Evidence map›Paper›PMID 29102984›Full record

ArticleBMJ open2017

How to adapt existing evidence-based clinical practice guidelines: a case example with smoking cessation guidelines in Canada.

Peter Selby, Katie Hunter, Jess Rogers, Kelly Lang-Robertson, Sophie Soklaridis, Virginia Chow, Michèle Tremblay, Denise Koubanioudakis, Rosa Dragonetti, Sarwar Hussain and 1 more

Abstract read
In one paragraph

Article in BMJ open, 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
–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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Review
  4. Recommendations for the management of cutaneous squamous cell carcinoma: a systematic multidisciplinary Delphi consensus approach.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  5. Review
  6. Article
  7. Review
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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

11 authors.

Peter SelbyCentre for Addiction and Mental Health, Addictions Program, Toronto, Ontario, Canada.
Katie HunterCentre for Addiction and Mental Health, Addictions Program, Toronto, Ontario, Canada.
Jess RogersCentre for Effective Practice, Toronto, Ontario, Canada.
Kelly Lang-RobertsonCentre for Effective Practice, Toronto, Ontario, Canada.
Sophie SoklaridisDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Virginia ChowCentre for Addiction and Mental Health, Addictions Program, Toronto, Ontario, Canada.
Michèle TremblayInstitut National de Santé Publique du Québec, Montreal, Québec, Canada.
Denise KoubanioudakisInstitut National de Santé Publique du Québec, Montreal, Québec, Canada.
Rosa DragonettiCentre for Addiction and Mental Health, Addictions Program, Toronto, Ontario, Canada.
Sarwar HussainCentre for Addiction and Mental Health, Addictions Program, Toronto, Ontario, Canada.
Laurie ZawertailoCentre for Addiction and Mental Health, Addictions Program, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and encourage the adoption of clinical practice guidelines (CPGs) for smoking cessation in Canada by engaging stakeholders in the adaptation of existing high-quality CPGs using principles of the ADAPTE framework.

methodsAn independent expert body in guideline review conducted a review and identified six existing CPGs, which met a priori criteria for quality and potential applicability to the local context. Summary statements were extracted and assigned a grade of recommendation and level of evidence by a second expert panel. Regional knowledge exchange brokers recruited additional stakeholders to build a multidisciplinary network of over 800 clinicians, researchers and decision-makers from across Canada. This interprofessional network and other stakeholders were offered various opportunities to provide input on the guideline both online and in person. We actively encouraged end-user input into the development and adaptation of the guidelines to ensure applicability to various practice settings and to promote adoption.

resultsThe final guideline contained 24 summary statements along with supporting clinical considerations, across six topic area sections. The guideline was adopted by various provincial/territorial and national government and non-governmental organisations.

conclusionsThis method can be applied in other jurisdictions to adapt existing high-quality smoking cessation CPGs to the local context and to facilitate subsequent adoption by various stakeholders.

Indexed as

Practice Guidelines as TopicCanadaDelivery of Health CareEvidence-Based PracticeHumansSmoking Cessationclinical practice guidelineguideline implementationhealthcare providersmoking cessationtobacco

Identifiers

PMID29102984
PMCPMC5722096

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.