Identifying and treating patients who use tobacco : action steps for clinicians
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Identifying and treating patients who use tobacco : action steps for clinicians

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      To reduce the burden of heart attack and stroke in the United States, the U.S. Department of Health and Human Services launched Million Hearts®. The goal of this initiative is to prevent 1 million heart attacks and strokes by 2017 by implementing proven and effective interventions in clinical settings and communities. Million Hearts® brings together communities, health systems, nonprofit organizations, federal agencies, and private-sector partners from across the country to fight heart disease and stroke. Smoking is one of the leading causes of heart disease and stroke, accounting for 32% of coronary heart disease deaths.1 Although the proportion of U.S. adults who smoke cigarettes has steadily decreased over the past 50 years, to approximately 17% in 2014, large disparities in smoking rates remain across racial/ethnic groups, socioeconomic statuses, and geographic areas and among people with mental health and substance use disorders.1,2,3 About 36.5 million U.S. adults continue to smoke cigarettes, resulting in about 480,000 smoking-related deaths each year in the United States.1,2 At least 70% of cigarette smokers see a clinician annually,4 and most want to quit.4,5 However, fewer than 25% of tobacco users leave a health care visit with evidence-based counseling and medication.6 The purpose of this document is to provide evidence-based, tested tobacco use identification and intervention strategies for busy clinicians. These strategies were gathered from the published scientific literature, including the U.S. Public Health Service–sponsored Clinical Practice Guideline Treating Tobacco Use and Dependence: 2008 Update.4 Million Hearts® is a U.S. Department of Health and Human Services initiative that is co-led by the Centers for Disease Control and Prevention and the Centers for Medicare & Medicaid Services, with the goal of preventing one million heart attacks and strokes by 2017. Suggested citation: Centers for Disease Control and Prevention. Identifying and Treating Patients Who Use Tobacco: Action Steps for Clinicians. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2016. Tobacco-Cessation-Action-Guide.pdf
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