Sales, Maria Penha UchoaAraújo, Alberto José deChatkin, José MiguelGodoy, Irma dePereira, Luiz Fernando FerreiraCastellano, Maria Vera Cruz de OliveiraMinamoto, Suzana Erico TanniAlmeida, Adriana Ávila deChatkin, GustavoSilva, Luiz Carlos Côrrea da SilvaGonçalves, Cristina Maria CantarinoBotelho, ClóvisSantos, Ubiratan PaulaViegas, Carlos Alberto de AssisSestelo, Maristela RodriguesMeireles, Ricardo Henrique SampaioCorrêa, Paulo César Rodrigues PintoOliveira, Maria Eunice Moraes deReichert, JonatasLima, Mariana SilvaSilva, Celso Antonio Rodrigues da2020-04-282020-04-282019SALES, M. P. U. et al. Update on the approach to smoking in patients with respiratory diseases. Jornal Brasileiro de Pneumologia, v. 45, n. 3, p. e20180314, jun. 2019. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132019000300400>. Acesso em: 10 fev. 2020.1806-3713http://www.repositorio.ufop.br/handle/123456789/12119Smoking is the leading cause of respiratory disease (RD). The harmful effects of smoking on the respiratory system begin in utero and influence immune responses throughout childhood and adult life. In comparison with “healthy” smokers, smokers with RD have peculiarities that can impede smoking cessation, such as a higher level of nicotine dependence; nicotine withdrawal; higher levels of exhaled carbon monoxide; low motivation and low self-efficacy; greater concern about weight gain; and a high prevalence of anxiety and depression. In addition, they require more intensive, prolonged treatment. It is always necessary to educate such individuals about the fact that quitting smoking is the only measure that will reduce the progression of RD and improve their quality of life, regardless of the duration and severity of the disease. Physicians should always offer smoking cessation treatment. Outpatient or inpatient smoking cessation treatment should be multidisciplinary, based on behavioral interventions and pharmacotherapy. It will thus be more effective and cost-effective, doubling the chances of success.en-USabertoTobacco use disorder - epidemiologySmoking cessationCounselingLung neoplasmsUpdate on the approach to smoking in patients with respiratory diseases.Artigo publicado em periodicoOs trabalhos publicados no Jornal Brasileiro de Pneumologia, exceto onde identificado, estão sob uma licença Creative Commons que permite copiar, distribuir e transmitir o trabalho desde que sejam citados o autor e o licenciante. Não permite o uso para fins comerciais. Fonte: Jornal Brasileiro de Pneumologia <http://www.scielo.br/scielo.php?script=sci_serial&pid=1806-3713&lng=en&nrm=iso>. Acesso em: 31 jan. 2020.https://doi.org/10.1590/1806-3713/e20180314