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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Smoking is one of the main environmental factors involved in the pathogenesis of rheumatoid arthritis &#40;RA&#41; and is also associated with an increased incidence of rheumatoid nodules<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> and&#44; in general&#44; a greater need for conventional and biologic treatment&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> To this we must add the extra risk of cardiovascular events in RA&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> We conducted a survey of Spanish rheumatology departments to evaluate the approach to smoking cessation advice by rheumatologists&#46; The survey was completed by department heads and consisted of the following components&#58; &#40;a&#41; number of physicians&#44; &#40;b&#41; number of nurses involved in patient education&#44; &#40;c&#41; cessation of smoking advice given to patients by the physician &#40;most physicians&#44; only some of the physicians&#44; none of them&#41;&#44; &#40;d&#41; counseling by the nurse &#40;to the majority of smokers&#44; some smokers&#44; none&#41;&#44; &#40;e&#41; the manner in which smoking cessation counseling is given by physicians and nurses &#40;simple display&#44; structured information for at least 3<span class="elsevierStyleHsp" style=""></span>min&#41;&#44; &#40;f&#41; existence of consensus in the department on how to give verbal and written information to patients&#44; and &#40;g&#41; the existence of addiction clinics in the hospital&#46; The survey was sent to 30 centers and was completed by 28&#46; The geographic distribution covered 17 provinces and 11 Spanish regions&#46; In one third of the centers only some physicians advised smoking cessation and&#44; in the rest&#44; most of the physicians did &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; In two thirds of the services patient education nurses were available&#44; and advised most patients on smoking cessation&#46; The way that doctors and nurses advised smoking cessation was simply stating the fact in most centers&#46; The nurses dedicated to patient education on tobacco addiction had specific office areas in 2 centers &#40;13&#37;&#41;&#46; 22 cases &#40;78&#37;&#41; provided a specific clinic for smokers in the hospital or other related areas&#46; It is known that with an explicit verbal and written message from the physician up to 5&#37;&#8211;10&#37; of smokers ceased smoking in the months following the visit&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> and spontaneous dropouts were estimated around 2&#37;&#8211;3&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Medical advice is the best cost&#47;effectiveness intervention&#44; although it has been observed that when the indication of quitting smoking is simple advice&#44; the efficiency is low&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Keep in mind that most of the patient records&#44; but not all&#44; pick up smoking habits&#46; Moreover&#44; if the physician is a smoker he may not give medical advice or do a less effective job than the doctor who is a non-smoker&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> Our results show that&#44; although there is information about the harmful effect of tobacco in patients with arthritis&#44; the way it used is not optimal&#46; Departments need to be aware of how cheap and easy it is to give structured advice by physicians and nurses to all smokers&#44; and that when several healthcare professionals deliver the message&#44; efficiency is greater than when given by a single person&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> summarizes the generic standard advise for the cessation of smoking by patients&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;9</span></a> In conclusion&#44; we must insist the rheumatologists advise patients of the need for smoking cessation&#44; especially those with arthritis&#44; connective tissue disease&#44; and osteoporosis&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Thank You</span><p id="par0010" class="elsevierStylePara elsevierViewall">To doctors Jos&#233; J&#46; P&#233;rez-Venegas &#40;Hospital de Jerez&#41;&#44; Patricia E&#46; Carreira &#40;Hospital 12 de Octubre&#41;&#44; Carlos Marras &#40;Hospital Arrixaca&#41;&#44; Santiago Mu&#241;oz &#40;Hospital Infanta Sof&#237;a&#41;&#44; Pilar Ahijado &#40;Hospital Infanta Elena&#41;&#44; Antonio Fern&#225;ndez-Nebro &#40;Hospital Carlos Haya&#41;&#44; V&#237;ctor Mart&#237;nez-Taboada &#40;Hospital Valdecilla&#41;&#44; Javier de Toro &#40;Hospital A Coru&#241;a&#41;&#44; Jos&#233; Luis Andreu &#40;Hospital Puerta de Hierro-Majadahonda&#41;&#44; Federico Navarro &#40;Hospital Virgen Macarena&#41;&#44; Rafael C&#225;liz &#40;Hospital Virgen de las Nieves&#41;&#44; Joan M&#46; Nolla &#40;Hospital de Bellvitge&#41;&#44; Javier Ballina &#40;Hospital Central de Asturias&#41;&#44; Raimon Sanmarti &#40;Hospital Cl&#237;nic&#41;&#44; Indalecio Monteagudo &#40;Hospital Gregorio Mara&#241;&#243;n&#41;&#44; Sagrario Bustabad &#40;Hospital Universitario de Canarias&#41;&#44; Jos&#233; Rosas &#40;Hospital de Villajoyosa&#41;&#44; Jes&#250;s Tornero &#40;Hospital de Guadalajara&#41;&#44; Jos&#233; Luis Alvarez &#40;Hospital Infanta Cristina&#41;&#44; Julio Medina &#40;Hospital de Palencia&#41;&#44; Isidoro Gonz&#225;lez Alvaro &#40;Hospital La Princesa&#41;&#44; Pere Benito &#40;Hospital del Mar&#41;&#44; Julio Garc&#237;a Feito &#40;Hospital Torrec&#225;rdenas&#41;&#44; Juan J&#46; Alegre &#40;Hospital Dr&#46; Peset&#41;&#44; Eugenio de Miguel &#40;Hospital La Paz&#41; and Jos&#233; Luis Marenco &#40;Hospital de Valme&#41;&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">To nurses Amelia Carbonell &#40;Hospital San Juan-Alicante&#41;&#44; Isabel Padr&#243; &#40;Hospital del Mar&#41; and Encarnaci&#243;n Roncal &#40;Hospital La Paz&#41;&#46;</p></span></span>"
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                  \t\t\t\t  " colspan="3" align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Nurses</span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments with nurses for patient education&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments in which the nurse counsels for cessation of smoking&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">66&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments in which the nurse gives structured advice<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
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          "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Based on P&#233;rez Trull&#233;n and Marr&#243;n<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> and Raw et al&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a></p>"
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                  \t\t\t\t">&#40;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Should be given by both the rheumatologist and the nurse&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">General rules&#58;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;<span class="elsevierStyleItalic">c</span>&#41; Should not be mixed with other health habit advice&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;<span class="elsevierStyleItalic">d</span>&#41; Emphasize beneficial aspects of smoking cessation instead of negative ones&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;<span class="elsevierStyleItalic">e</span>&#41; Ideal moment is at the end of a visit&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Verbal information should be serious&#44; simple&#44; clear and short&#44; 3&#8211;5<span class="elsevierStyleHsp" style=""></span>min being enough time&#46; It should be personalized and systematic&#44; in other words&#44; with a minimum of structured content for all patients&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Reading material should be given for consultation at any given moment&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">A programmed future follow up may be performed&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">It is optional to determine the degree of tobacco dependency &#40;Fagestr&#246;m test&#41; and the degree of motivation to stop smoking &#40;Richmond test&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Refractory cases may be sent to a specialized clinic&nbsp;\t\t\t\t\t\t\n
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                      "titulo" => "Smokers and non smokers with rheumatoid arthritis have similar clinical status&#58; data from the multinational QUEST-RA database"
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                            2 => "I&#46; Guimaraes da Silveira"
                            3 => "J&#46; Lazovskis"
                            4 => "M&#46;L&#46; Hetland"
                            5 => "H&#46; Hamoud"
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                            0 => "W&#46; Katchamart"
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                            2 => "H&#46;J&#46; Lin"
                            3 => "V&#46; Phumethum"
                            4 => "C&#46; Salliot"
                            5 => "C&#46; Bombardier"
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Letter to the Editor
Advice by the Rheumatologist on Quitting Smoking: Are We Doing Well With Smokers?
Consejo del reumatólogo sobre deshabituación tabáquica: ¿estamos actuando adecuadamente con los pacientes fumadores?
Antonio Naranjo
Corresponding author
anarher@gobiernodecanarias.org

Corresponding author.
, Ana Bilbao, César García de Llanos
Servicio de Reumatología, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Smoking is one of the main environmental factors involved in the pathogenesis of rheumatoid arthritis &#40;RA&#41; and is also associated with an increased incidence of rheumatoid nodules<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> and&#44; in general&#44; a greater need for conventional and biologic treatment&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> To this we must add the extra risk of cardiovascular events in RA&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> We conducted a survey of Spanish rheumatology departments to evaluate the approach to smoking cessation advice by rheumatologists&#46; The survey was completed by department heads and consisted of the following components&#58; &#40;a&#41; number of physicians&#44; &#40;b&#41; number of nurses involved in patient education&#44; &#40;c&#41; cessation of smoking advice given to patients by the physician &#40;most physicians&#44; only some of the physicians&#44; none of them&#41;&#44; &#40;d&#41; counseling by the nurse &#40;to the majority of smokers&#44; some smokers&#44; none&#41;&#44; &#40;e&#41; the manner in which smoking cessation counseling is given by physicians and nurses &#40;simple display&#44; structured information for at least 3<span class="elsevierStyleHsp" style=""></span>min&#41;&#44; &#40;f&#41; existence of consensus in the department on how to give verbal and written information to patients&#44; and &#40;g&#41; the existence of addiction clinics in the hospital&#46; The survey was sent to 30 centers and was completed by 28&#46; The geographic distribution covered 17 provinces and 11 Spanish regions&#46; In one third of the centers only some physicians advised smoking cessation and&#44; in the rest&#44; most of the physicians did &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; In two thirds of the services patient education nurses were available&#44; and advised most patients on smoking cessation&#46; The way that doctors and nurses advised smoking cessation was simply stating the fact in most centers&#46; The nurses dedicated to patient education on tobacco addiction had specific office areas in 2 centers &#40;13&#37;&#41;&#46; 22 cases &#40;78&#37;&#41; provided a specific clinic for smokers in the hospital or other related areas&#46; It is known that with an explicit verbal and written message from the physician up to 5&#37;&#8211;10&#37; of smokers ceased smoking in the months following the visit&#44;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> and spontaneous dropouts were estimated around 2&#37;&#8211;3&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Medical advice is the best cost&#47;effectiveness intervention&#44; although it has been observed that when the indication of quitting smoking is simple advice&#44; the efficiency is low&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Keep in mind that most of the patient records&#44; but not all&#44; pick up smoking habits&#46; Moreover&#44; if the physician is a smoker he may not give medical advice or do a less effective job than the doctor who is a non-smoker&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> Our results show that&#44; although there is information about the harmful effect of tobacco in patients with arthritis&#44; the way it used is not optimal&#46; Departments need to be aware of how cheap and easy it is to give structured advice by physicians and nurses to all smokers&#44; and that when several healthcare professionals deliver the message&#44; efficiency is greater than when given by a single person&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> summarizes the generic standard advise for the cessation of smoking by patients&#46;<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8&#44;9</span></a> In conclusion&#44; we must insist the rheumatologists advise patients of the need for smoking cessation&#44; especially those with arthritis&#44; connective tissue disease&#44; and osteoporosis&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Thank You</span><p id="par0010" class="elsevierStylePara elsevierViewall">To doctors Jos&#233; J&#46; P&#233;rez-Venegas &#40;Hospital de Jerez&#41;&#44; Patricia E&#46; Carreira &#40;Hospital 12 de Octubre&#41;&#44; Carlos Marras &#40;Hospital Arrixaca&#41;&#44; Santiago Mu&#241;oz &#40;Hospital Infanta Sof&#237;a&#41;&#44; Pilar Ahijado &#40;Hospital Infanta Elena&#41;&#44; Antonio Fern&#225;ndez-Nebro &#40;Hospital Carlos Haya&#41;&#44; V&#237;ctor Mart&#237;nez-Taboada &#40;Hospital Valdecilla&#41;&#44; Javier de Toro &#40;Hospital A Coru&#241;a&#41;&#44; Jos&#233; Luis Andreu &#40;Hospital Puerta de Hierro-Majadahonda&#41;&#44; Federico Navarro &#40;Hospital Virgen Macarena&#41;&#44; Rafael C&#225;liz &#40;Hospital Virgen de las Nieves&#41;&#44; Joan M&#46; Nolla &#40;Hospital de Bellvitge&#41;&#44; Javier Ballina &#40;Hospital Central de Asturias&#41;&#44; Raimon Sanmarti &#40;Hospital Cl&#237;nic&#41;&#44; Indalecio Monteagudo &#40;Hospital Gregorio Mara&#241;&#243;n&#41;&#44; Sagrario Bustabad &#40;Hospital Universitario de Canarias&#41;&#44; Jos&#233; Rosas &#40;Hospital de Villajoyosa&#41;&#44; Jes&#250;s Tornero &#40;Hospital de Guadalajara&#41;&#44; Jos&#233; Luis Alvarez &#40;Hospital Infanta Cristina&#41;&#44; Julio Medina &#40;Hospital de Palencia&#41;&#44; Isidoro Gonz&#225;lez Alvaro &#40;Hospital La Princesa&#41;&#44; Pere Benito &#40;Hospital del Mar&#41;&#44; Julio Garc&#237;a Feito &#40;Hospital Torrec&#225;rdenas&#41;&#44; Juan J&#46; Alegre &#40;Hospital Dr&#46; Peset&#41;&#44; Eugenio de Miguel &#40;Hospital La Paz&#41; and Jos&#233; Luis Marenco &#40;Hospital de Valme&#41;&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">To nurses Amelia Carbonell &#40;Hospital San Juan-Alicante&#41;&#44; Isabel Padr&#243; &#40;Hospital del Mar&#41; and Encarnaci&#243;n Roncal &#40;Hospital La Paz&#41;&#46;</p></span></span>"
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                  \t\t\t\t">64&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments with a verbal information protocol&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments with a structured verbal advice protocol<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments that have written rules and advice&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Nurses</span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments with nurses for patient education&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments in which the nurse counsels for cessation of smoking&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">66&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments in which the nurse gives structured advice<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
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          "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Based on P&#233;rez Trull&#233;n and Marr&#243;n<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> and Raw et al&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a></p>"
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                  \t\t\t\t">&#40;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Should be given by both the rheumatologist and the nurse&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">General rules&#58;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;<span class="elsevierStyleItalic">a</span>&#41; Simple advice in inefficacious&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">&#40;<span class="elsevierStyleItalic">b</span>&#41; Verbal and written advice must be given&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;<span class="elsevierStyleItalic">c</span>&#41; Should not be mixed with other health habit advice&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;<span class="elsevierStyleItalic">d</span>&#41; Emphasize beneficial aspects of smoking cessation instead of negative ones&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;<span class="elsevierStyleItalic">e</span>&#41; Ideal moment is at the end of a visit&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#40;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">Verbal information should be serious&#44; simple&#44; clear and short&#44; 3&#8211;5<span class="elsevierStyleHsp" style=""></span>min being enough time&#46; It should be personalized and systematic&#44; in other words&#44; with a minimum of structured content for all patients&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">Reading material should be given for consultation at any given moment&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#40;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">A programmed future follow up may be performed&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">It is optional to determine the degree of tobacco dependency &#40;Fagestr&#246;m test&#41; and the degree of motivation to stop smoking &#40;Richmond test&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Refractory cases may be sent to a specialized clinic&nbsp;\t\t\t\t\t\t\n
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                      "titulo" => "Smokers and non smokers with rheumatoid arthritis have similar clinical status&#58; data from the multinational QUEST-RA database"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            2 => "I&#46; Guimaraes da Silveira"
                            3 => "J&#46; Lazovskis"
                            4 => "M&#46;L&#46; Hetland"
                            5 => "H&#46; Hamoud"
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                        "tituloSerie" => "Clin Exp Rheumatol"
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                      "titulo" => "Predictors for remission in rheumatoid arthritis patients&#58; a systematic review"
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                          "etal" => false
                          "autores" => array:6 [
                            0 => "W&#46; Katchamart"
                            1 => "S&#46; Johnson"
                            2 => "H&#46;J&#46; Lin"
                            3 => "V&#46; Phumethum"
                            4 => "C&#46; Salliot"
                            5 => "C&#46; Bombardier"
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                  ]
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                    0 => array:1 [
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                        "paginaFinal" => "1143"
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                  "contribucion" => array:1 [
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                      "titulo" => "Prevalence of and predictive factors for sustained disease-modifying antirheumatic drug-free remission in rheumatoid arthritis&#58; results from two large early arthritis cohorts"
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                            3 => "B&#46;J&#46; Mertens"
                            4 => "R&#46;E&#46; Toes"
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                    0 => array:2 [
                      "doi" => "10.1002/art.24661"
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                      "titulo" => "Mortality in early inflammatory polyarthritis&#58; cardiovascular mortality is increased in seropositive patients"
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                            3 => "E&#46;M&#46; Barrett"
                            4 => "A&#46;J&#46; Silman"
                            5 => "D&#46;P&#46; Symmons"
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                      "doi" => "10.1002/art.10419"
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                      "titulo" => "Enfermedad cardiovascular en artritis reumatoide&#46; Importancia y tratamiento cl&#237;nico"
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Article information
ISSN: 21735743
Original language: English
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Idiomas
Reumatología Clínica (English Edition)
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