be done, as well as a multilevel logistic regression and a Poisson regression. All analyses will be done with an intention to treatment basis and will be fitted for potential confounding factors and variables of clinical importance. Statistical packages: SPSS15, STATA10 y HLM6.DiscussionThe present study will try to describe the profile of a diabetic smoker who receives the most benefit from an intensive intervention in primary care. The results will be useful for primary care professionals in their usual clinical practice.Trial RegistrationClinical Trials.gov Identifier: NCT00954967

show abstract