{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T20:44:04Z","timestamp":1773089044039,"version":"3.50.1"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Tabakabh\u00e4ngigkeit ist eine h\u00e4ufige Komorbidit\u00e4t bei Patient*innen mit COPD (englisch: Chronic Obstructive Pulmonary Disease) und hat einen negativen Effekt auf den Verlauf der Erkrankung. Eine klinisch relevante Verbesserung der COPD kann jedoch nur durch vollst\u00e4ndige und dauerhafte Abstinenz erreicht werden. Daher ist der Verzicht auf Tabakkonsum ein zentrales Therapiekonzept.<\/jats:p><jats:p>Nach ausf\u00fchrlicher Dokumentation der Rauchgewohnheiten und einer motivierenden Beratung, in der die Risiken des Rauchens aufgezeigt werden, soll allen rauchenden Patient*innen mit COPD eine strukturierte Therapie zur Tabakentw\u00f6hnung angeboten werden. Es gibt hochwertige Evidenz f\u00fcr die Wirksamkeit einer Kombinationstherapie aus Verhaltenstherapie und Medikamenten (zur Behandlung des Entzugssyndroms). Aufgrund der aktuell unzureichenden Datenlage gibt es derzeit keine Empfehlung f\u00fcr die Verwendung von E-Zigaretten als prim\u00e4re Option f\u00fcr einen Entw\u00f6hnungsversuch.<\/jats:p><jats:p>Das Rauchen ist die mit Abstand h\u00e4ufigste Ursache der COPD. Die Tabakentw\u00f6hnung ist die wirksamste und kosteneffektivste Einzelma\u00dfnahme, um das Risiko der COPD-Entstehung und das Voranschreiten der Erkrankung zu reduzieren.<\/jats:p>","DOI":"10.1055\/a-2020-4284","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T23:39:11Z","timestamp":1679614751000},"page":"206-219","source":"Crossref","is-referenced-by-count":5,"title":["Tabakentw\u00f6hnung bei COPD"],"prefix":"10.1055","volume":"77","author":[{"given":"Stefan","family":"Andreas","sequence":"additional","affiliation":[{"name":"Lungenfachklinik Immenhausen; Klinik f\u00fcr Kardiologie und Pneumologie, Universit\u00e4tsmedizin G\u00f6ttingen, Deutsches Zentrum f\u00fcr Lungenforschung (DZL)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Kotz","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Allgemeinmedizin (ifam), Schwerpunkt Suchtforschung und klinische Epidemiologie, Centre for Health and Society (chs), Medizinische Fakult\u00e4t der Heinrich-Heine-Universit\u00e4t D\u00fcsseldorf"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anil","family":"Batra","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Psychatrie und Psychotherapie, Sektion Suchtmedizin und Suchtforschung, Universit\u00e4tsklinikum T\u00fcbingen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Hellmann","sequence":"additional","affiliation":[{"name":"Praxis f\u00fcr Pneumologie, Onkologie und Schlafmedizin am Diako, die Stadtklinik, Augsburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"M\u00fchlig","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychologie, Klinische Psychologie und Psychotherapie, Technische Universit\u00e4t Chemnitz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis","family":"Nowak","sequence":"additional","affiliation":[{"name":"Institut und Poliklinik f\u00fcr Arbeits-, Sozial- und Umweltmedizin, LMU Klinikum, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen, Comprehensive Pneumology Center (CPC) Munich, Deutsches Zentrum f\u00fcr Lungenforschung (DZL)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konrad","family":"Schultz","sequence":"additional","affiliation":[{"name":"Klinik Bad Reichenhall der Deutschen Rentenversicherung Bayern S\u00fcd"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heinrich","family":"Worth","sequence":"additional","affiliation":[{"name":"Facharztforum F\u00fcrth"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Sch\u00fcler","sequence":"additional","affiliation":[{"name":"\u00c4rztliches Zentrum f\u00fcr Qualit\u00e4t in der Medizin (\u00c4ZQ), Berlin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,3,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1055\/s-0034-1365052","article-title":"Tabakentw\u00f6hnung bei COPD: S3-Leitlinie der Deutschen Gesellschaft f\u00fcr Pneumologie und Beatmungsmedizin e.V.","volume":"68","author":"S Andreas","year":"2014","journal-title":"Pneumologie"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1055\/s-2008-1038148","article-title":"Tabakentw\u00f6hnung bei COPD. 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