Abstinencia puntual y continuada con el tratamiento farmacológico del tabaquismo en la práctica clínica
Continuous and momentous tobacco assistance with pharmacologic therapy in clinical practice
Miguel Barrueco Ferreroa,
, Carlos Jiménez Ruizb, Luis Palomo Cobosc, Miguel Torrecilla Garcíad, Pedro Romero Palaciose, Juan Antonio Riesco Mirandaf
Autor para correspondencia
mibafe@telefonica.net
Correspondencia: Dr. M. Barrueco Ferrero. Servicio de Neumología. Hospital Universitario de Salamanca. P.o de San Vicente, 58-182. 37007 Salamanca. España.
Correspondencia: Dr. M. Barrueco Ferrero. Servicio de Neumología. Hospital Universitario de Salamanca. P.o de San Vicente, 58-182. 37007 Salamanca. España.
a Hospital Universitario. Salamanca.
b Unidad de Tabaquismo. Instituto de Salud Pública de la Comunidad de Madrid. Madrid.
c Centro de Salud de Coria. Coria. Cáceres.
d Centro de Salud San Juan. San Juan. Salamanca.
e Hospital General de Baza. Granada.
f Hospital San Pedro de Alcántara. San Pedro de Alcántara. Cáceres. España.
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"etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. M. Barrueco Ferrero. Servicio de Neumología. Hospital Universitario de Salamanca. P.o de San Vicente, 58-182. 37007 Salamanca. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Continuous and momentous tobacco assistance with pharmacologic therapy in clinical practice" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-02-16" "fechaAceptado" => "2004-06-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec222422" "palabras" => array:4 [ 0 => "Tratamiento sustitutivo de nicotina" 1 => "Bupropión" 2 => "Abstinencia puntual" 3 => "Abstinencia continuada" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec222423" "palabras" => array:4 [ 0 => "Nicotine replacement therapy" 1 => "Bupropion" 2 => "Punctual abstinence" 3 => "Continuous abstinence" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento y objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo del estudio ha sido valorar la eficacia comparada del tratamiento farmacológico del tabaquismo según los criterios establecidos por las recomendaciones de la Sociedad Española de Neumología y Cirugía Torácica (SEPAR).</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio multicéntrico, prospectivo y longitudinal en pacientes de edad superior a 18 años que acudieron a 5 consultas de tabaquismo, a quienes se pautó tratamiento según las recomendaciones del Área de Tabaquismo de la SEPAR. Se estudió la abstinencia puntual y continuada según el criterio de intención de tratar a los 15, 30, 60, 90 y 180 días con cada uno de los tratamientos propuestos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se incluyó a 904 fumadores (476 varones y 428 mujeres), con una edad (desviación estándar) media de 42,51 (10,09) años. De los 904 sujetos, acudieron a los controles programados 820, 776, 687, 719 y 679, respectivamente, que constituyen la población objeto de estudio. La abstinencia global puntual a los 15 y 180 días fue del 65,6 y del 43,1%, y la continuada fue del 57,4 y del 38,8% a los 2 y 6 meses, respectivamente. No se observaron diferencias significativas ni en la abstinencia puntual ni en la continuada entre los pacientes que recibieron tratamiento sustitutivo con nicotina, bupropión o ambos fármacos utilizados conjuntamente.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El tratamiento farmacológico del tabaquismo utilizado de forma individualizada según las recomendaciones de la guía clínica de la SEPAR permite obtener buenos resultados de abstinencia puntual y continuada. La eficacia de los distintos fármacos considerados como tratamiento de primera línea es similar en todas las fases del proceso terapéutico.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The objective of the study was to evaluate the effectiveness of the pharmacological treatment of tobacco dependence according to the criteria established by SEPAR.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Longitudinal, prospective and multicentre study. We included smokers aged more than 18 years who attended 5 smokers clinics and received nicotine replacement therapy (NRT), bupropion or both. The punctual and continuous abstinence was studied at the 15, 30, 60, 90 and 180 days with each one of the proposed treatments. Effective results were defined as the intention to treat.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">There were 904 smokers, 476 males and 428 females, mean age 42.51 (10.09). Of the 904 individuals who started the treatment, 820, 776, 687, 719 and 679 were present at the follow-up sessions at 15, 30, 60, 90 and 180 days, respectively. The punctual global abstinence at 15 and 180 days was 65.6% and 43.1%, while the continuous one was 57.4% and 38.8% at two and six months, respectively. Significant differences were not observed with regard to the punctual or continuous abstinence among patients treated with NRT, bupropion or both.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The pharmacological treatment of tobacco dependence used individually according to the recommendations of the clinical guidelines allows to obtain good results with regard to the momentous and continuous abstinence. The effectiveness of the different first line treatments is similar in all the phases of the therapeutic process.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliogróficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 2 | 2 |
| 2024 Septiembre | 0 | 4 | 4 |
| 2024 Agosto | 0 | 4 | 4 |
| 2024 Junio | 0 | 4 | 4 |
| 2024 Mayo | 0 | 6 | 6 |
| 2024 Abril | 0 | 15 | 15 |
| 2024 Marzo | 0 | 17 | 17 |
| 2024 Febrero | 0 | 2 | 2 |
| 2024 Enero | 0 | 3 | 3 |
| 2023 Diciembre | 0 | 10 | 10 |
| 2023 Noviembre | 0 | 21 | 21 |
| 2023 Octubre | 0 | 6 | 6 |
| 2023 Septiembre | 0 | 1 | 1 |
| 2023 Agosto | 0 | 8 | 8 |
| 2023 Julio | 0 | 38 | 38 |
| 2023 Junio | 0 | 2 | 2 |
| 2023 Mayo | 0 | 4 | 4 |
| 2023 Marzo | 1 | 4 | 5 |
| 2023 Febrero | 0 | 5 | 5 |
| 2023 Enero | 0 | 3 | 3 |
| 2022 Diciembre | 0 | 1 | 1 |
| 2022 Noviembre | 0 | 3 | 3 |
| 2022 Octubre | 1 | 9 | 10 |
| 2022 Septiembre | 0 | 5 | 5 |
| 2022 Agosto | 0 | 7 | 7 |
| 2022 Julio | 0 | 5 | 5 |
| 2022 Junio | 0 | 4 | 4 |
| 2022 Mayo | 0 | 4 | 4 |
| 2022 Abril | 0 | 8 | 8 |
| 2022 Febrero | 0 | 2 | 2 |
| 2022 Enero | 0 | 2 | 2 |
| 2021 Diciembre | 0 | 8 | 8 |
| 2021 Noviembre | 0 | 3 | 3 |
| 2021 Octubre | 0 | 1 | 1 |
| 2021 Agosto | 0 | 2 | 2 |
| 2021 Julio | 0 | 2 | 2 |
| 2021 Junio | 0 | 2 | 2 |
| 2021 Mayo | 0 | 2 | 2 |
| 2021 Febrero | 0 | 1 | 1 |
| 2021 Enero | 0 | 3 | 3 |
| 2020 Noviembre | 0 | 2 | 2 |
| 2020 Octubre | 0 | 1 | 1 |
| 2020 Septiembre | 0 | 4 | 4 |
| 2020 Agosto | 0 | 4 | 4 |
| 2020 Mayo | 0 | 9 | 9 |
| 2020 Abril | 0 | 3 | 3 |
| 2020 Marzo | 0 | 3 | 3 |
| 2020 Febrero | 0 | 9 | 9 |
| 2019 Diciembre | 0 | 15 | 15 |
| 2019 Noviembre | 0 | 7 | 7 |
| 2019 Octubre | 0 | 4 | 4 |
| 2019 Septiembre | 0 | 3 | 3 |
| 2019 Agosto | 0 | 4 | 4 |
| 2019 Julio | 0 | 2 | 2 |
| 2019 Junio | 0 | 8 | 8 |
| 2019 Mayo | 0 | 21 | 21 |
| 2019 Abril | 0 | 2 | 2 |
| 2019 Marzo | 0 | 1 | 1 |
| 2019 Febrero | 0 | 5 | 5 |
| 2019 Enero | 0 | 1 | 1 |
| 2018 Diciembre | 0 | 7 | 7 |
| 2018 Noviembre | 0 | 3 | 3 |
| 2018 Octubre | 0 | 14 | 14 |
| 2018 Septiembre | 0 | 1 | 1 |
| 2018 Agosto | 0 | 2 | 2 |
| 2018 Julio | 0 | 3 | 3 |
| 2018 Junio | 0 | 2 | 2 |
| 2018 Mayo | 0 | 1 | 1 |
| 2017 Octubre | 3 | 0 | 3 |
| 2017 Septiembre | 6 | 4 | 10 |
| 2017 Agosto | 14 | 3 | 17 |
| 2017 Julio | 5 | 0 | 5 |
| 2017 Junio | 4 | 12 | 16 |
| 2017 Mayo | 16 | 13 | 29 |
| 2017 Abril | 11 | 1 | 12 |
| 2017 Marzo | 18 | 22 | 40 |
| 2017 Febrero | 14 | 0 | 14 |
| 2017 Enero | 14 | 0 | 14 |
| 2016 Diciembre | 36 | 5 | 41 |
| 2016 Noviembre | 42 | 3 | 45 |
| 2016 Octubre | 63 | 3 | 66 |
| 2016 Septiembre | 28 | 4 | 32 |
| 2016 Agosto | 12 | 0 | 12 |
| 2016 Julio | 23 | 3 | 26 |
| 2016 Junio | 25 | 4 | 29 |
| 2016 Mayo | 26 | 6 | 32 |
| 2016 Abril | 15 | 5 | 20 |
| 2016 Marzo | 15 | 3 | 18 |
| 2016 Febrero | 17 | 5 | 22 |
| 2016 Enero | 25 | 6 | 31 |
| 2015 Diciembre | 18 | 2 | 20 |
| 2015 Noviembre | 31 | 2 | 33 |
| 2015 Octubre | 35 | 5 | 40 |
| 2015 Septiembre | 28 | 6 | 34 |
| 2015 Agosto | 24 | 2 | 26 |
| 2015 Julio | 26 | 2 | 28 |
| 2015 Junio | 14 | 0 | 14 |
| 2015 Mayo | 18 | 6 | 24 |
| 2015 Abril | 18 | 11 | 29 |
| 2015 Marzo | 28 | 8 | 36 |
| 2015 Febrero | 24 | 3 | 27 |
| 2015 Enero | 33 | 5 | 38 |
| 2014 Diciembre | 50 | 4 | 54 |
| 2014 Noviembre | 34 | 1 | 35 |
| 2014 Octubre | 33 | 1 | 34 |
| 2014 Septiembre | 44 | 2 | 46 |
| 2014 Agosto | 37 | 2 | 39 |
| 2014 Julio | 47 | 2 | 49 |
| 2014 Junio | 26 | 2 | 28 |
| 2014 Mayo | 27 | 2 | 29 |
| 2014 Abril | 19 | 2 | 21 |
| 2014 Marzo | 23 | 4 | 27 |
| 2014 Febrero | 28 | 5 | 33 |
| 2014 Enero | 34 | 3 | 37 |
| 2013 Diciembre | 26 | 1 | 27 |
| 2013 Noviembre | 24 | 4 | 28 |
| 2013 Octubre | 30 | 3 | 33 |
| 2013 Septiembre | 23 | 2 | 25 |
| 2013 Agosto | 26 | 1 | 27 |
| 2013 Julio | 19 | 1 | 20 |
| 2004 Noviembre | 886 | 0 | 886 |
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