Volume 17 Issue 3 September 2008Discussion Paper
IPCRG Consensus statement: Tackling the smoking epidemic - practical guidance for primary care
Pages 185-193
*C.P. Onno van Schaycka, Hilary Pinnockb, Anders Østremc, John Littd, Ron Tomlinse, Siân Williamsf, Johan Buffelsg, Dimitri Giannopoulosh,i, Svein Henrichsenj, Janneke Kaperk, Oleksiy Korzhl, Ana Morán Rodriguezm, Sehmi Kawaldipn, Nick Zwaro, Hakan Yamanp
a
Care and Public Health Research Institute (Caphri), Maastricht University, The Netherlands
b
Allergy & Respiratory Research Group, Division of Community Health Sciences:GP Section, University of Edinburgh, Scotland, UK
c
Gransdalen Legesenter, Oslo, Norway
d
Department of General Practice, Flinders University, Flinders Medical Centre, Adelaide, South Australia
e
Discipline of General Practice, Western Clinical School, University of Sydney, Australia
f
Executive Officer, IPCRG, London, UK
g
Research Associate and General Practitioner, Department of General Practice, K.U.Leuven, Leuven, Belgium
h
Amaliada's Hospital, Health Center of Varda, Vouprasia, Greece
i
Department of General Practice, Saint Andrews General Hospital, Patras, Greece
j
Langbolgen Legesenter, Oslo, Norway
k
HAG, Care and Public Health Research Institute (Caphri), Maastricht University, The Netherlands
l
Kharkov, Ukraine
m
Bahía de Cádiz Primary Care District, Critical Care and Emergency Devices (DCCU), Spain
n
QUIT, London, UK
o
University of NSW, General Practice Unit, Fairfield Hospital, New South Wales, Australia
p
Department of Family Medicine, University of Akdeniz, Antalya, Turkey
Received 7 February 2008 • Accepted 21 July 2008 • Online 5 September 2008
Abstract
Tobacco use will become the world’s foremost cause of premature death and disability within 20 years unless current trends are reversed.
Many opportunities to reduce this epidemic are missed in primary care. This Discussion paper from the International Primary Care
Respiratory Group (IPCRG) – which reflects the IPCRG’s understanding of primary care practitioners’ needs – summarises a new approach
based on strong evidence for effective interventions.
All primary care health professionals can increase smoking cessation rates among their patients, even when time and resources are
limited. Medical and non-medical staff can support patients who choose to quit by providing information, referral to telephone
counselling services, and behavioural counselling using motivational interviewing techniques, where resources permit. Drug therapy to
manage nicotine dependence can significantly improve patients’ chances of quitting successfully, and is recommended for people who
smoke 10 or more cigarettes per day. All interventions should be tailored to the individual’s circumstances and attitudes.
Keywords
Smoking cessation, primary care, general practice, international, practical guidance, guideline implementation, tobacco control, tobacco dependence, IPCRG
* Corresponding author. C.P. Onno van Schayck Tel: +31 43 388 2152 Email: Onno.vanSchayck@HAG.unimaas.nl | |
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