Evidence map›Paper›PMID 27218657›Full record

ArticlePsycho-oncology2017

The use of varenicline to treat nicotine dependence among patients with cancer.

Sarah Price, Brian Hitsman, Anna Veluz-Wilkins, Sonja Blazekovic, Tarah R Brubaker, Frank Leone, Anita Hole, E Paul Wileyto, Corey Langer, Ravi Kalhan and 2 more

Abstract read
In one paragraph

Article in Psycho-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Systematic Review of Smoking Cessation Interventions for Smokers Diagnosed with Cancer.International journal of environmental research and public health · 2022
    Pooled it
  2. Smoking cessation for improving mental health.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Interventions for smoking cessation in people diagnosed with lung cancer.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Trial
  5. Predictors of Varenicline Adherence Among Cancer Patients Treated for Tobacco Dependence and its Association With Smoking Cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Treating Nicotine Dependence and Preventing Smoking Relapse in Cancer Patients.Expert review of quality of life in cancer care · 2017
    Article
  16. 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

12 authors at 3 institutions in 2 countries.

Sarah PriceDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Brian HitsmanDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Anna Veluz-WilkinsDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Sonja BlazekovicDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Tarah R BrubakerDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
Frank LeonePulmonary, Allergy, and Critical Care Division, University of Pennsylvania Presbyterian Medical Center, Philadelphia, PA, USA.
Anita HoleDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
E Paul WileytoDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA, USA.
Corey LangerDepartment of Medicine, University of Pennsylvania, Perelman Center for Advanced Medicine, Philadelphia, PA, USA.
Ravi KalhanDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Jyoti PatelRobert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Robert SchnollDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
University of Pennsylvania · USNorthwestern University · USRobert H. Lurie Comprehensive Cancer Center of Northwestern University

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Devalingam Mahalingam · 1993 to 2026
$153.9M
Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Extended Duration Varenicline for Smoking Among Cancer Patients: A Clinical TrialR01CA165001 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SCHNOLL, ROBERT ADAM · 2012 to 2016
$3.0M
NCATS NIH HHS UL1 TR001422NCI NIH HHS P30 CA016520NCI NIH HHS P30 CA060553NCI NIH HHS R01 CA165001
6 · The paper itself

Abstract

backgroundContinuing to smoke after a cancer diagnosis can adversely influence the prognosis for patients with cancer. However, remarkably few studies have carefully examined the use of first-line FDA-approved medications for nicotine dependence in patients with cancer. This study evaluated the feasibility, safety, and effect on cessation of varenicline for smoking cessation in patients with cancer.

methodsData from 132 treatment-seeking smokers who received 12 weeks of open-label varenicline and five brief behavioral counseling sessions were used to evaluate the feasibility, safety, and impact on cessation of varenicline. The effects of abstinence on cognitive function and affect were also explored.

resultsOf 459 patients screened, 306 were eligible for the study (66.7%) and 132 entered treatment (43.1%). Retention was 84.1% over 12 weeks. The rate of biochemically verified abstinence at week 12 was 40.2%. Expected side effects were reported (e.g. sleep problems, nausea), but there were no reports of elevated depressed mood, suicidal thoughts, or cardiovascular events. Abstinence was associated with improved cognitive function and reduced negative affect over time (p < 0.05).

conclusionsAlthough many patients with cancer who smoke did not enroll in treatment, the side effect profile of varenicline and its effect on short-term cessation converge with what is seen in the general population. Further, as with the general population, abstinence while taking varenicline may lead to improved cognitive function and reduced negative affect. The present data support the use of varenicline to help patients with cancer to quit smoking.

Indexed as

AdultBenzazepinesBupropionCounselingFeasibility StudiesFemaleHumansMaleMiddle AgedNeoplasmsNicotineNicotinic AgonistsSmokingSmoking CessationTobacco Use DisorderTreatment OutcomeBenzazepinesBupropionNicotineNicotinic AgonistsVareniclineaffectcancercognitiononcologysmoking cessationvarenicline

Identifiers

PMID27218657
PMCPMC5127776
OpenAlexW2408540817

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.