Appendix 1

Audit criteria
(Modified from the protocol developed by Eli Lilly Clinical Audit Centre13)
For adult cigarette smokers who have consulted in the past 12 months the records show that
 
Criterion I
At least annually, the smoking status of the patient and the number of cigarettes smoked daily have been recorded
a) Smoking status
  US guideline : Evidence A
  UK guideline : Evidence A
  New Zealand guideline : Evidence not quoted
b) Number of cigarettes smoked daily
  US guideline : Evidence A
  UK guideline : Evidence A
  New Zealand guideline : Evidence not quoted
Criterion II
At least annually, smoker's motivation to stop has been ascertained
a) US guideline : Evidence C
  New Zealand guideline : Evidence not quoted
Criterion III
At least annually, smoking cessation has been discussed and those motivated to stop are offered a follow up consultation
a) Discussing smoking cessation
  US guideline : Evidence A
  UK guideline : Evidence A
  New Zealand guideline : Evidence I
  Canada guideline : Evidence I
b) Offering follow up
  US guideline : Evidence A
  UK guideline : Evidence A
  New Zealand guideline : Evidence not quoted
  Canada guideline : Evidence I
Criterion IV
At least annually, motivated patients who smoke 10 or more cigarettes a day have been recommended to use nicotine replacement therapy
a) US guideline : Evidence A
  UK guideline : Evidence A
  New Zealand guideline : Evidence not quoted
  Canada guideline : Evidence not quoted
 

Note:
US guideline17
Fiorce MC, Bailey WC, Cohen SJ, et al. Treating tobacco use and dependence, clinical practice guideline. Rockville: US Department of Health and Human Services Public Health Service, 2000.
UK guideline18
West R, McNeill A, Raw M. Smoking cessation guidelines for health professionals: an update. Health Education Authority. Thorax 2000;55:987-99.
New Zealand guideline19
National Advisory Committee on Health and Disability. Guidelines for smoking cessation: revised literature review and background information. Wellington (New Zealand), May 2002.
Canada guideline20

Taylor MC, Dingle JL. Prevention of tobacco-caused disease. In: Canadian Task Force on the Periodic Health Examination. Ottawa: Health Canada, 1994:500-11.