Reducing smoking

Hughes, J. A.; Sanders, Lalage; Dunne, Jonathan; Tarpey, J.; Vickers, M. D.

doi:10.1111/j.1365-2044.1994.tb03368.x

Cited by 18 publications

(4 citation statements)

References 9 publications

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“…We identified 170 citations for full‐text review. Thirty‐eight studies are included in the systematic review (Tables 1 and 2) [6, 16, 17, 20‐23, 39‐68]. Detailed descriptions of the interventions and outcomes are in online Supporting Information Table S3.…”

Section: Resultsmentioning

confidence: 99%

“…We identified 170 citations for full‐text review. Thirty‐eight studies are included in the systematic review (Tables 1 and 2 ) [ 6 , 16 , 17 , 20 , 21 , 22 , 23 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 ]. Detailed descriptions of the interventions and outcomes are in online Supporting Information Table S3 .…”

Section: Resultsmentioning

confidence: 99%

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Peri‐operative tobacco cessation interventions: a systematic review and meta‐analysis

Harrogate,

Barnes,

Thomas

et al. 2023

Anaesthesia

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SummaryTobacco smoking is associated with a substantially increased risk of postoperative complications. The peri‐operative period offers a unique opportunity to support patients to stop tobacco smoking, avoid complications and improve long‐term health. This systematic review provides an up‐to‐date summary of the evidence for tobacco cessation interventions in surgical patients. We conducted a systematic search of randomised controlled trials of tobacco cessation interventions in the peri‐operative period. Quantitative synthesis of the abstinence outcomes data was by random‐effects meta‐analysis. The primary outcome of the meta‐analysis was abstinence at the time of surgery, and the secondary outcome was abstinence at 12 months. Thirty‐eight studies are included in the review (7310 randomised participants) and 26 studies are included in the meta‐analysis (5969 randomised participants). Studies were pooled for subgroup analysis in two ways: by the timing of intervention delivery within the peri‐operative period and by the intensity of the intervention protocol. We judged the quality of evidence as moderate, reflecting the degree of heterogeneity and the high risk of bias. Overall, peri‐operative tobacco cessation interventions increased successful abstinence both at the time of surgery, risk ratio (95%CI) 1.48 (1.20–1.83), number needed to treat 7; and 12 months after surgery, risk ratio (95%CI) 1.62 (1.29–2.03), number needed to treat 9. More work is needed to inform the design and optimal delivery of interventions that are acceptable to patients and that can be incorporated into contemporary elective and urgent surgical pathways. Future trials should use standardised outcome measures.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Peri‐operative tobacco cessation interventions: a systematic review and meta‐analysis

Harrogate,

Barnes,

Thomas

et al. 2023

Anaesthesia

View full text Add to dashboard Cite

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“…If one (per au) goal of a smoking cessation program is to decrease overall smoking days, providing NRT for longer periods could prove successful. Previous studies have demonstrated that reductions in other populations can be maintained for years 25 . Given the opportunity, many smokers who reduce but do not quit smoking may also use NRT for prolonged periods, particularly if there is a symptomatic benefit 26 .…”

Section: Discussionmentioning

confidence: 99%

Nicotine replacement therapy

2006

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AIM:To determine the association between daily smoking and use of nicotine replacement therapy (NRT), and to determine predictors of greater NRT use among methadone-maintained smokers.INTERVENTION: Assignment to free nicotine patch (8 to 12 weeks) plus either (1) a baseline-tailored brief motivational intervention, a quit date behavioral skills counseling session, and a relapse prevention follow-up session (max), or (2) brief advice using NCI's 4 A's model (min).SETTING: Five methadone maintenance treatment centers. PARTICIPANTS:Of the 383 methadone-maintained smokers enrolled, 309 (80.6%) set a specific quit date (received NRT) and were located for assessments. Participants were 51.8% male, 78.6% Caucasian, and smoked 26.6 (SD =12.2) cigarettes/day. OUTCOME: Use of NRT and smoking behaviors during the 180-day follow-up period assessed by the Timeline follow-back method. FINDINGS:On the day following their quit day, 86.4% of participants used NRT. The percentage of participants using NRT was 52.3%, 27.1%, and 10.4% on day 30, day 60, and day 90, respectively. Participants used NRT on 44.1% of the days through the 90 days of the treatment protocol. The estimated odds of smoking abstinence was 7.1 (Po.001) times higher on days when NRT was used than on days when NRT was not used, and cigarettes/day was also significantly lower on NRT days (14.93 vs 4.65; Po.001).CONCLUSION: Nicotine replacement therapy use was inconsistent following an initial quit attempt among methadone-maintained smokers. On days when NRT was used, individuals were likely to smoke at reduced levels or not at all.

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“…A variety of techniques have been proposed to assist people to quit smoking, and there have been trials suggesting roles for hypnosis and suggestion-based methods for smoking cessation 8–12. Studies of smoking-cessation messages administered by tape recordings (suggestive audio-therapy) delivered during general anesthesia have produced variable results 13–15. Myles14 found significant reductions in overall amount of smoking in patients randomized to intervention in one study, but Myles et al15 failed to demonstrate significant changes in smoking in a second trial.…”

Section: Introductionmentioning

confidence: 99%