Evidence based guidelines for tobacco

Smoking remains a leading cause of disease and premature death in the United States. Reduction in illness, disability, and death related to tobacco usage is a Healthy People 2010 goal. Research indicates that smokers who receive assistance with cessation are more likely to have success. Nurse practitioners can assist smokers by implementing interventions based upon clinical practice guidelines The NCCN Guidelines for Smoking Cessation joins a library of 10 additional NCCN Guidelines for Supportive Care, which comprise evidence-based treatment recommendations for supportive care areas including, but not limited to adult cancer pain, antiemesis, cancer- and treatment-related anemia and infections, fatigue, distress management Nicotine Replacement Therapy (NRT) A variety of formulations of nicotine replacement therapies (NRTs) now exist, including the transdermal nicotine patch, nicotine spray, nicotine gum, and nicotine lozenges. Because nicotine is the main addictive ingredient in tobacco, the rationale for NRT is that stable low levels of nicotine will prevent withdrawal symptoms—which often drive continued 1.1 Commissioning and providing stop smoking interventions and services to meet local needs . These recommendations are for commissioners and managers of stop smoking services.. 1.1.1 Use sustainability and transformation plans, health and wellbeing strategies, and any other relevant local strategies and plans to ensure evidence-based stop smoking interventions and services are available for The AAFP supports the U.S. Preventive Services Task Force (USPSTF) clinical preventive service recommendation on tobacco use in adults. These guidelines are consistent with the Wisconsin Framework for Comprehensive School Health Programs, which provides guidance for a wide variety of effective school-based health, safety, and youth development programs and initiatives. Methods Staff searched for evidence of effectiveness for school-based tobacco programs using