Le sevrage tabagique

Smoking, now considered a chronic disease remains a major public health problem. Tobacco, leading preventable cause of death, kills 5 million people a year worldwide and 73,000 in France each year. It is responsible for 9 lung cancers on 10. The decline of smoking in countries where tobacco control is effective, is associated with a lower incidence of lung cancer. The risk reduction is correlated with the precocity of smoking cessation. Many international and national guidelines on lung cancer management, strongly advise smoking cessation because greater treatment efficiency, improving of quality of life, reduced postoperative complications in case of thoracic surgery. Smoking is an addiction: the withdrawal is difficult and is often characterized by relapses. There are effective treatments: always associated with a psychological support, pharmacotherapies can help (nicotine replacement therapy in the first line, bupropion, varenicline in the second line and cognitive behavioral therapies. The role of healthcare professionals is fundamental. All caregivers should ask about smoking systematically, offer assistance, prescribe treatment, follow-up either himself or by the primary care physician or if necessary call the specialized structures in smoking cessation.