Evidence map›Paper›PMID 18783459›Full record

Trial reportHealth services research2008

The effectiveness of covering smoking cessation services for medicare beneficiaries.

Geoffrey F Joyce, Raymond Niaura, Margaret Maglione, Jennifer Mongoven, Carrie Larson-Rotter, James Coan, Pauline Lapin, Sally Morton

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 6 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Telephone counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
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  11. Risk perceptions among participants undergoing lung cancer screening: baseline results from the National Lung Screening Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2009
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  15. Review
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  19. The 3 Buckets of Prevention.Journal of public health management and practice : JPHMP
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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

8 authors.

Geoffrey F JoyceRAND, 1776 Main Street, Santa Monica, CA 90407-2138, USA. gjoyce@rand.org
Raymond Niaura
Margaret Maglione
Jennifer Mongoven
Carrie Larson-Rotter
James Coan
Pauline Lapin
Sally Morton

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine whether reimbursement for Provider Counseling, Pharmacotherapies, and a telephone Quitline increase smoking cessation relative to Usual Care. STUDY

designRandomized comparison trial testing the effectiveness of four smoking cessation benefits.

settingSeven states that best represented the national population in terms of the proportion of those > or = 65 years of age and smoking rate.

participantsThere were 7,354 seniors voluntarily enrolled in the Medicare Stop Smoking Program and they were followed-up for 12 months. INTERVENTION(S): (1) Usual Care, (2) reimbursement for Provider Counseling, (3) reimbursement for Provider Counseling with Pharmacotherapy, and (4) telephone counseling Quitline with nicotine patch.

main outcome measureSeven-day self-reported cessation at 6- and 12-month follow-ups. PRINCIPAL

findingsUnadjusted quit rates assuming missing data=smoking were 10.2 percent (9.0-11.5), 14.1 percent (11.7-16.5), 15.8 percent (14.4-17.2), and 19.3 percent (17.4-21.2) at 12 months for the Usual Care, Provider Counseling, Provider Counseling + Pharmacotherapy, and Quitline arms, respectively. Results were robust to sociodemographics, smoking history, motivation, health status, and survey nonresponse. The additional cost per quitter (relative to Usual Care) ranged from several hundred dollars to $6,450.

conclusionsA telephone Quitline in conjunction with low-cost Pharmacotherapy was the most effective means of reducing smoking in the elderly.

Indexed as

Insurance CoverageMedicareProgram EvaluationAgedAged, 80 and overCost-Benefit AnalysisCounselingDrug TherapyFemaleHealth Care SurveysHealth ServicesHumansLongitudinal StudiesMaleSmoking CessationUnited States

Identifiers

PMID18783459
PMCPMC2614005

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.