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. Author manuscript; available in PMC: 2020 Dec 14.
Published in final edited form as: Circulation. 2019 Mar 17;140(11):e596–e646. doi: 10.1161/CIR.0000000000000678

Recommendations for Treatment of Tobacco Use.

Referenced studies that support recommendations are summarized in Online Data Supplements 15 and 16.

COR LOE Recommendations
I A 1. All adults should be assessed at every healthcare visit for tobacco use and their tobacco use status recorded as a vital sign to facilitate tobacco cessation.S4.5-1
I A 2. To achieve tobacco abstinence, all adults who use tobacco should be firmly advised to quit.S4.5-2
I A 3. In adults who use tobacco, a combination of behavioral interventions plus pharmacotherapy is recommended to maximize quit rates.S4.5-2,S4.5-3
I B-NR 4. In adults who use tobacco, tobacco abstinence is recommended to reduce ASCVD risk.S4.5-4,S4.5-5
IIa B-R 5. To facilitate tobacco cessation, it is reasonable to dedicate trained staff to tobacco treatment in every healthcare system.S4.5-1
III: Harm B-NR 6. All adults and adolescents should avoid secondhand smoke exposure to reduce ASCVD risk.S4.5-6