Evidence map›Paper›PMID 27919936›Full record

Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2017

Smoking cessation interventions for patients with coronary heart disease and comorbidities: an observational cross-sectional study in primary care.

David N Blane, Daniel Mackay, Bruce Guthrie, Stewart W Mercer

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 31% 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, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Stroke incidence in heart failure and atrial fibrillation: a population-based retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  5. Article
  6. Barriers and Facilitators to Engaging in Smoking Cessation Support Among Lung Screening Participants.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  7. Observational
  8. Observational
  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

4 authors at 1 institution in 1 country.

David N BlaneGeneral Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow.
Daniel MackayPublic Health, Institute of Health and Wellbeing, University of Glasgow, Glasgow.
Bruce GuthrieQuality, Safety and Informatics Research Group, Population Health Sciences Division, University of Dundee, Dundee.
Stewart W MercerGeneral Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow.
University of Glasgow · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about how smoking cessation practices in primary care differ for patients with coronary heart disease (CHD) who have different comorbidities.

aimTo determine the association between different patterns of comorbidity and smoking rates and smoking cessation interventions in primary care for patients with CHD. DESIGN AND

settingCross-sectional study of 81 456 adults with CHD in primary care in Scotland.

methodDetails of eight concordant physical comorbidities, 23 discordant physical comorbidities, and eight mental health comorbidities were extracted from electronic health records between April 2006 and March 2007. Multilevel binary logistic regression models were constructed to determine the association between these patterns of comorbidity and smoking status, smoking cessation advice, and smoking cessation medication (nicotine replacement therapy) prescribed.

resultsThe most deprived quintile had nearly three times higher odds of being current smokers than the least deprived (odds ratio [OR] 2.76; 95% confidence interval [CI] = 2.49 to 3.05). People with CHD and two or more mental health comorbidities had more than twice the odds of being current smokers than those with no mental health conditions (OR 2.11; 95% CI = 1.99 to 2.24). Despite this, those with two or more mental health comorbidities (OR 0.77; 95% CI = 0.61 to 0.98) were less likely to receive smoking cessation advice, but absolute differences were small.

conclusionPatterns of comorbidity are associated with variation in smoking status and the delivery of smoking cessation advice among people with CHD in primary care. Those from the most deprived areas and those with mental health problems are considerably more likely to be current smokers and require additional smoking cessation support.

Indexed as

Health PromotionPrimary Health CareSmoking CessationAdultComorbidityCoronary Artery DiseaseCross-Sectional StudiesDirective CounselingFemaleHumansMaleMental DisordersMiddle AgedScotlandSmokingSmoking Preventioncomorbiditycoronary diseasedisparitiesprimary health caresmoking cessation

Identifiers

PMID27919936
PMCPMC5308118
OpenAlexW2559781904

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.