Evidence map›Paper›PMID 28365090›Full record

ArticleAmerican journal of preventive medicine2017

Smoking-Cessation Assistance: Before and After Stage 1 Meaningful Use Implementation.

Steffani R Bailey, John D Heintzman, Miguel Marino, R Lorie Jacob, Jon E Puro, Jennifer E DeVoe, Tim E Burdick, Brian L Hazlehurst, Deborah J Cohen, Stephen P Fortmann

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Evaluation of a Proactive Smoking Cessation Electronic Visit to Extend the Reach of Evidence-Based Cessation Treatment via Primary Care.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2021
    Article
  10. Tobacco-Related Counseling and Documentation in Adolescent Primary Care Practice: Challenges and Opportunities.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Article
  11. Observational
  12. Article
  13. Disparities in the Receipt of Tobacco Treatment Counseling within the US Context of the Affordable Care Act and Meaningful Use Implementation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018
    Article
  14. 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

10 authors at 4 institutions in 1 country.

Steffani R BaileyDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon. Electronic address: bailstef@ohsu.edu.
John D HeintzmanDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Miguel MarinoDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
R Lorie JacobOCHIN, Inc., Portland, Oregon.
Jon E PuroOCHIN, Inc., Portland, Oregon.
Jennifer E DeVoeDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Tim E BurdickDepartment of Community and Family Medicine, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire.
Brian L HazlehurstKaiser Permanente Center for Health Research, Portland, Oregon.
Deborah J CohenDepartment of Family Medicine, Oregon Health & Science University, Portland, Oregon.
Stephen P FortmannKaiser Permanente Center for Health Research, Portland, Oregon.
Oregon Health & Science University · USKaiser Permanente Center for Health Research · USOchin · USDartmouth College · US

Funding

Meaningful Use and Treatment of Smoking in Federally-Qualified Health CentersK23DA037453 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI BAILEY, STEFFANI R · 2015 to 2019
$841k
The Primary Care Medical Home and Preventive Service Use in Latino ImmigrantsK08HS021522 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN · 2013 to 2016
$590k
AHRQ HHS K08 HS021522NIDA NIH HHS K23 DA037453
6 · The paper itself

Abstract

introductionBrief smoking-cessation interventions in primary care settings are effective, but delivery of these services remains low. The Centers for Medicare and Medicaid Services' Meaningful Use (MU) of Electronic Health Record (EHR) Incentive Program could increase rates of smoking assessment and cessation assistance among vulnerable populations. This study examined whether smoking status assessment, cessation assistance, and odds of being a current smoker changed after Stage 1 MU implementation.

methodsEHR data were extracted from 26 community health centers with an EHR in place by June 15, 2009. AORs were computed for each binary outcome (smoking status assessment, counseling given, smoking-cessation medications ordered/discussed, current smoking status), comparing 2010 (pre-MU), 2012 (MU preparation), and 2014 (MU fully implemented) for pregnant and non-pregnant patients.

resultsNon-pregnant patients had decreased odds of current smoking over time; odds for all other outcomes increased except for medication orders from 2010 to 2012. Among pregnant patients, odds of assessment and counseling increased across all years. Odds of discussing or ordering of cessation medications increased from 2010 compared with the other 2 study years; however, medication orders alone did not change over time, and current smoking only decreased from 2010 to 2012. Compared with non-pregnant patients, a lower percentage of pregnant patients were provided counseling.

conclusionsFindings suggest that incentives for MU of EHRs increase the odds of smoking assessment and cessation assistance, which could lead to decreased smoking rates among vulnerable populations. Continued efforts for provision of cessation assistance among pregnant patients is warranted.

Indexed as

AdultAgedCenters for Medicare and Medicaid Services, U.S.CounselingElectronic Health RecordsFemaleHumansMaleMeaningful UseMiddle AgedPregnancyPrimary Health CareSmokingSmoking CessationUnited StatesYoung Adult

Identifiers

PMID28365090
PMCPMC5522621
OpenAlexW2601633983

What OpenQuestion holds

Textmetadata
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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.