Evidence map›Paper›PMID 27225016›Full record

ArticleTobacco control2017

Effectiveness of a hospital-initiated smoking cessation programme: 2-year health and healthcare outcomes.

Kerri A Mullen, Douglas G Manuel, Steven J Hawken, Andrew L Pipe, Douglas Coyle, Laura A Hobler, Jaime Younger, George A Wells, Robert D Reid

Open access · hybridAbstract read
In one paragraph

Article in Tobacco control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

62 citing papers in PubMed, 117 citations in OpenAlex.

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  10. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
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  11. Partnering with patients to help them quit smoking.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
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2 more citing papers are in PubMed but not listed here.

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

9 authors at 3 institutions in 1 country.

Kerri A MullenUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Douglas G ManuelOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Steven J HawkenOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Andrew L PipeUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Douglas CoyleUniversity of Ottawa, Ottawa, Ontario, Canada.
Laura A HoblerUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Jaime YoungerOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
George A WellsUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Robert D ReidUniversity of Ottawa Heart Institute, Ottawa, Ontario, Canada.
University of Ottawa · CAOttawa Hospital · CAOttawa Hospital Research Institute

Funding

CIHR
6 · The paper itself

Abstract

backgroundTobacco-related illnesses are leading causes of death and healthcare use. Our objective was to determine whether implementation of a hospital-initiated smoking cessation intervention would reduce mortality and downstream healthcare usage.

methodsA 2-group effectiveness study was completed comparing patients who received the 'Ottawa Model' for Smoking Cessation intervention (n=726) to usual care controls (n=641). Participants were current smokers, >17 years old, and recruited during admission to 1 of 14 participating hospitals in Ontario, Canada. Baseline data were linked to healthcare administrative data. Competing-risks regression analysis was used to compare outcomes between groups.

resultsThe intervention group experienced significantly lower rates of all-cause readmissions, smoking-related readmissions, and all-cause emergency department (ED) visits at all time points. The largest absolute risk reductions (ARR) were observed for all-cause readmissions at 30 days (13.3% vs 7.1%; ARR, 6.1% (2.9% to 9.3%); p<0.001), 1 year (38.4% vs 26.7%; ARR, 11.7% (6.7% to 16.6%); p<0.001), and 2 years (45.2% vs 33.6%; ARR, 11.6% (6.5% to 16.8%); p<0.001). The greatest reduction in risk of all-cause ED visits was at 30 days (20.9% vs 16.4%; ARR, 4.5% (0.4% to 8.7%); p=0.03). Reduction in mortality was not evident at 30 days, but significant reductions were observed by year 1 (11.4% vs 5.4%; ARR 6.0% (3.1% to 9.0%); p<0.001) and year 2 (15.1% vs 7.9%; ARR, 7.3% (3.9% to 10.7%); p<0.001).

conclusionsConsidering the relatively low cost, greater adoption of hospital-initiated tobacco cessation interventions should be considered to improve patient outcomes and decrease subsequent healthcare usage.

Indexed as

HospitalizationSmoking PreventionAdultAgedEmergency Service, HospitalFemaleHumansMaleMiddle AgedOntarioPatient ReadmissionProgram DevelopmentProgram EvaluationRegression AnalysisRisk Reduction BehaviorSmokingCessationHealth ServicesPriority/special populations

Identifiers

PMID27225016
PMCPMC5543264
OpenAlexW2399652722

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.