480,000 Premature deaths per year with 3-5 times increase in all-cause mortality in smokers vs non-smokers
$289 billion in extra costs
17.8% of adults smoke
Quitting smoking before 40 years old reduced smoking-related mortality by 90%.
Cancer patients who quit at time of diagnosis reduce their risk of dying by 30-40%
Nicotine and addiction:
Physiologic withdrawal can last for 6 weeks
The physicians role- Ask, Advise, Assess (motivational interviewing), Assist (behavioral therapies, nicotine replacement, pharmacologic therapies), Arrange (bringing the patient back)