Evidence map›Paper›PMID 28476277›Full record

ArticleJournal of substance abuse treatment2017

Implementing smoking cessation guidelines for hospitalized Veterans: Cessation results from the VA-BEST trial.

Mark W Vander Weg, John E Holman, Hafizur Rahman, Mary Vaughan Sarrazin, Stephen L Hillis, Steven S Fu, Kathleen M Grant, Allan V Prochazka, Susan L Adams, Catherine T Battaglia and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of substance abuse treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Mark W Vander WegComprehensive Access & Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, United States; University of Iowa Department of Medicine, United States; University of Iowa Department of Psychological and Brain Sciences, United States. Electronic address: mark-vanderweg@uiowa.edu.
John E HolmanComprehensive Access & Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, United States.
Hafizur RahmanComprehensive Access & Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, United States.
Mary Vaughan SarrazinComprehensive Access & Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, United States; University of Iowa Department of Medicine, United States.
Stephen L HillisComprehensive Access & Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, United States; University of Iowa Department of Biostatistics, United States; University of Iowa Department of Radiology, United States.
Steven S FuCenter for Chronic Disease and Outcomes Research (CCDOR), Minneapolis VA Health Care System, United States.
Kathleen M GrantMental Health and Behavioral Sciences Department, VA Nebraska-Western Iowa Health Care System, United States; The Department of Internal Medicine, University of Nebraska Medical Center, United States.
Allan V ProchazkaDepartment of Medicine, VA Eastern Colorado Health Care System, United States; The Denver Seattle Center for Veteran-centric Value-based Research (DiSCoVVR), United States.
Susan L AdamsComprehensive Access & Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, United States.
Catherine T BattagliaDepartment of Medicine, VA Eastern Colorado Health Care System, United States; The Denver Seattle Center for Veteran-centric Value-based Research (DiSCoVVR), United States.
Lynne M BuchananThe College of Nursing, University of Nebraska, United States.
David TinkelmanNational Jewish Health, Denver, CO, United States.
David A KatzComprehensive Access & Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, United States; University of Iowa Department of Medicine, United States; University of Iowa Department of Epidemiology, United States.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Jon C.D. Houtman · 2000 to 2026
$70.0M
HSRD VA IIR 07-113
6 · The paper itself

Abstract

purposeTo examine the impact of a nurse-initiated tobacco cessation intervention focused on providing guideline-recommended care to hospitalized smokers.

designPre-post quasi-experimental trial.

settingGeneral medical units of four US Department of Veterans Affairs hospitals. SUBJECTS: 898 adult Veteran smokers (503 and 395 were enrolled in the baseline and intervention periods, respectively).

interventionThe intervention included academic detailing, adaptation of the computerized medical record, patient self-management support, and organizational support and feedback. MEASURES: The primary outcome was self-reported 7-day point prevalence abstinence at six months. ANALYSIS: Tobacco use was compared for the pre-intervention and intervention periods with multivariable logistic regression using generalized estimating equations to account for clustering at the nurse level. Predictors of abstinence at six months were investigated with best subsets regression.

resultsSeven-day point prevalence abstinence during the intervention period did not differ significantly from the pre-intervention period at either three (adjusted odds ratio (AOR) and 95% confidence interval (CI

conclusionsTobacco use interventions in the VA inpatient setting likely require more substantial changes in clinician behavior and enhanced post-discharge follow-up to improve cessation outcomes.

Indexed as

Practice Guidelines as TopicAgedElectronic Health RecordsFemaleFollow-Up StudiesHospitals, VeteransHumansInpatientsLogistic ModelsMaleMiddle AgedSmokingSmoking CessationSmoking PreventionTime FactorsUnited StatesClinical practice guidelinesHospitalizationSmoking cessationTobacco useVeterans

Identifiers

PMID28476277
PMCPMC5808890

What OpenQuestion holds

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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.