Evidence map›Paper›PMID 27036506›Full record

ArticleAmerican journal of preventive medicine2016

Trends in Use of Medications for Smoking Cessation in Medicare, 2007-2012.

Marian Jarlenski, Seo Hyon Baik, Yuting Zhang

Open access · bronzeAbstract read
In one paragraph

Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.1field-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

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. History and Correlates of Smoking Cessation Behaviors Among Smokers With Serious Mental Illness.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
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  20. Simulating the Fiscal Impact of Anti-Obesity Medications as an Obesity Reduction Strategy.Inquiry : a journal of medical care organization, provision and financing
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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

3 authors at 2 institutions in 1 country.

Marian JarlenskiDepartment of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania. Electronic address: marian.jarlenski@pitt.edu.
Seo Hyon BaikLister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, Maryland.
Yuting ZhangDepartment of Health Policy and Management, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania; Pharmaceutical Economics Research Group, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania.
University of Pittsburgh · USNational Center for Biotechnology Information · US

Funding

Racial and Ethnic Differences in Response to the Medicare Coverage Gap among PatiR01HS018657 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZHANG, YUTING · 2010 to 2012
$676k
Optimizing Medicare Part D Plan Choice by Beneficiaries with SchizophreniaR21MH100721 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZHANG, YUTING · 2014 to 2015
$415k
AHRQ HHS R01 HS018657NIMH NIH HHS R21 MH100721
6 · The paper itself

Abstract

introductionSmoking-related disease accounts for 10% of Medicare expenditures. Although clinical guidelines recommend smoking-cessation medications, they are subject to safety warnings from the U.S. Food and Drug Administration (FDA). This study investigated trends in utilization of smoking-cessation medications in Medicare from 2007 to 2012.

methodsData on medical claims and prescription drugs for a nationally representative sample of Medicare beneficiaries were used to study trends from 2007 to 2012 in use of smoking-cessation medications (bupropion, nicotine-replacement therapy, varenicline), among beneficiaries who used tobacco (N=205,675). Analyses were conducted in 2015. Multinomial logistic regression was used to examine differences in use of bupropion, nicotine-replacement therapy, varenicline, or more than one medication, relative to none, by beneficiaries' health and demographic characteristics. Binary logistic regression calculated average predicted probabilities of cardiovascular disease or depression among medication users before and after FDA safety warnings related to those conditions.

resultsSixteen percent of tobacco users ever filled a prescription for a smoking-cessation medication. The proportion of beneficiaries who filled prescriptions for varenicline increased in 2007 but sharply declined corresponding to public warnings about adverse effects, although the same trends did not occur for bupropion or nicotine-replacement therapy. After FDA safety concerns were published, the average predicted probability of beneficiaries filling varenicline prescriptions with cardiovascular disease declined by 31%, although the average predicted probability of depression did not decline.

conclusionsUse of smoking-cessation medications among Medicare beneficiaries remains low. Health effects of Medicare policies that increase coverage for medical support for smoking cessation may be limited by low utilization of effective medications.

Indexed as

MedicareAgedBupropionDopamine Uptake InhibitorsFemaleHumansMaleMiddle AgedNicotinic AgonistsPrescription DrugsSmoking CessationTobacco Use Cessation DevicesUnited StatesVareniclineBupropionDopamine Uptake InhibitorsNicotinic AgonistsPrescription DrugsVarenicline

Identifiers

PMID27036506
PMCPMC4992646
OpenAlexW2315080749

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.