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Smoking cessation: which aids are worthwhile?

F W van den Berkmortel1, G P Bootsma, Y F Heijdra

  • 1Department of Medicine, Division of General Internal Medicine, University Medical Centre, St. Radboud, Geert Grooteplein 8, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.

The Netherlands Journal of Medicine
|November 7, 2000
PubMed
Summary

Smoking cessation is a major public health challenge. Combining supportive counseling with nicotine replacement or bupropion chloride offers the most effective strategy for smokers to quit successfully.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Addiction Medicine

Background:

  • Smoking remains a significant preventable health risk in Western societies, particularly in the Netherlands.
  • It is a leading cause of mortality from lung cancer (86%) and cardiovascular disease (36%).
  • Despite these risks, approximately 33% of the Dutch population continues to smoke, with low success rates (2%) for unaided quitting after physician advice.

Purpose of the Study:

  • To review and evaluate various aids available for smoking cessation.
  • To identify the most effective interventions for supporting individuals attempting to quit smoking.

Main Methods:

  • A comprehensive overview of existing smoking cessation aids was conducted.
  • Effectiveness data for supportive schedules, nicotine replacement therapy, and bupropion chloride were analyzed.

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Main Results:

  • Supportive schedules demonstrated long-term effectiveness in 5-10% of subjects.
  • Nicotine replacement therapy showed effectiveness in 3-13% of subjects.
  • Bupropion chloride proved effective in 11-15% of subjects.

Conclusions:

  • The combination of supportive counseling with either nicotine substitutes or bupropion chloride represents the most effective intervention for smoking cessation.
  • Widespread implementation of this strategy could significantly reduce morbidity, including a 50% reduction in myocardial infarction risk, and mortality rates in the Netherlands.