Evidence map›Paper›PMID 17761570›Full record

Trial reportAmerican journal of public health2007

The treatment of smoking by US physicians during ambulatory visits: 1994 2003.

Anne N Thorndike, Susan Regan, Nancy A Rigotti

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of public health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01156610 (Tobacco Treatment Outreach to Reduce Disparities for Primary Care Populations), which is not on this map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01156610 nacompletednot on this mapstarted 2011, after this paper: background citation

Tobacco Treatment Outreach to Reduce Disparities for Primary Care Populations

TypeinterventionalSponsorBrigham and Women's HospitalRan2011 to 2014Enrolled706ConditionsSmoking, Smoking CessationArmsTobacco Treatment
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A Proactive Outreach Strategy Using a Local Area Code to Refer Unassisted Smokers in a Safety Net Health System to a Quitline: A Pragmatic Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
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  3. Proactively Offered Text Messages and Mailed Nicotine Replacement Therapy for Smokers in Primary Care Practices: A Pilot Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Anne N ThorndikeGeneral Medicine Division, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA. athorndike@partners.org
Susan Regan
Nancy A Rigotti

Funding

Smoking Cessation Interventions for Health Care SettingsK24HL004440 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI RIGOTTI, NANCY A · 2000 to 2009
$1.5M
NHLBI NIH HHS K24 HL004440NHLBI NIH HHS K24-HL04440
6 · The paper itself

Abstract

objectivesWe sought to determine whether US physicians' practice patterns in treating tobacco use at ambulatory visits improved over the past decade with the appearance of national clinical practice guidelines, new smoking cessation medications, and public reporting of physician performance in counseling smokers.

methodsWe compared data from the National Ambulatory Medical Care Survey, an annual survey of a random sample of office visits to US physicians, between 1994-1996 and 2001-2003.

resultsPhysicians identified patients' smoking status at 68% of visits in 2001-2003 versus 65% in 1994-1996 (adjusted odds ratio [AOR]=1.16; 95% confidence interval [CI]=1.04, 1.30). Physicians counseled about smoking at 20% of smokers' visits in 2001-2003 versus 22% in 1994-1996 (AOR=0.84; 95% CI=0.71, 0.99). In both time periods, smoking cessation medication use was low (<2% of smokers' visits) and visits with counseling for smoking were longer than those without such counseling (P<.005).

conclusionsIn the past decade, there has been a small increase in physicians' rates of patients' smoking status identification and a small decrease in rates of counseling smokers. This lack of progress may reflect barriers in the US health care environment, including limited physician time to provide counseling.

Indexed as

Practice Patterns, Physicians'Ambulatory CareCounselingFemaleHumansMaleMiddle AgedNational Center for Health Statistics, U.S.Smoking CessationUnited States

Identifiers

PMID17761570
PMCPMC1994176

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.