Evidence map›Paper›PMID 29955828›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2019

Predictors of Varenicline Adherence Among Cancer Patients Treated for Tobacco Dependence and its Association With Smoking Cessation.

Grace Crawford, Jessica Weisbrot, Joseph Bastian, Alex Flitter, Nancy C Jao, Allison Carroll, Ravi Kalhan, Frank Leone, Brian Hitsman, Robert Schnoll

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 30% 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

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

  1. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Systematic Review of Smoking Cessation Interventions for Smokers Diagnosed with Cancer.International journal of environmental research and public health · 2022
    Pooled it
  3. A qualitative study of attitudes and perceptions of smoking cessation medication among patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Adherence and Efficacy of Smoking Cessation Treatment Among Patients with COPD in China.International journal of chronic obstructive pulmonary disease
    Trial
  8. Article
  9. Review
  10. Article
  11. Article
  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

10 authors at 2 institutions in 1 country.

Grace CrawfordDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA.
Jessica WeisbrotDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA.
Joseph BastianDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA.
Alex FlitterDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA.
Nancy C JaoDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Allison CarrollDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Ravi KalhanDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Frank LeonePulmonary, Allergy, & Critical Care Division, University of Pennsylvania, Philadelphia, PA.
Brian HitsmanDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Robert SchnollDepartment of Psychiatry, University of Pennsylvania, Philadelphia, PA.
University of Pennsylvania · USNorthwestern University · US

Funding

Extended Duration Varenicline for Smoking Among Cancer Patients: A Clinical TrialR01CA165001 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SCHNOLL, ROBERT ADAM · 2012 to 2016
$3.0M
NCI NIH HHS R01 CA165001
6 · The paper itself

Abstract

introductionThe degree to which smokers adhere to pharmacotherapy predicts treatment success. The development of interventions to increase adherence requires identification of predictors of treatment adherence, particularly among specific clinical populations.

methodsUsing data from a 12-week open-label phase of a clinical trial of varenicline for tobacco dependence among cancer patients (N = 207), we examined: (1) the relationship between self-reported varenicline adherence and verified smoking cessation and (2) demographic and disease-related variables, and early changes in cognition, affect, withdrawal, the reinforcing effects of smoking, and medication side effects, as correlates of varenicline adherence.

resultsAt the end of 12 weeks, 35% of the sample had quit smoking and 52% reported taking ≥80% of varenicline. Varenicline adherence was associated with cessation (p < .001): 58% of participants who were adherent had quit smoking versus 11% of those who were not. Participants who experienced early reductions in depressed mood and satisfaction from smoking and experienced an increase in the toxic effects of smoking, showed greater varenicline adherence (p < .05); the relationship between greater adherence and improved cognition, reduced craving, and reduced sleep problems and vomiting approached significance (p < .10).

conclusionsAmong cancer patients treated for tobacco dependence with varenicline, adherence is associated with smoking cessation. Initial changes in depressed mood and the reinforcing effects of smoking are predictive of adherence. IMPLICATIONS: The benefits of varenicline for treating tobacco dependence among cancer patients may depend upon boosting adherence by addressing early signs of depression and reducing the reinforcing dimensions of cigarettes.

Indexed as

AdultFemaleHumansMaleMedication AdherenceMiddle AgedNeoplasmsSelf ReportSmoking CessationSmoking Cessation AgentsTobacco SmokingTobacco Use DisorderTreatment OutcomeVareniclineSmoking Cessation AgentsVarenicline

Identifiers

PMID29955828
PMCPMC7182717
OpenAlexW2810006461

What OpenQuestion holds

Textmetadata
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.