Evidence map›Paper›PMID 29431134›Full record

ArticleBMJ open2018

Smoking cessation support for regular smokers in Hungarian primary care: a nationwide representative cross-sectional study.

Valéria Sipos, Anita Pálinkás, Nóra Kovács, Karola Orsolya Csenteri, Ferenc Vincze, József Gergő Szőllősi, Tibor Jenei, Magor Papp, Róza Ádány, János Sándor

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. 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
0.3field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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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

10 authors at 1 institution in 1 country.

Valéria SiposDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Anita PálinkásDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Nóra KovácsDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Karola Orsolya CsenteriDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Ferenc VinczeDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
József Gergő SzőllősiDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Tibor JeneiDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
Magor PappNational Institute for Health Development, Budapest, Hungary.
Róza ÁdányDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
János SándorDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary.
University of Debrecen · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur study aimed to evaluate the effectiveness of general practitioners' (GPs') smoking cessation support (SCS). STUDY

designWe carried out a cross-sectional study between February and April 2016. SETTING AND PARTICIPANT: A sample of 2904 regular smokers aged 18 years or older was selected randomly from 18 general medical practices involved in a national representative, general medical practice-based morbidity monitoring system. The GPs surveyed the selected adults and identified 708 regular smokers.

main outcome measuresMultivariate logistic regression models have been applied to evaluate the determinants (age, gender, education, smoking-related comorbidity, smoking intensity, intention to quit smoking and nicotine dependence) of provision of GP-mediated SCS such as brief intervention, pharmacological and non-pharmacological programmatic support.

resultsAccording to the survey, 24.4% of the adults were regular smokers, 30% of them showed high nicotine dependence and 38.2% willing to quit smoking. Most of the smokers were not participated in SCS by GPs: brief intervention, programmatic non-pharmacological support and pharmacotherapy were provided for 25%, 7% and 2% of smokers, respectively. Low-nicotine-dependence individuals were less (OR 0.30, 95% CI 0.12 to 0.75), patients with intention to quit were more (OR 1.49, 95% CI 1.00 to 2.22) likely to receive a brief intervention. Vocational (OR 1.71, 95% CI 1.13 to 2.59) and high school education (OR 2.08, 95% CI 1.31 to 3.31), chronic obstructive pulmonary disease and cardiovascular diseases (OR 3.34, 95% CI 1.04 to 10.68; OR 3.91, 95% CI 2.33 to 6.54) increased the probability to receive support by GP.

conclusionsAlthough there are differences among smokers' subgroups, the SCS in Hungarian primary care is generally insufficient, compared with guidelines. Practically, the pharmacological support is not included in Hungarian GPs' practice. GPs should increase substantially the working time devoted to SCS, and the organisation of primary healthcare should support GPs in improving SCS services.

Indexed as

Health Knowledge, Attitudes, PracticePractice Patterns, Physicians'Primary Health CareAdolescentAdultAgedCross-Sectional StudiesEducational StatusFemaleGeneral PractitionersHumansHungaryIntentionLogistic ModelsMaleMiddle Agedeffectivenessprimary health caresmoking

Identifiers

PMID29431134
PMCPMC5829607
OpenAlexW2786766944

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.