Guideline History

The U.S. Public Health Service Clinical Practice Guideline: Treating Tobacco Use and Dependence, is the gold standard for treating tobacco addiction. More than 5 million copies of guideline-related materials have been distributed in English, Spanish and other languages across the globe.

The original guideline, developed in 1996 by the Agency for Health Care Research and Quality (AHRQ), was updated in 2000 by a consortium that included AHRQ, NCI, NHLBI, NIDA, CDC, RWJF, American Legacy, and UW-CTRI researchers. AHRQ and UW-CTRI again led the group to publish another update in 2008.

The Guideline Editions
There have been three iterations of this guideline:

  1. 1996 – Initial Guideline; literature from 1975 -1995
    • Based on approximately 3,000 total research papers
    • For the complete text, click here
  2. 2000 – Revised Guideline; literature from 1975 -1999
    • Based on approximately 6,000 total research papers
    • For the complete text, click here
  3. 2008 - Updated Guideline; literature from 1975 – 2007
    • Based on approximately 8,700 total research papers
    • For the complete text in English, click here
    • For the complete text in Spanish, click here
For the 2008 update, Dr. Michael Fiore again served as the panel chair and Carlos Roberto Jaén served as vice chair. Dr. Tim Baker again served as the senior scientific advisor. The panel reviewed 6,000 articles before making recommendations for clinicians, healthcare providers, insurers, administrators, purchasers and others who play a role in smoking cessation.