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Clinical reviews: Smoking cessation

Even smoking some days increases risk of premature death

25 Jun 2021Registered users

Individuals who do not smoke every day have a significantly higher risk of all-cause mortality compared with those who have never smoked. For those who smoke daily, the mortality risk increases as the number of cigarettes smoked increases, a large study from the USA has found.

Smokers’ dependence on cigarettes has decreased over the past decade

24 Nov 2020Registered users

Between 2008 and 2017 smokers appear to have become less dependent on cigarettes but also less likely to try to quit or cut down. For those who tried to quit, fewer used behavioural support and more used pharmacological support, a study has found.

Nausea may affect adherence to varenicline

24 Sep 2020Registered users

Nausea during the first few weeks of varenicline therapy may reduce adherence, a study from North America has found. The authors analysed data on 870 adults receiving varenicline in two smoking cessation trials conducted at multiple sites in Canada and the USA.

E-cigarette pilot study helps smokers quit

22 Jun 2020Paid-up subscribers

More than a third of smokers who completed a pilot study of e-cigarettes as a smoking cessation aid quit smoking.

Tailor smoking cessation advice to the patient

20 Dec 2019Paid-up subscribers

Effectiveness of smoking cessation aids varies between different types of smokers, a survey-based UK study has found. The data presented in this large, representative sample may provide useful information for GPs and other treatment providers in tailoring quit smoking advice to individual patients.

 

Editorials

Smoking still the leading cause of preventable illness and early death

20 Dec 2018Registered users

A steady decline in cigarette smoking in adults between 1993 and 2017 and a decrease in the number of both men and women drinking at harmful levels between 2011 and 2017 are key findings from the Health Survey for England (HSE) 2017. Nevertheless, smoking remains the leading cause of preventable illness and premature death and alcohol remains a causal factor in numerous medical and mental health conditions, including cancer, cirrhosis, hypertension, depression, and accidents and injuries.

Risk of acute STEMI significantly increased in younger smokers

23 Jan 2017Registered users

Smoking is associated with an eight-fold increased risk of acute ST-segment elevation myocardial infarction (STEMI) in those under 50 compared with former and never smokers, a UK study has found.

 

Special reports

GPs have key role in helping patients to stop smoking

23 May 2012Paid-up subscribers

18% of all deaths in adults aged 35 or over in England are still attributable to smoking. Almost all these premature deaths could be avoided if smokers stopped before their mid-thirties but only a quarter of people who have ever smoked regularly manage to quit by this age. GP advice is one of the most important triggers to a smoker making an attempt to quit. Evidence shows that offering help to all smokers is easier, quicker and likely to be more effective than just advising smokers to stop or asking whether they are interested in quitting.