Evidence map›Paper›PMID 2116634›Full record

Trial reportPublic health reports (Washington, D.C. : 1974)

Pregnancy and medical cost outcomes of a self-help prenatal smoking cessation program in a HMO.

D H Ershoff, V P Quinn, P D Mullen, D R Lairson

Abstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Public health reports (Washington, D.C. : 1974). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 7 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

25 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Interventions for promoting smoking cessation during pregnancy.The Cochrane database of systematic reviews · 2009
    Pooled it
  6. Pooled it
  7. Economic evaluations of smoking cessation and relapse prevention programs for pregnant women: a systematic review.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
    Pooled it
  8. Trial
  9. Trial
  10. Evaluating Cost-effectiveness of Interventions That Affect Fertility and Childbearing: How Health Effects Are Measured Matters.Medical decision making : an international journal of the Society for Medical Decision Making · 2015
    Review
  11. Article
  12. A review of economic evaluations of tobacco control programs.International journal of environmental research and public health · 2009
    Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Why do pregnant women smoke and can we help them quit?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1995
    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.

D H ErshoffMaxicare Research and Educational Foundation, Los Angeles, CA 90025.
V P Quinn
P D Mullen
D R Lairson

Funding

AHRQ HHS HSO5128
6 · The paper itself

Abstract

The results of a randomized clinical trial of a prenatal self-help smoking cessation program are reported in terms of the pregnancy and cost outcomes. The study population were the socioeconomically and ethnically diverse members of a large health maintenance organization (HMO) who reported that they were smoking at the time of their first prenatal visit. The intervention consisted predominantly of printed materials received through the mail. Compared with the usual care control group, women assigned to the self-help program were more likely to achieve cessation for the majority of their pregnancy (22.2 percent versus 8.6 percent), gave birth to infants weighing on average 57 grams more, and were 45 percent less likely to deliver a low birth weight infant. An economic evaluation of the self-help program was conducted from the perspective of the sponsoring HMO. Based upon the expenditures associated with the neonates' initial hospital episode, the intervention had a benefit-cost ratio of 2.8:1. These findings provide strong evidence to support widespread incorporation of smoking cessation interventions as a standard component of prenatal care.

Indexed as

Pregnancy OutcomeSelf-Help GroupsCost-Benefit AnalysisFemaleHealth Maintenance OrganizationsHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematurePregnancyPrenatal CareProgram EvaluationSmoking

Identifiers

PMID2116634
PMCPMC1580090

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.