Clinical Case Database / Category: Clinical Care

Smoking cessation

Publication details

Burhan Khan BSc, FCPS, John Rees MD, FRCP
Foundation Years Journal, volume 3, issue 6, p.22 (123Doc Education, London, July 2009)

Abstract

A 52-year-old accountant has recently been diagnosed with chronic obstructive pulmonary disease (COPD). He has smoked 20 cigarettes per day (cpd) since he was 18 years old.

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Authors

Burhan Khan BSc, FCPS

Specialist Registrar Respiratory Medicine
St Thomas' Hospital

John Rees MD, FRCP

Consultant Physician
Guy's & St Thomas' NHS Foundation Trust
and Professor of Medical Education
King's College London School of Medicine

References

1. The WHO report on the global tobacco epidemic 2008. Geneva, World Health Organisation, 2008.
2. Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years' observation on male British doctors. BML, 2004, 328(7455):1519.
3. Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med, 2006, 3(11):e442. doi:10. 1371/journal.pmed.0030442
4. US Department of Health and Human Services. The health consequences of smoking: a report of the Surgeon General. Atlanta, US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2004 (available at http://www.cdc.gov/tobacco/data_statistics/sgr/sgr_2004/chapters.htm, accessed 5 February 2009.
5. Tønnesen P, Carrozzi L, Fagerström KO et al. ERS taskforce: Smoking cessation in patients with respiratory diseases: a high priority, integral component of therapy. Eur Respir J, 2007, 29:390–417.
6. Taioli E, Wynder EL. Effect of the age at which smoking begins on frequency of smoking in adulthood. NEJM, 1991, 325:968–969.
7. Watkins C, Daniels L, Jack C, Dickinson H, van der Broek M. Accuracy of a single question in screening for depression in a cohort of patients after stroke: comparative study. BMJ, 2001, 323:1159.
8. Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 1991, 86:1119–1127.
9. Fagerström KO. Time to first cigarette; the best single indicator of tobacco dependence. Monaldi Arch Chest Dis, 2003, 59:95–98.
10. Hays JT, Ebbert JO. Varenicline for tobacco dependence. N Engl J Med, 2008, 359:2018–2024.
11. NICE public health intervention guidance – Brief interventions and referral for smoking cessation in primary care and other settings. Public Health Intervention Guidance no.1. March 2006.
12. Smoking cessation services in primary care, pharmacies, local authorities and workplaces, particularly for manual working groups, pregnant women and hard to reach communities. NICE public health guidance 10 February 2008.
13. West R, McNeill A, Raw M. Smoking cessation guidelines for health professionals: an update. Thorax, 2000, 55:987–999.
14. Guidance on the use of nicotine replacement therapy (NRT) and bupropion for smoking cessation. NICE technology appraisal no. 39, 2002.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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