Original article
Care Results in a Specialist Stop-Smoking Unit
Resultados asistenciales de una unidad especializada en tabaquismo
Carlos A. Jiménez Ruiz
, Marisa Mayayo Ulibarri, Ana Cicero Guerrero, Noelia Amor Besada, Juan José Ruiz Martín, Maribel Cristóbal Fernández, Jenaro Astray Mochales
Corresponding author
Unidad Especializada en Tabaquismo, Comunidad de Madrid, Madrid, Spain
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Jiménez Ruiz, Marisa Mayayo Ulibarri, Ana Cicero Guerrero, Noelia Amor Besada, Juan José Ruiz Martín, Maribel Cristóbal Fernández, Jenaro Astray Mochales" "autores" => array:7 [ 0 => array:4 [ "nombre" => "Carlos A." "apellidos" => "Jiménez Ruiz" "email" => array:1 [ 0 => "victorina@ctv.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Marisa Mayayo" "apellidos" => "Ulibarri" ] 2 => array:2 [ "nombre" => "Ana Cicero" "apellidos" => "Guerrero" ] 3 => array:2 [ "nombre" => "Noelia Amor" "apellidos" => "Besada" ] 4 => array:2 [ "nombre" => "Juan José Ruiz" "apellidos" => "Martín" ] 5 => array:2 [ "nombre" => "Maribel Cristóbal" "apellidos" => "Fernández" ] 6 => array:2 [ "nombre" => "Jenaro Astray" "apellidos" => "Mochales" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad Especializada en Tabaquismo, Comunidad de Madrid, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resultados asistenciales de una unidad especializada en tabaquismo" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-03-02" "fechaAceptado" => "2009-06-30" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec155506" "palabras" => array:5 [ 0 => "Specialist stop smoking unit" 1 => "Treatment" 2 => "Efficacy" 3 => "Continued abstinence" 4 => "Drug costs" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155507" "palabras" => array:5 [ 0 => "Unidad especializada en tabaquismo" 1 => "Tratamiento" 2 => "Eficacia" 3 => "Abstinencia continua" 4 => "Gasto en fármacos" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">A stop-smoking clinic that is designed according to SEPAR. Good, cost-effective results in the short, medium and long-term.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">El objetivo del presente artículo es presentar los resultados asistenciales y de gasto farmacéutico de una unidad especializada en tabaquismo (UET).</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Una UET obtiene buenos resultados asistenciales y económicos a corto, medio y largo plazo.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 6 | 12 |
| 2024 October | 26 | 23 | 49 |
| 2024 September | 28 | 19 | 47 |
| 2024 August | 44 | 41 | 85 |
| 2024 July | 23 | 25 | 48 |
| 2024 June | 26 | 19 | 45 |
| 2024 May | 32 | 27 | 59 |
| 2024 April | 15 | 24 | 39 |
| 2024 March | 19 | 14 | 33 |
| 2024 February | 12 | 18 | 30 |
| 2023 April | 0 | 2 | 2 |
| 2023 March | 1 | 1 | 2 |
| 2023 February | 11 | 26 | 37 |
| 2023 January | 15 | 34 | 49 |
| 2022 December | 26 | 31 | 57 |
| 2022 November | 17 | 27 | 44 |
| 2022 October | 22 | 31 | 53 |
| 2022 September | 20 | 25 | 45 |
| 2022 August | 20 | 28 | 48 |
| 2022 July | 23 | 34 | 57 |
| 2022 June | 20 | 27 | 47 |
| 2022 May | 20 | 35 | 55 |
| 2022 April | 11 | 15 | 26 |
| 2022 March | 26 | 42 | 68 |
| 2022 February | 20 | 30 | 50 |
| 2022 January | 13 | 39 | 52 |
| 2021 December | 26 | 60 | 86 |
| 2021 November | 15 | 49 | 64 |
| 2021 October | 20 | 56 | 76 |
| 2021 September | 20 | 63 | 83 |
| 2021 August | 15 | 36 | 51 |
| 2021 July | 13 | 30 | 43 |
| 2021 June | 16 | 48 | 64 |
| 2021 May | 24 | 25 | 49 |
| 2021 April | 42 | 48 | 90 |
| 2021 March | 18 | 18 | 36 |
| 2021 February | 11 | 16 | 27 |
| 2021 January | 19 | 22 | 41 |
| 2020 December | 16 | 22 | 38 |
| 2020 November | 6 | 5 | 11 |
| 2020 October | 19 | 7 | 26 |
| 2020 September | 6 | 4 | 10 |
| 2020 August | 33 | 6 | 39 |
| 2020 July | 29 | 14 | 43 |
| 2020 June | 12 | 3 | 15 |
| 2020 May | 31 | 13 | 44 |
| 2020 April | 21 | 10 | 31 |
| 2020 March | 28 | 13 | 41 |
| 2020 February | 23 | 9 | 32 |
| 2020 January | 13 | 14 | 27 |
| 2019 December | 13 | 11 | 24 |
| 2019 November | 8 | 10 | 18 |
| 2019 October | 12 | 6 | 18 |
| 2019 September | 15 | 5 | 20 |
| 2019 August | 13 | 4 | 17 |
| 2019 July | 8 | 16 | 24 |
| 2019 June | 7 | 4 | 11 |
| 2019 May | 10 | 9 | 19 |
| 2019 April | 19 | 17 | 36 |
| 2019 March | 12 | 17 | 29 |
| 2019 February | 12 | 9 | 21 |
| 2019 January | 3 | 10 | 13 |
| 2018 December | 16 | 12 | 28 |
| 2018 November | 27 | 13 | 40 |
| 2018 October | 28 | 16 | 44 |
| 2018 September | 8 | 7 | 15 |
| 2018 May | 4 | 0 | 4 |
| 2018 April | 10 | 7 | 17 |
| 2018 March | 5 | 4 | 9 |
| 2018 February | 7 | 6 | 13 |
| 2018 January | 7 | 9 | 16 |
| 2017 December | 3 | 8 | 11 |
| 2017 November | 6 | 2 | 8 |
| 2017 October | 8 | 6 | 14 |
| 2017 September | 4 | 6 | 10 |
| 2017 August | 11 | 11 | 22 |
| 2017 July | 9 | 5 | 14 |
| 2017 June | 5 | 7 | 12 |
| 2017 May | 5 | 2 | 7 |
| 2017 April | 5 | 5 | 10 |
| 2017 March | 5 | 4 | 9 |
| 2017 February | 4 | 1 | 5 |
| 2017 January | 3 | 5 | 8 |
| 2016 December | 8 | 2 | 10 |
| 2016 November | 12 | 9 | 21 |
| 2016 October | 6 | 8 | 14 |
| 2016 September | 3 | 5 | 8 |
| 2016 August | 7 | 6 | 13 |
| 2016 July | 7 | 4 | 11 |
| 2016 May | 1 | 0 | 1 |
| 2016 March | 11 | 0 | 11 |
| 2016 February | 4 | 0 | 4 |
| 2016 January | 6 | 0 | 6 |
| 2015 December | 4 | 0 | 4 |
| 2015 October | 24 | 15 | 39 |
| 2015 September | 25 | 11 | 36 |
| 2015 August | 16 | 7 | 23 |
| 2015 July | 23 | 6 | 29 |
| 2015 June | 24 | 4 | 28 |
| 2015 May | 44 | 6 | 50 |
| 2015 April | 20 | 15 | 35 |
| 2015 March | 12 | 4 | 16 |
| 2015 February | 16 | 4 | 20 |
| 2015 January | 16 | 5 | 21 |
| 2014 December | 19 | 6 | 25 |
| 2014 November | 19 | 7 | 26 |
| 2014 October | 37 | 7 | 44 |
| 2014 September | 20 | 11 | 31 |
| 2014 August | 20 | 12 | 32 |
| 2014 July | 18 | 6 | 24 |
| 2014 June | 44 | 13 | 57 |
| 2014 May | 44 | 8 | 52 |
| 2014 April | 44 | 5 | 49 |
| 2014 March | 41 | 9 | 50 |
| 2014 February | 36 | 6 | 42 |
| 2014 January | 26 | 8 | 34 |
| 2013 December | 27 | 6 | 33 |
| 2013 November | 21 | 4 | 25 |
| 2013 October | 17 | 8 | 25 |
| 2013 September | 29 | 7 | 36 |
| 2013 August | 31 | 12 | 43 |
| 2013 July | 40 | 8 | 48 |
| 2013 June | 27 | 8 | 35 |
| 2013 May | 25 | 4 | 29 |
| 2013 April | 7 | 3 | 10 |
| 2013 March | 6 | 1 | 7 |
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