special subjects
Smoking Cessation
Key Points
Most people who smoke want to quit and most make a quit attempt each year, but few remain smoke-free at 1 year. Evidence-based methods of smoking cessation increase the 1-year success rate. Evidence-based counseling methods include physician counseling and referral to support programs. Pharmacologic treatment (eg,varenicline, combinations ofnicotinereplacement products) is recommended for all patients interested in quitting, unless there is a contraindication (eg, pregnancy, < age 18, nondaily smoking, smoke-less tobacco use). 