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Rev. invest. clín ; 71(1): 7-16, Jan.-Feb. 2019. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1289665

RESUMEN

Abstract Background Smoking is considered an epidemic, indeed, one of the most important public health problems worldwide. It is also the most significant preventable cause of death, of a high number of premature deaths, and avoidable chronic diseases. It is considered an enormous economic burden for the world. Objective To provide an overview of smoking-cessation treatments, including pharmacological and psychological options, and to gather current scientific evidence available on them. Methods Research included reviewing publications from 2007-2018 in four databases using algorithms related to bupropion, varenicline, nicotine replacement therapy, smoking cessation, psychological treatment, motivational interview, cognitive-behavioral therapy and clinical guidelines for smoking treatment. Meta-analyses or systematic reviews and randomized or quasi-randomized trials were selected. We also included clinical guidelines for smoking treatment from Mexico and other countries. Results After refining the search, 37 articles met the criteria and were included in the review. The results were grouped by type of intervention. Conclusions It is necessary to conduct research on combinations of both kinds of treatment with an integral, multidisciplinary vision. Current standard for smoking cessation is a combined psychological and pharmacological treatment.


Asunto(s)
Humanos , Cese del Hábito de Fumar/métodos , Guías de Práctica Clínica como Asunto , Dispositivos para Dejar de Fumar Tabaco , Fumar/efectos adversos , Fumar/epidemiología , Terapia Cognitivo-Conductual/métodos , Ensayos Clínicos Controlados Aleatorios como Asunto , Cese del Hábito de Fumar/psicología , Bupropión/administración & dosificación , Entrevista Motivacional/métodos , Vareniclina/administración & dosificación , Agentes para el Cese del Hábito de Fumar/administración & dosificación , México
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