Evidence map›Paper›PMID 24169814›Full record

ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2014

Basal ganglia plus insula damage yields stronger disruption of smoking addiction than basal ganglia damage alone.

Natassia Gaznick, Daniel Tranel, Ashton McNutt, Antoine Bechara

Abstract read
In one paragraph

Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 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

50 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Smoking-cessation pharmacotherapy for patients with stroke and TIA: Systematic review.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2020
    Pooled it
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  13. Nicotine dependence and insula subregions: functional connectivity and cue-induced activation.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
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  19. Functional connectivity of the anterior insula during withdrawal from cigarette smoking.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
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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

4 authors.

Natassia GaznickDepartment of Neurology, Division of Behavioral Neurology and Cognitive Neuroscience, Iowa City, IA;
Daniel Tranel
Ashton McNutt
Antoine Bechara

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007337 · NIGMS · UNIVERSITY OF IOWA · PI GEYER, PAMELA K., LENTZ, STEVEN R · 1985 to 2020
$15.9M
Neuroeconomics and decision-makingP50NS019632 · NINDS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ANDERSON, STEVEN W · 2008 to 2011
$5.1M
Changes in Addictive Behaviors After Brain LesionsR01DA023051 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BECHARA, ANTOINE · 2008 to 2012
$2.4M
Drug Abuse, Social Decision-Making, and Sex-Related Functional Brain AsymmetryR01DA022549 · NIDA · UNIVERSITY OF IOWA · PI TRANEL, DANIEL T. · 2006 to 2010
$1.7M
NIDA NIH HHS R01 DA022549NIDA NIH HHS R01 DA023051NIGMS NIH HHS T32 GM007337NINDS NIH HHS P50 NS19632
6 · The paper itself

Abstract

introductionThe main objective of this study was to elucidate the importance of the basal ganglia (BG) and insula (INS) for nicotine addiction and smoking behavior.

methodsWe used a lesion study examining the effects of BG and INS damage on changes in smoking behavior and nicotine dependence over time in a prospective manner. We studied whether combined BG and INS damage yields more substantial disruption of smoking and nicotine dependence than damage to the BG alone and compared with damage to other brain regions outside the BG and INS (brain-damaged comparison [BDC] group). We obtained neuroanatomical and behavioral data for 63 neurological patients with stroke at 1 month after onset and at 3-, 6-, and 12-month follow-ups. All patients were smokers at lesion onset.

resultsThe BG and BG + INS groups had significantly higher and more sustained rates of smoking cessation than patients with damage elsewhere. By 12 months after onset, only 14.3% of the patients in the BDC group were classified as nonsmokers. In the BG group, 37% were not smoking by the 12-month follow-up, and in the BG + INS group, smoking cessation was even more pronounced, as 75% of this group was not smoking at the 12-month epoch.

conclusionsThe findings show that damage to the BG alone can cause disruption of smoking addiction, and when BG damage is combined with INS damage, the disruption increases. The latter finding is consistent with the proposal that the INS has a key role in smoking addiction.

Indexed as

SmokingAdultAgedBasal GangliaCerebral CortexFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingProspective StudiesSmoking CessationStrokeTobacco Use Disorder

Identifiers

PMID24169814
PMCPMC3954424

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.