2015
DOI: 10.1055/s-0035-1555610
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Smoking Cessation in Chronic Obstructive Pulmonary Disease

Abstract: Smoking cessation is the most effective strategy for slowing down the progression of chronic obstructive pulmonary disease (COPD) and reducing mortality in the approximately 50% of patients with diagnosed COPD who continue to smoke. While behavioral interventions (including simple advice) have modest efficacy in improving smoking quit rates, the combination of counseling and pharmacotherapy is more effective than either alone. When combined with even brief counseling, nicotine replacement therapy (NRT), buprop… Show more

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Cited by 84 publications
(65 citation statements)
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“…nicotine replacement therapy, buproprion, and varenecline) in combination with counseling have been shown to promote abstinence in COPD patients who smoke, the relapse rate is very high compared to smokers in the general population [17]. Unsuccessful smoking cessation and relapses are more frequently reported in COPD patients [18, 19], mainly because of their higher pack-year history, greater degree of nicotine dependence, inferior motivation to quit, and increased risk for depressive symptoms [20].…”
Section: Introductionmentioning
confidence: 99%
“…nicotine replacement therapy, buproprion, and varenecline) in combination with counseling have been shown to promote abstinence in COPD patients who smoke, the relapse rate is very high compared to smokers in the general population [17]. Unsuccessful smoking cessation and relapses are more frequently reported in COPD patients [18, 19], mainly because of their higher pack-year history, greater degree of nicotine dependence, inferior motivation to quit, and increased risk for depressive symptoms [20].…”
Section: Introductionmentioning
confidence: 99%
“…It is clear beyond doubt that stopping smoking is the best strategy for avoiding disease progression, and reduces mortality by 50% compared to COPD patients who continue to smoke. 9 For many years now, home oxygen therapy has been accepted as a strategy which prolongs survival in patients with advanced COPD and severe hypoxemia (basal oxygen arterial pressure<55 mmHg). This scientific evidence comes from the results of 2 large controlled studies which were presented at the beginning of the 1980s: the British Medical Research Council, and the North American Nocturnal Oxygen Therapy Trial (NOTT), as indicated in the revised SEPAR guidelines (2014).…”
Section: Factors Related With Improved Copd Survivalmentioning
confidence: 99%
“…In outpatient settings, healthcare providers have about a 3% success rate in simply telling patients to quit. 27 Tips for improving rates of smoking cessation include reporting lung age to patients, explaining spirometry results, and combining behavioral and pharmacologic therapies. 27 Pulmonary rehabilitation is often underused but has been found to be an effective treatment for many patients with COPD.…”
Section: Hospital Dischargementioning
confidence: 99%
“…27 Tips for improving rates of smoking cessation include reporting lung age to patients, explaining spirometry results, and combining behavioral and pharmacologic therapies. 27 Pulmonary rehabilitation is often underused but has been found to be an effective treatment for many patients with COPD. Pulmonary rehabilitation can decrease respiratory symptoms, improve quality of life, and reduce patient anxiety related to COPD symptoms.…”
Section: Hospital Dischargementioning
confidence: 99%