Evidence map›Paper›PMID 21518246›Full record

ArticlePain practice : the official journal of World Institute of Pain

Smoking cessation and chronic pain: patient and pain medicine physician attitudes.

W Michael Hooten, Kristin S Vickers, Yu Shi, Kaye L Ebnet, Cynthia O Townsend, Christi A Patten, David O Warner

Open access · greenAbstract read
In one paragraph

Article in Pain practice : the official journal of World Institute of Pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 13% of its field
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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Identifying mechanisms that link pain to smoking relapse during a quit attempt.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
    Trial
  6. Trial
  7. A smoking cessation and pain management program for cancer survivors.Journal of cancer survivorship : research and practice · 2018
    Trial
  8. Trial
  9. Trial
  10. Substance Use Among Adults with Chronic Orofacial Pain.Journal of clinical psychology in medical settings · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Smoking and tetramer tryptase accelerate intervertebral disc degeneration by inducing METTL14-mediated DIXDC1 mMolecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  18. Longitudinal Associations Between Pain and Use of Cigarettes and E-cigarettes in the Population Assessment of Tobacco and Health (PATH) Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  19. Review
  20. Review
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

7 authors at 2 institutions in 1 country.

W Michael HootenDepartment of Anesthesiology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA. hooten.william@mayo.edu
Kristin S Vickers
Yu Shi
Kaye L Ebnet
Cynthia O Townsend
Christi A Patten
David O Warner
Mayo Clinic · USMayo Clinic in Florida · US

Funding

Unintended Prolonged Opioid UseU01TR002743 · NCATS · MAYO CLINIC ROCHESTER · PI HOOTEN, W. MICHAEL · 2019 to 2022
$5.1M
Cognitive Behavioral Smoking Cessation Intervention for Adults with Chronic PainR21DA025130 · NIDA · MAYO CLINIC ROCHESTER · PI HOOTEN, W. MICHAEL · 2009 to 2010
$414k
NCATS NIH HHS U01 TR002743NIDA NIH HHS R21 DA025130
6 · The paper itself

Abstract

Although previous studies suggest that the clinical setting of an interdisciplinary pain treatment program may provide an optimal environment to promote smoking cessation, currently available smoking cessation interventions may be less effective for adults with chronic pain due, in part, to unrecognized clinical factors related to chronic pain. The specific aim of this qualitative study was to solicit information from adult smokers with chronic pain participating in an interdisciplinary pain treatment program regarding their perceptions of how smoking affects pain symptoms, and how these beliefs, cognitions, and emotions may either impede or facilitate smoking cessation. Similar information was solicited from a group of pain specialty physicians. The study involved 18 smokers with chronic pain, and seven physicians. Patients reported that smoking was an important coping strategy for pain and distress, primarily by offering an opportunity for distraction and avoidance, respectively. The majority of patients using opioids reported that opioid consumption stimulated smoking. Important barriers were identified toward making a quit attempt during pain treatment including quitting smoking while making changes in opioid use, and perceived difficulty managing multiple treatment-related stressors. Several pain-related benefits of smoking cessation were identified by physicians, but important barriers to providing smoking cessation services were recognized including lack of time and knowledge about how to help patients quit smoking. The findings of this study identified several novel and important clinical factors that should be incorporated into a targeted smoking cessation intervention for adults with chronic pain.

Indexed as

Attitude of Health PersonnelSmoking CessationAdultChronic PainFemaleHumansMaleMiddle AgedPhysiciansSmoking

Identifiers

PMID21518246
PMCPMC4439580
OpenAlexW1896631092

What OpenQuestion holds

Textmetadata
LicenceTDM
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.