Vídeo 3 -_slides_de_soporte
6
The first law of smoking cessation E = N x S For a given population: - E is the number of ex-smokers created in a given time period - N is the number of smokers who try to stop - S is the probability of success in those who try
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Transcript of Vídeo 3 -_slides_de_soporte
The first law of smoking cessation
E = N x SFor a given population:
- E is the number of ex-smokers created in a given time period
- N is the number of smokers who try to stop
- S is the probability of success in those who try
Revisión Cochrane sobre el consejo médico breve
Stead et al 2008, Cochrane• Very brief advice: N = 13,724• More extensive advice: N = 1,254• 95% confidence intervals from meta-analyses
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Very brief advice More extensive advice
El asesoramiento simple tiene un efecto pequeñosobre las tasas de abandono del hábito de fumar. Sise asume una tasa de abandono del hábito sinasistencia del 2% al 3%, una intervención deasesoramiento breve puede aumentar el abandonodel hábito 1% a 3% más.
Stead LF, Bergson G, Lancaster T Asesoramiento médico para el abandono del hábito de fumar (Revisión Cochrane traducida). En: La Biblioteca Cochrane Plus, 2008 Número 4. Oxford: Update Software
Ltd. Disponible en: http://www.update-software.com. (Traducida de The Cochrane Library, 2008 Issue 3. Chichester, UK: John Wiley & Sons, Ltd.).
Medications: efficacyStead et al 2008, Cahillet et al 2012, Cochrane• Vareniciline: N=6,166• Singue NRT: N=51,265• Dual NRT: 4,664• NRT for “reduce to quit”: N = 3,429• 95% confidence intervals from meta-analyses
Hugues et al 2008, Cahillet et al 2012, Cochrane• Bupropion: 11,440• Nortripyline: N=975• Cytisine: N = 937• 95% confidence intervals from meta-analyses
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Varenicline Single form NRT Dual form NRT NRT for 'reduce to quit'
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Bupropion Nortriptyline Cytisine
Behavioural support: efficacy
Depends crucially on the specific intervention
Generaly found to be effective
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Telephone Individual Group Internet Text messaging Written materials
Stead et al 2012, Cochrane₁• Pro-active telephone vs reactive:
N=24,994• Individual vs brief advice: N=7,855• Group vs self-hep: N=4,375• Internet vs nothing: N=2,960• Text messaging versus control
messages: N=9,110• Written materials: N=15,117• 95% confidence intervals from
meta-analyses
INTERVENCIÓN EFICACIA ASEQUIBILIDAD PRACTICABILIDAD
Consejo breve + +++ ++
NRT simple ++ ++ ++
NRT dual +++ + ++
Vareniciclina +++ + ++
Bupropion ++ ++ ++
Nortriptilina ++ ++ +
Citisina ++ +++ +++
Presencial ++ + +
Teléfono ++ + ++
Mensajes ++ +++ ++
Material por escrito
+ +++ +
Internet + +++ +
