Batra, Anil, Kiefer, Falk, Andreas, Stefan, Gohlke, Helmut, Klein, Marianne, Kotz, Daniel ORCID: 0000-0002-9454-023X, Mons, Ute ORCID: 0000-0003-1764-6783, Muehlig, Stephan, Poetschke-Langer, Martina, Preuss, Ulrich W., Ruether, Tobias, Rustler, Christa, Thomasius, Rainer, Ulbricht, Sabina and Petersen, Kay Uwe (2021). German Guideline for Smoking and Tobacco Dependence: Screening, Diagnosis and Treatment, Update 2021 - Short Version. Sucht, 67 (2). S. 55 - 76. BERN 9: VERLAG HANS HUBER HOGREFE AG. ISSN 1664-2856

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Abstract

Introduction: In addition to the prevention of tobacco consumption, the establishment and assurance of high-quality treatment for harmful use and dependance on tobacco products remains an important health-related task in Germany. Regular updating of the AWMF-S3Guideline,Smoking and Tobacco Dependence: Screening, Diagnosis and Treatment (Tobacco Guideline) offers a sustainable and reputable source of knowledge on smoking cessation. Methods: Under the auspices of the German Society for Psychiatry, Psychotherapy, Psychosomatics and Neurology (DGPPN) and the German Society for Addiction Research and Addiction Therapy (DG-Sucht), the Tobacco Guideline was revised in 2019-2020 by 63 people, who were involved in the development process of the text, in 11 working groups. Through careful COI management, the influence of conflicts of interest could be minimised. Delegates from 50 professional societies discussed the 80 guideline recommendations and voted online. Results: In addition to recommendations for screening and diagnostics, the Tobacco Guideline takes a positive stance towards the use of low-threshold counselling and support services. If, due to the severity of the tobacco-related disorder, brief counselling, telephone counselling or internet- or smartphone-based methods are not sufficiently effective, individual or group behavioural therapy, possibly in combination with medication, is indicated. If nicotine replacement therapy is not effective, varenicline or bupropion should be offered. Alternative strategies with a lower level of recommendation are hypnotherapy, mindfulness-based treatments or cytisine. In adolescents and pregnant women, the use of medication should be limited to well-specified exceptions and nicotine replacement. The mean agreement with the recommendations reaches a value of 98 %. A general overview of the treatment recommendations of the Tobacco Guideline is provided by three clinical algorithms.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Batra, AnilUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kiefer, FalkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Andreas, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gohlke, HelmutUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klein, MarianneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kotz, DanielUNSPECIFIEDorcid.org/0000-0002-9454-023XUNSPECIFIED
Mons, UteUNSPECIFIEDorcid.org/0000-0003-1764-6783UNSPECIFIED
Muehlig, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Poetschke-Langer, MartinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Preuss, Ulrich W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ruether, TobiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rustler, ChristaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thomasius, RainerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ulbricht, SabinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Petersen, Kay UweUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-602982
DOI: 10.1024/0939-5911/a000703
Journal or Publication Title: Sucht
Volume: 67
Number: 2
Page Range: S. 55 - 76
Date: 2021
Publisher: VERLAG HANS HUBER HOGREFE AG
Place of Publication: BERN 9
ISSN: 1664-2856
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
Substance AbuseMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/60298

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