Evidence map›Paper›PMID 29534598›Full record

Observational studyAmerican journal of health promotion : AJHP2018

Long-Term Outcomes From Repeated Smoking Cessation Assistance in Routine Primary Care.

Steffani R Bailey, Victor J Stevens, Stephen P Fortmann, Stephen E Kurtz, Mary Ann McBurnie, Elisa Priest, Jon Puro, Leif I Solberg, Rebecca Schweitzer, Andrew L Masica and 1 more

Abstract readObservational Study
In one paragraph

Observational study in American journal of health promotion : AJHP, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Rates of medical service utilisation in people with and without cancer: an Australian cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Tobacco Cessation in Affordable Care Act Medicaid Expansion States Versus Non-expansion States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Observational
  12. Article
  13. Review
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.

Steffani R Bailey1 Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA.ORCID 0000-0002-4482-8083
Victor J Stevens2 Kaiser Permanente Center for Health Research, Portland, OR, USA.
Stephen P Fortmann2 Kaiser Permanente Center for Health Research, Portland, OR, USA.ORCID 0000-0002-1327-9341
Stephen E Kurtz2 Kaiser Permanente Center for Health Research, Portland, OR, USA.
Mary Ann McBurnie2 Kaiser Permanente Center for Health Research, Portland, OR, USA.
Elisa Priest3 Baylor Scott & White Health, Dallas, TX, USA.
Jon Puro4 OCHIN, Inc, Portland, OR, USA.
Leif I Solberg5 HealthPartners Institute, Minneapolis, MN, USA.
Rebecca Schweitzer6 Department is Office of Public Health Studies, University of Hawai'i at Manoa, Honolulu, HI, USA.
Andrew L Masica3 Baylor Scott & White Health, Dallas, TX, USA.
Brian Hazlehurst2 Kaiser Permanente Center for Health Research, Portland, OR, USA.

Funding

Western States Node of the National Drug Abuse Treatment Clinical Trials Network (TMS for CUD) UG1DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Keith N. Humphreys, Philip Todd Korthuis · 2015 to 2026
$24.6M
Enhancing Clinical Effectiveness Research with Natural Language Processing of EMRR01HS019828 · AHRQ · KAISER FOUNDATION RESEARCH INSTITUTE · PI HAZLEHURST, BRIAN L · 2010 to 2010
$8.7M
Meaningful Use and Treatment of Smoking in Federally-Qualified Health CentersK23DA037453 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI BAILEY, STEFFANI R · 2015 to 2019
$841k
AHRQ HHS R01 HS019828NIDA NIH HHS K23 DA037453NIDA NIH HHS UG1 DA015815
6 · The paper itself

Abstract

purposeTo test the association between repeated clinical smoking cessation support and long-term cessation.

designRetrospective, observational cohort study using structured and free-text data from electronic health records.

settingSix diverse health systems in the United States.

participantsPatients aged ≥18 years who were smokers in 2007 and had ≥1 primary care visit in each of the following 4 years (N = 33 691). MEASURES: Primary exposure was a composite categorical variable (comprised of documentation of smoking cessation medication, counseling, or referral) classifying the proportions of visits for which patients received any cessation assistance (<25% (reference), 25%-49%, 50%-74%, and ≥75% of visits). The dependent variable was long-term quit (LTQ; yes/no), defined as no indication of being a current smoker for ≥365 days following a visit where nonsmoker or former smoker was indicated. ANALYSIS: Mixed effects logistic regression analysis adjusted for age, sex, race, and comorbidities, with robust standard error estimation to account for within site correlation.

resultsOverall, 20% of the cohort achieved LTQ status. Patients with ≥75% of visits with any assistance had almost 3 times the odds of achieving LTQ status compared to those with <25% visits with assistance (odds ratio = 2.84; 95% confidence interval: 1.50-5.37). Results were similar for specific assistance types.

conclusionsThese findings provide support for the importance of repeated assistance at primary care visits to increase long-term smoking cessation.

Indexed as

Outcome Assessment, Health CarePrimary Health CareAdolescentAdultAgedCounselingFemaleHumansLogistic ModelsMaleMiddle AgedRetrospective StudiesSmoking CessationUnited StatesYoung Adultelectronic health recordslong-term quitprimary caresmoking cessation

Identifiers

PMID29534598
PMCPMC6342013

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.