Evidence map›Paper›PMID 20331388›Full record

ArticleScandinavian journal of primary health care2010

Early detection of COPD combined with individualized counselling for smoking cessation: a two-year prospective study.

Tuula Toljamo, Marjo Kaukonen, Pentti Nieminen, Vuokko L Kinnula

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. Different Characteristics of Ex-Smokers and Current Smokers with COPD: A Cross-Sectional Study in China.International journal of chronic obstructive pulmonary disease · 2020
    Article
  5. Article
  6. Article
  7. Motivational interviewing and specialty pharmacy.Journal of managed care & specialty pharmacy · 2015
    Article
  8. Article
  9. Article
  10. Article
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  14. Article
  15. Article
  16. Review
  17. Spirometry in patients screened for coronary artery disease: is it useful?Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
    Article
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

4 authors.

Tuula ToljamoDepartment of Medicine, Division of Pulmonary Medicine, Lapland Central Hospital, Rovaniemi, Finlan.
Marjo Kaukonen
Pentti Nieminen
Vuokko L Kinnula

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThough the prevalence of COPD is related to the definition, even with this proviso COPD remains under-diagnosed. Screening can detect many new COPD cases, but its effects on smoking cessation remain unknown.

designTo evaluate symptoms in "healthy" cigarette smokers, to screen new COPD cases using international and national guidelines, and to assess the success of a smoking cessation. SUBJECTS: Healthy asymptomatic smokers with a >20 pack-years smoking history were recruited. The first visit included a standardized personal interview, Fagerstom nicotine dependence test (FNDT) and individualized smoking counselling by Motivational Interviewing. At the follow-up visit two years later, the same analyses were repeated and smoking status assessed. To avoid bias in the counselling attributable to spirometry, the test was evaluated at the two-year follow-up assessment.

resultsAlmost all, 93.2%, of 584 participants attended the second visit. Spirometry revealed COPD by GOLD criteria in 11.0% and by national guidelines in 15.3%, mid-expiratory flow (MEF50) had significantly declined in 19.5%, chronic cough or sputum production was detected in 62% of the subjects. After two years, 23.3% had succeeded in giving up smoking. There were four predictors of successful quitting, i.e. positive attitude to the intervention, pharmacotherapy, older age, and higher BMI, whereas other factors such as cough, obstruction, gender, pack-years, or nicotine dependence showed no association with ability to achieve successful cessation.

conclusionSignificant numbers of "healthy" smokers experience symptoms, according to detailed questionnaires, and have COPD. Motivation is the most significant factor in determining the chance of stopping smoking.

Indexed as

Smoking CessationAdultCounselingEarly DiagnosisFemaleFollow-Up StudiesForced Expiratory VolumeHumansMaleMiddle AgedProspective StudiesPulmonary Disease, Chronic ObstructiveSpirometrySurveys and Questionnaires

Identifiers

PMID20331388
PMCPMC3440614

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.