Evidence map›Paper›PMID 29891957›Full record

Trial reportScientific reports2018

Impact of nicotine replacement therapy as an adjunct to anti-tuberculosis treatment and behaviour change counselling in newly diagnosed pulmonary tuberculosis patients: an open-label, randomised controlled trial.

Surendra Kumar Sharma, Alladi Mohan, Achintya Dinesh Singh, Hridesh Mishra, Sonali Jhanjee, Ravindra Mohan Pandey, Binit Kumar Singh, Rohini Sharma, Prakash Babu Pallipamu, Madhukar Pai and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Guideline
  2. Interventions for preventing weight gain after smoking cessation.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Advancing Tobacco Cessation in LMICs.Current oncology (Toronto, Ont.) · 2022
    Review
  8. Article
  9. Article
  10. Review
  11. Management of drug-resistant tuberculosis.Lancet (London, England) · 2019
    Review
  12. Management of patients with multidrug-resistant tuberculosis.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2019
    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 at 5 institutions in 3 countries.

Surendra Kumar SharmaDepartment of Molecular Medicine, Jamia Hamdard institute of Molecular Medicine, New Delhi, 110062, India. sksharma.aiims2@gmail.com.
Alladi MohanDepartment of Medicine, Sri Venkateshwara Institute of Medical Sciences, Tirupati, 517507, Andhra Pradesh, India.
Achintya Dinesh SinghDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.
Hridesh MishraDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.
Sonali JhanjeePsychiatry, All India Institute of Medical Sciences, New Delhi, 110029, India.
Ravindra Mohan PandeyBiostatistics, All India Institute of Medical Sciences, New Delhi, 110029, India.
Binit Kumar SinghDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.
Rohini SharmaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.
Prakash Babu PallipamuDepartment of Medicine, Sri Venkateshwara Institute of Medical Sciences, Tirupati, 517507, Andhra Pradesh, India.
Madhukar PaiCanada Research Chair in Epidemiology & Global Health, Director, McGill Global Health Programs, Associate Director, McGill International TB Centre, McGill University, Dept of Epidemiology & Biostatistics, 1020 Pine Ave, West Montreal, QC H3A 1A2, Canada.
Keertan DhedaLung Infection and Immunity Unit, Department of Medicine, Division of Pulmonology and UCT Lung Institute, University of Cape Town, Old Main Building, Groote Schuur Hospital, Observatory, Cape Town, South Africa.
All India Institute of Medical Sciences · INSri Venkateswara Institute of Medical Sciences · INGroote Schuur Hospital · ZAJamia Hamdard · INMcGill University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated the impact of intensive smoking cessation activities as an adjunct to anti-tuberculosis treatment on patient-related treatment outcomes. In this open-label, randomised controlled trial, self-reporting smokers with pulmonary tuberculosis who initiated standard anti-tuberculosis treatment were randomised to either nicotine replacement therapy and behaviour change counselling (n = 400) or counselling alone (n = 400) provided at baseline and two follow-up visits. The primary outcomes were change in TBscore at 24-weeks and culture conversion at 8-weeks. Biochemical smoking quit rates defined as serum cotinine levels <10 ng/mL and/or exhaled carbon monoxide levels <6 ppm (47·8% vs 32·4%, p-value =< 0·001) and self-reported quit rates (69.3% vs 38·7%, p-value =< 0·001) were significantly higher in the intervention arm at 24-weeks. Though the TBscores at 24 weeks (95% CI) were lower in the intervention arm [2·07 (1·98, 2·17) versus 2.12 (2·02, 2·21)], the difference was not clinically meaningful. Patients in the control arm required treatment extension more often than intervention arm (6·4% vs 2·6%, p-value = 0·02). Combining nicotine replacement therapy with behaviour change counselling resulted in significantly higher quit rates and lower cotinine levels, however, impact on patient-related (TBscore) or microbiological outcomes (culture conversion) were not seen.

Indexed as

AdultAntitubercular AgentsBehavior TherapyCombined Modality TherapyCounselingFemaleHumansMaleMiddle AgedNicotinic AgonistsSmoking Cessation AgentsTreatment OutcomeTuberculosis, PulmonaryYoung AdultAntitubercular AgentsNicotinic AgonistsSmoking Cessation Agents

Identifiers

PMID29891957
PMCPMC5995820
OpenAlexW2806088868

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.