Universität zu Köln

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 ORCID: 0000-0001-7617-0266 and Petersen, Kay Uwe (2022). S3 Guideline Smoking and Tobacco Dependence: Screening, Diagnosis, and Treatment - Short Version. Eur. Addict. Res., 28 (5). S. 382 - 401. BASEL: KARGER. ISSN 1421-9891

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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 dependence on tobacco products remains an important health-related task in Germany. Regular updating of the Association of the Scientific Medical Societies (AWMF) S3 guideline 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 experts, who were involved in the development process of the text, in 11 working groups. Undue influence of conflicts of interest on the guideline could be minimized through careful conflict of interest management. 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 counseling and support services. If, due to the severity of the tobacco-related disorder, brief counseling, telephone counseling, or internet- or smartphone-based methods are not sufficiently effective, individual or group behavioral 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 medication with 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 reached a value of 98%. A general overview of the treatment recommendations of the Tobacco Guideline is provided by three clinical algorithms. (C) 2022 S. Karger AG, Basel.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Batra, Anil UNSPECIFIED UNSPECIFIED UNSPECIFIED Kiefer, Falk UNSPECIFIED UNSPECIFIED UNSPECIFIED Andreas, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Gohlke, Helmut UNSPECIFIED UNSPECIFIED UNSPECIFIED Klein, Marianne UNSPECIFIED UNSPECIFIED UNSPECIFIED Kotz, Daniel UNSPECIFIED orcid.org/0000-0002-9454-023X UNSPECIFIED Mons, Ute UNSPECIFIED orcid.org/0000-0003-1764-6783 UNSPECIFIED Muehlig, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Poetschke-Langer, Martina UNSPECIFIED UNSPECIFIED UNSPECIFIED Preuss, Ulrich W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruether, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED Rustler, Christa UNSPECIFIED UNSPECIFIED UNSPECIFIED Thomasius, Rainer UNSPECIFIED UNSPECIFIED UNSPECIFIED Ulbricht, Sabina UNSPECIFIED orcid.org/0000-0001-7617-0266 UNSPECIFIED Petersen, Kay Uwe UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-693523
DOI:	10.1159/000525265
Journal or Publication Title:	Eur. Addict. Res.
Volume:	28
Number:	5
Page Range:	S. 382 - 401
Date:	2022
Publisher:	KARGER
Place of Publication:	BASEL
ISSN:	1421-9891
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Substance Abuse; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/69352