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).