Winter 2008-2009 - Mayo Clinic

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success rate is 28 percent after a year. Some patients who are hospitalized at Mayo Clinic for another reason are treated simultaneously for tobacco use. Approximately 32 percent of those patients are tobacco-free one year later. This compares with the average success rate of 3 percent to 5 percent for people who try to quit tobacco use without treatment. “We’re proud of our success, but we’re relentless in the pursuit of new ways to help patients,” says Ivana Croghan, Ph.D., coordinator of research programs at the Nicotine Cigarette smoking accounts for 90 percent of lung cancer cases. Dependence Center and an associate professor of medicine. “We have conducted more than 180 research studies in the last 20 years, and we try to quickly translate what we learn into better patient care. We have been instrumental in testing many of the current treatments, including nicotine replacement products — patches, gum, inhaler, nasal spray vaccine, lozenges; bupropion, varenicline, gabapentin, herbal medication and combinations of medications. We have worked with various forms of tobacco dependence, including chewing tobacco; different types of users, including adolescents, young adults, adults and Alaskan natives; and concurrent medical conditions including ADHD, COPD, cancer and alcoholism.” Nicotine Dependence Center Mayo Clinic’s Nicotine Dependence Center was one of the first in the country to focus exclusively on treating patients who have tobacco dependence. Since 1988 when it opened, the center has treated more than 40,000 patients. Treatment usually combines counseling and medication. Specialists trained in motivational interviewing help patients build upon their strengths to succeed. An eight-day residential treatment program is effective with patients who have tried other methods without success. Education The Nicotine Dependence Center has educated more than 8,500 health care professionals about evidence-based treatment. Participants in these education programs have included physicians, nurse practitioners, physician assistants, dentists, psychologists, chemical dependency counselors, respiratory therapists, nurses, social workers and other professionals. In 2009, the Nicotine Dependence Center will begin offering classes via webcast. The center also offers an intensive five-day course for health care providers who work with tobacco-dependent patients. Successful completion earns providers the Tobacco Treatment Specialist Certification. The Science of Quitting: Visitors to the Center for Tobacco-Free Living learn that the key components for treating tobacco dependence are counseling and medications, including nicotine-replacement therapy and other prescription drugs. Treatment with medication can more than double an individual’s chances of quitting. 12 | Mayo Alumni Winter 2009
Center for Tobacco-Free Living Research The Nicotine Dependence Center’s research program has made notable contributions to the field of addiction research and tobacco dependence interventions. Initially focused on nicotine replacement therapy trials, the research program has expanded to include behavioral interventions for tobacco users, population-based epidemiological studies, research to determine the cost-effectiveness of various interventions, outcomes research, and tobacco company document research. Mayo researchers have conducted more than 75 randomized clinical trials involving more than 10,000 research participants. The program continues to grow through investigator-initiated peer-reviewed grants and sponsored research. Investigators from the program have published more than 100 peer-reviewed articles in the last 10 years. To learn more about treatment or training programs, visit ndc.mayo.edu. The Mayo Clinic Nicotine Dependence Center: • Has treated more than 40,000 people in its outpatient and residential programs, or in the hospital setting. More than 1,000 patients from six countries, 48 states and the District of Columbia have been treated in the residential program. • Has attracted more than 8,500 providers from around the world to its educational courses. • Has enrolled people from more than 35 states and eight countries in its Tobacco Treatment Specialist Certification Program. • Has hosted an annual International Tobacco Dependence Conference for 15 years. • Educates Rochester-area students and teachers about health and well-being. • Has made presentations to medical providers around the world. “In my more than 30 years at Mayo Clinic, this project has been the most creative I’ve been involved with. The team involved had boundless energy and unimaginable creativity.” Richard Hurt, M.D. Director: Richard Hurt, M.D. Coordinator of treatment programs: Michael Burke, Ed.D. Coordinator of education programs: Sheila Stevens Coordinator of research programs: Ivana Croghan, Ph.D. www.mayo.edu/alumni | 13
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Page 21 and 22: R. Wynn Kearney, M.D.* Mankato, Min
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Winter 2008-2009 - Mayo Clinic

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