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            1 => "Treatment"
            2 => "Efficacy"
            3 => "Continued abstinence"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p class="elsevierStyleSimplePara elsevierViewall">To present the short&#44; medium and long-term results of a stop-smoking clinic after 5 years of experience&#46; The clinic was designed following the SEPAR Recommendations&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">Two types of clinic protocols have been applied&#58; individual and group&#46; Both offered of a combination of psychological intervention and pharmacological treatment&#46; The programme included 10 visits over 12 months&#46; The pharmacological treatment consisted of&#58; nicotine replacement therapy &#40;NRT&#41; or bupropion or varenicline or a combination&#46; The psychological intervention consisted of&#58; self-monitoring&#44; coping skills&#44; cognitive-behavioural therapy and social intra-treatment support&#46; The treatment was always offered for free&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 3920 patients were seen in the clinic&#46; These patients made 21&#44;418 clinic visits&#46; 1850 smokers who attended the clinic consecutively between January 2004 and March 2007 were monitored&#46; Their mean age was 47&#46;83 &#40;&#177;11&#46;03&#41; and the mean Fagerstr&#246;m Test for Nicotine Dependence &#40;FTND&#41;-score was 6&#46;56 &#40;&#177;2&#46;41&#41;&#46; 55&#46;9&#37; patients received NRT&#44; 22&#46;8&#37; bupropion&#44; 18&#46;9&#37; varenicline and 2&#46;4&#37; did not receive any pharmacological treatment&#46; Continuous abstinence rates at 6 and 12 months follow up were 58&#46;5&#37; and 54&#46;9&#37;&#44; respectively&#46; These abstinence rates at 36 and 57 months follow ups were 42&#37; and 35&#37;&#44; respectively&#46; The cost in medication for each patient was 118 euros and the cost in medication for a successful abstainer at 6&#44; 12&#44; 36&#44; and 57 months of follow up were 202&#44; 215&#44; 281 and 338 euros&#44; respectively&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">A stop-smoking clinic that is designed according to SEPAR&#46; Good&#44; cost-effective results in the short&#44; medium and long-term&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El objetivo del presente art&#237;culo es presentar los resultados asistenciales y de gasto farmac&#233;utico de una unidad especializada en tabaquismo &#40;UET&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se aplicaron 2 protocolos asistenciales&#58; individual y grupal&#46; En ambos casos se oferta una combinaci&#243;n de tratamiento farmacol&#243;gico y psicol&#243;gico en 10 consultas&#44; a lo largo de 12 meses de seguimiento&#46; Como tratamiento farmacol&#243;gico se emplea&#58; tratamiento sustitutivo con nicotina&#44; bupropi&#243;n o vareniclina&#44; o una combinaci&#243;n de ellos&#46; El tratamiento psicol&#243;gico contempla&#58; realizaci&#243;n de autorregistros&#44; identificaci&#243;n de situaciones de alto riesgo&#44; t&#233;cnicas de afrontamiento&#44; t&#233;cnicas cognitivo-conductuales y apoyo intratratamiento&#46; En todos los casos el tratamiento fue gratuito&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se han realizado 21&#46;418 consultas sanitarias a un total de 3&#46;920 fumadores &#40;un 49&#37; varones&#41;&#46; Se analiza una muestra constituida por 1&#46;850 fumadores que acudieron consecutivamente a la UET entre enero de 2004 y marzo de 2007&#46; Su edad media &#40;&#177; desviaci&#243;n est&#225;ndar&#41; era de 47&#44;83&#177;11&#44;03 a&#241;os&#44; y la puntuaci&#243;n media del test de Fagerstr&#246;m&#44; 6&#44;56&#177;2&#44;41&#46; El 55&#44;9&#37; recibi&#243; tratamiento sustitutivo con nicotina&#44; el 22&#44;8&#37; bupropi&#243;n&#44; el 18&#44;9&#37; vareniclina y un 2&#44;4&#37; no recibi&#243; tratamiento farmacol&#243;gico&#46; La abstinencia continua a los 6 y 12 meses de seguimiento fue del 58&#44;5 y el 54&#44;9&#37;&#44; respectivamente&#46; Estas cifras fueron del 42 y el 35&#37; a los 36 y 57 meses de seguimiento&#46; El coste en f&#225;rmacos por paciente atendido fue de 118 &#63;&#44; y el coste por fumador atendido que consigui&#243; mantenerse abstinente a los 6&#59; 12&#59; 36&#44; y 57 meses fue de 202&#59; 215&#59; 281&#44; y 338 &#63;&#44; respectivamente&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Una UET obtiene buenos resultados asistenciales y econ&#243;micos a corto&#44; medio y largo plazo&#46;</p>"
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Vol. 45. Issue 11.
Pages 540-544 (November 2009)
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Vol. 45. Issue 11.
Pages 540-544 (November 2009)
Original article
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Care Results in a Specialist Stop-Smoking Unit
Resultados asistenciales de una unidad especializada en tabaquismo
Visits
3926
Carlos A. Jiménez Ruiz
Corresponding author
victorina@ctv.es

Corresponding author.
, Marisa Mayayo Ulibarri, Ana Cicero Guerrero, Noelia Amor Besada, Juan José Ruiz Martín, Maribel Cristóbal Fernández, Jenaro Astray Mochales
Unidad Especializada en Tabaquismo, Comunidad de Madrid, Madrid, Spain
This item has received
Article information
Abstract
Background and objective

To present the short, medium and long-term results of a stop-smoking clinic after 5 years of experience. The clinic was designed following the SEPAR Recommendations.

Patients and methods

Two types of clinic protocols have been applied: individual and group. Both offered of a combination of psychological intervention and pharmacological treatment. The programme included 10 visits over 12 months. The pharmacological treatment consisted of: nicotine replacement therapy (NRT) or bupropion or varenicline or a combination. The psychological intervention consisted of: self-monitoring, coping skills, cognitive-behavioural therapy and social intra-treatment support. The treatment was always offered for free.

Results

A total of 3920 patients were seen in the clinic. These patients made 21,418 clinic visits. 1850 smokers who attended the clinic consecutively between January 2004 and March 2007 were monitored. Their mean age was 47.83 (±11.03) and the mean Fagerström Test for Nicotine Dependence (FTND)-score was 6.56 (±2.41). 55.9% patients received NRT, 22.8% bupropion, 18.9% varenicline and 2.4% did not receive any pharmacological treatment. Continuous abstinence rates at 6 and 12 months follow up were 58.5% and 54.9%, respectively. These abstinence rates at 36 and 57 months follow ups were 42% and 35%, respectively. The cost in medication for each patient was 118 euros and the cost in medication for a successful abstainer at 6, 12, 36, and 57 months of follow up were 202, 215, 281 and 338 euros, respectively.

Conclusions

A stop-smoking clinic that is designed according to SEPAR. Good, cost-effective results in the short, medium and long-term.

Keywords:
Specialist stop smoking unit
Treatment
Efficacy
Continued abstinence
Drug costs
Resumen
Introducción

El objetivo del presente artículo es presentar los resultados asistenciales y de gasto farmacéutico de una unidad especializada en tabaquismo (UET).

Pacientes y métodos

Se aplicaron 2 protocolos asistenciales: individual y grupal. En ambos casos se oferta una combinación de tratamiento farmacológico y psicológico en 10 consultas, a lo largo de 12 meses de seguimiento. Como tratamiento farmacológico se emplea: tratamiento sustitutivo con nicotina, bupropión o vareniclina, o una combinación de ellos. El tratamiento psicológico contempla: realización de autorregistros, identificación de situaciones de alto riesgo, técnicas de afrontamiento, técnicas cognitivo-conductuales y apoyo intratratamiento. En todos los casos el tratamiento fue gratuito.

Resultados

Se han realizado 21.418 consultas sanitarias a un total de 3.920 fumadores (un 49% varones). Se analiza una muestra constituida por 1.850 fumadores que acudieron consecutivamente a la UET entre enero de 2004 y marzo de 2007. Su edad media (± desviación estándar) era de 47,83±11,03 años, y la puntuación media del test de Fagerström, 6,56±2,41. El 55,9% recibió tratamiento sustitutivo con nicotina, el 22,8% bupropión, el 18,9% vareniclina y un 2,4% no recibió tratamiento farmacológico. La abstinencia continua a los 6 y 12 meses de seguimiento fue del 58,5 y el 54,9%, respectivamente. Estas cifras fueron del 42 y el 35% a los 36 y 57 meses de seguimiento. El coste en fármacos por paciente atendido fue de 118 ?, y el coste por fumador atendido que consiguió mantenerse abstinente a los 6; 12; 36, y 57 meses fue de 202; 215; 281, y 338 ?, respectivamente.

Conclusiones

Una UET obtiene buenos resultados asistenciales y económicos a corto, medio y largo plazo.

Palabras clave:
Unidad especializada en tabaquismo
Tratamiento
Eficacia
Abstinencia continua
Gasto en fármacos
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