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Smoking Cessation Advice and Help to Quit
US Preventive Services Task Force Recommendation

Clinicians should screen all adults to determine if they smoke or use other tobacco products, provide brief counseling, and offer patients nicotine replacement therapies and referrals to help them quit.

USPSTF Rating: "A" Recommendation


  • 20% of adults smoke1 and 1/3 of smokers will die prematurely as a result.2
  • Smoking results in more than $100 billion annually in medical costs.3
  • Smoking cessation counseling is cost saving.

This service's Technical Report (pdf) includes details on the literature used and approach taken to estimate this service's health impact and cost effectiveness.


  1. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System. 2004. [Web Page]; http://www.cdc.gov/brfss/. [Accessed 24 Mar 2006].
  2. Projected smoking-related deaths among youth--United States. MMWR Morb Mortal Wkly Rep 1996 Nov 8;45(44):971-4.
  3. Solberg, L. I.; Maciosek, M. V.; Edwards, N. M. Tobacco Cessation Screening and Brief Counseling. Technical Report Prepared for the National Commission on Prevention Priorities.2006.