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Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Women: U.S. Preventive Services Task Force Recommendation StatementUSPSTF Recommendation Statement for Interventions for Tobacco Smoking Cessation

Ces articles présentent respectivement les recommandations de l'"U.S. Preventive Services Task Force" en matière de sevrage tabagique chez l'adulte, notamment chez les femmes enceintes, ainsi qu'une revue de la littérature (54 revues) sur l'efficacité de la cigarette électronique, des conseils comportementaux et/ou des traitements pharmaceutiques (traitement substitutif nicotinique, bupropion, varénicline) pour arrêter le tabagisme

Description: Update of the 2009 U.S. Preventive Services Task Force (USPSTF) recommendation on counseling and interventions to prevent tobacco use and tobacco-related disease in adults, including pregnant women.Methods: The USPSTF reviewed the evidence on interventions for tobacco smoking cessation that are relevant to primary care (behavioral interventions, pharmacotherapy, and complementary or alternative therapy) in adults, including pregnant women.Population: This recommendation applies to adults aged 18 years or older, including pregnant women.Recommendations: The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration–approved pharmacotherapy for cessation to adults who use tobacco. (A recommendation)The USPSTF recommends that clinicians ask all pregnant women about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation to pregnant women who use tobacco. (A recommendation)The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of pharmacotherapy interventions for tobacco cessation in pregnant women. (I statement)The USPSTF concludes that the current evidence is insufficient to recommend electronic nicotine delivery systems for tobacco cessation in adults, including pregnant women. The USPSTF recommends that clinicians direct patients who smoke tobacco to other cessation interventions with established effectiveness and safety (previously stated). (I statement)

Annals of Internal Medicine , article en libre accès, 2014

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