Smoking Cessation > Direct Effectiveness of Intervention/Counseling on Clinical Outcomes Author: Kumanan Wilson, MD
Editorial changes - 2009-11-18
Author information and module status
Key Points
Population at Risk
Effectiveness/Harms of Counseling or Intervention on Changing Behavior
Effectiveness/Harms of Behavior Change on Clinical Outcomes
Direct Effectiveness of Intervention/Counseling on Clinical Outcomes
Timeline
Cost-Effectiveness
Patient Education
Referral/Consultation
Guidelines
Tables
References
What's New
Patient Information
Additional Resources
Tools
Quality Measures Quality Measures
Recommendation
Know that smoking cessation programs have been shown to reduce surrogate outcomes such as decline in FEV1.A

Evidence:

  • A randomized clinical trial of a smoking cessation program was conducted among 5887 smokers with mild chronic obstructive lung disease. The cessation rate was 35% in the active intervention group and 20% in the usual care group. Sustained quitters had a 5-year decline in FEV1 of 72 mL compared to a decline of 301 mL among participants who continued to smoke. During the first 3 years of follow-up, sustained quitters had an improvement in their FEV1 from baseline (15).

Comments:

  • None.

FAQs
Edward Ellerbeck, MD, MPH, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Kumanan Wilson, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott.

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