Evidence map›Paper›PMID 27647061›Full record

Trial reportAmerican journal of preventive medicine2016

Referring Hospitalized Smokers to Outpatient Quit Services: A Randomized Trial.

Jeffrey L Fellows, Richard A Mularski, Michael C Leo, Charles J Bentz, Lisa A Waiwaiole, Melanie C Francisco, Kimberly Funkhouser, Catherine M Stoney

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 4 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Interventions for smoking cessation in hospitalised patients.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Proactive Referral to Behavioral Smoking Cessation Programs by Healthcare Staff: A Systematic Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Pooled it
  4. Telephone counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Trial
  6. Article
  7. Article
  8. Evaluation of a Systems-Based Tobacco Cessation Program Using Bedside Volunteers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  9. Article
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

8 authors at 3 institutions in 1 country.

Jeffrey L FellowsKaiser Permanente Center for Health Research, Portland, Oregon. Electronic address: jeffrey.fellows@kpchr.org.
Richard A MularskiKaiser Permanente Center for Health Research, Portland, Oregon.
Michael C LeoKaiser Permanente Center for Health Research, Portland, Oregon.
Charles J BentzTobacco Cessation and Prevention, Legacy Health System, Portland, Oregon;
Lisa A WaiwaioleKaiser Permanente Center for Health Research, Portland, Oregon.
Melanie C FranciscoKaiser Permanente Center for Health Research, Portland, Oregon.
Kimberly FunkhouserKaiser Permanente Center for Health Research, Portland, Oregon.
Catherine M StoneyDivision of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, NIH, Bethesda, Maryland.
Kaiser Permanente Center for Health Research · USLegacy Health · USNational Heart Lung and Blood Institute · US

Funding

Inpatient Technology-Supported Assisted ReferralU01HL105231 · NHLBI · KAISER FOUNDATION RESEARCH INSTITUTE · PI FELLOWS, JEFFREY L · 2010 to 2013
$3.7M
NHLBI NIH HHS U01 HL105231
6 · The paper itself

Abstract

introductionLinking outpatient cessation services to bedside counseling for hospitalized smokers can improve long-run quit rates. Adding an assisted referral (AR) offer to a tobacco treatment specialist consult service fits the team approach to care in U.S. hospitals.

designA two-arm patient-randomized trial tested the effectiveness of adding an AR offer to outpatient smoking-cessation services and interactive voice recognition (AR+IVR) follow-up to a usual care (UC) tobacco-cessation consult for hospitalized smokers. SETTING/

participantsOver 24 months (November 2011-November 2013), 898 hospitalized adult smokers interested in quitting smoking were recruited from three large hospitals in the Portland, Oregon, area: an integrated group model HMO (n=622), a community hospital (n=195), and an academic health center (n=81).

interventionTobacco treatment specialists identified smokers and provided an intensive bedside tobacco use assessment and cessation consultation (UC). AR+IVR recipients also received proactive ARs to available outpatient counseling programs and medications, and linked patients to a tailored IVR telephone follow-up system.

main outcome measuresThe primary outcome was self-reported 30-day abstinence at 6-month follow-up. Secondary outcomes included self-reported and continuous abstinence and biochemically confirmed 7-day abstinence at 6 months. Follow-up was completed in September 2014; data were analyzed in 2015.

resultsA total of 597 and 301 hospitalized smokers were randomized to AR+IVR and UC, respectively. AR+IVR and UC recipients received 19.3 and 17.0 minutes of bedside counseling (p=0.372), respectively. Most (58%) AR+IVR patients accepted referrals for counseling, 43% accepted medications, and 28% accepted both. Self-reported 30-day abstinence for AR+IVR (17.9%) and UC (17.3%) were not statistically significant (p=0.569). Differences in 7-day, continuous, and biochemically confirmed abstinence by treatment group also were insignificant, overall and adjusting for site.

conclusionsAdding an AR to outpatient counseling and medications did not increase cigarette abstinence at 6 months compared to UC alone.

Indexed as

AdultAgedAmbulatory CareElectronic Health RecordsFemaleHumansInpatientsMaleMiddle AgedReferral and ConsultationSmoking Cessation

Identifiers

PMID27647061
PMCPMC5031367
OpenAlexW2518803329

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.