Trial reportArchives of internal medicine2009
An electronic health record-based intervention to improve tobacco treatment in primary care: a cluster-randomized controlled trial.
Trial report in Archives of internal medicine, 2009. 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 49 papers, 9 of them syntheses that pooled 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.
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.
Tobacco Treatment Outreach to Reduce Disparities for Primary Care Populations
Who cites it
49 citing papers in PubMed, 9 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Strategies to improve the implementation of preventive care in primary care: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Electronic Health Record Nudges and Health Care Quality and Outcomes in Primary Care: A Systematic Review.JAMA network open · 2024Pooled it
- Proactive Referral to Behavioral Smoking Cessation Programs by Healthcare Staff: A Systematic Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Pooled it
- Strategies to improve smoking cessation rates in primary care.The Cochrane database of systematic reviews · 2021Pooled it
- Computerised clinical decision support systems and absolute improvements in care: meta-analysis of controlled clinical trials.BMJ (Clinical research ed.) · 2020Pooled it
- Patient-mediated interventions to improve professional practice.The Cochrane database of systematic reviews · 2018Pooled it
- The impact of health information technology on cancer care across the continuum: a systematic review and meta-analysis.Journal of the American Medical Informatics Association : JAMIA · 2016Pooled it
- Use of electronic health records to support smoking cessation.The Cochrane database of systematic reviews · 2014Pooled it
- The effects of on-screen, point of care computer reminders on processes and outcomes of care.The Cochrane database of systematic reviews · 2009Pooled it
- Cost-Effectiveness of a Comprehensive Primary Care Smoking Treatment Program.American journal of preventive medicine · 2024Trial
- An electronic health record-based interoperable eReferral system to enhance smoking Quitline treatment in primary care.Journal of the American Medical Informatics Association : JAMIA · 2019Trial
- Trial
- An Office-Initiated Multilevel Intervention for Tobacco Smoke Exposure: A Randomized Trial.Pediatrics · 2018Trial
- Prompting asthma intervention in Rochester-uniting parents and providers (PAIR-UP): a randomized trial.JAMA pediatrics · 2014Trial
- Implementation of an electronic medical record does not change delivery of preventive care for HIV-positive patients.International journal of medical informatics · 2014Trial
- Computer-assisted guidance for dental office tobacco-cessation counseling: a randomized controlled trial.American journal of preventive medicine · 2013Trial
- Article
- Reliability of Electronic Medical Record to Assess Patient's Eligibility for Lung Cancer Screening: Analysis of Two Pilot Trials.Journal of the American College of Radiology : JACR · 2025Article
- Enabling tobacco treatment for gastroenterology patients via a novel low-burden point-of-care model.BMC health services research · 2024Article
- Methodological issues of the electronic health records' use in the context of epidemiological investigations, in light of missing data: a review of the recent literature.BMC medical research methodology · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundTo improve the documentation and treatment of tobacco use in primary care, we developed and implemented a 3-part electronic health record enhancement: (1)smoking status icons, (2) tobacco treatment reminders, and (3) a Tobacco Smart Form that facilitated the ordering of medication and fax and e-mail counseling referrals.
methodsWe performed a cluster-randomized controlled trial of the enhancement in 26 primary care practices between December 19, 2006, and September 30, 2007. The primary outcome was the proportion of documented smokers who made contact with a smoking cessation counselor. Secondary outcomes included coded smoking status documentation and medication prescribing.
resultsDuring the 9-month study period, 132 630 patients made 315 962 visits to study practices. Coded documentation of smoking status increased from 37% of patients to 54% (+17%) in intervention practices and from 35% of patients to 46% (+11%) in control practices (P < .001 for the difference in differences). Among the 9589 patients who were documented smokers at the start of the study, more patients in the intervention practices were recorded as nonsmokers by the end of the study (5.3% vs 1.9% in control practices; P < .001). Among 12 207 documented smokers, more patients in the intervention practices made contact with a cessation counselor (3.9% vs 0.3% in control practices; P < .001). Smokers in the intervention practices were no more likely to be prescribed smoking cessation medication (2% vs 2% in control practices; P = .40).
conclusionThis electronic health record-based intervention improved smoking status documentation and increased counseling assistance to smokers but not the prescription of cessation medication.
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What OpenQuestion holds
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.