Evidence map›Paper›PMID 30506845›Full record

SynthesisAddiction (Abingdon, England)2019

The efficacy of smoking cessation interventions in low- and middle-income countries: a systematic review and meta-analysis.

Maxwell Oluwole Akanbi, Allison Jane Carroll, Chad Achenbach, Linda Catherine O'Dwyer, Neil Jordan, Brian Hitsman, Lucy Ann Bilaver, Megan Colleen McHugh, Robert Murphy

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Addiction (Abingdon, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 6 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

42 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Behavioral Interventions for Tobacco Cessation in Low- and Middle-Income Countries: A Systematic Review and Meta-analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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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

9 authors.

Maxwell Oluwole AkanbiHealth Sciences Integrated PhD Program, Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0001-6022-2359
Allison Jane CarrollDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Chad AchenbachCenter for Global Health, Northwestern University, Chicago, IL, USA.
Linda Catherine O'DwyerGalter Health Sciences Library and Learning Center, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Neil JordanHealth Sciences Integrated PhD Program, Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Brian HitsmanDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Lucy Ann BilaverHealth Sciences Integrated PhD Program, Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Megan Colleen McHughHealth Sciences Integrated PhD Program, Center for Education in Health Sciences, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Robert MurphyCenter for Global Health, Northwestern University, Chicago, IL, USA.

Funding

Northwestern/Nigeria Research Training Program in HIV and Malignancies (NN-HAM)D43TW009575 · FIC · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Chad J Achenbach, Jonah Musa · 2014 to 2026
$4.1M
FIC NIH HHS D43 TW009575
6 · The paper itself

Abstract

aimsTo summarize evidence for the efficacy of smoking cessation interventions in low- and middle-income countries (LMICs).

designSystematic review and meta-analysis of randomized controlled trials.

settingLMICs as defined by the World Bank.

participantsAdult current cigarette smokers residing in LMICs.

interventionsBehavioral and/or pharmacotherapy smoking cessation interventions. MEASUREMENTS: PubMed MEDLINE, EMBASE (embase.com), Cochrane Central Register of Controlled Trials (Wiley), PsycINFO (Ebsco), SciELO, WHO Global Index Medicus and Scopus were searched from inception to 4 April 2018. Only studies with at least 6 months of follow-up were included. We used the most rigorous assessment of abstinence reported by each study. Effect sizes were computed from abstracted data. Where possible, a meta-analysis was performed using Mantel-Haenzel random-effect models reporting odds ratios (OR) and 95% confidence intervals (CI).

findingsTwenty-four randomized controlled trials were included. Six investigated the efficacy of pharmacological agents. Four trials that compared nicotine replacement therapy (NRT) to placebo found NRT improved cessation rates (n : NRT 546, control 684, OR = 1.76, 95% CI = 1.30-2.77, P < 0.001, I

conclusionNicotine replacement therapy, behavioral counseling and brief advice appear to be effective in aiding smoking cessation in low- and middle-income countries. There is limited rigorous research on other smoking cessation interventions in these regions.

Indexed as

Behavior TherapyCounselingDeveloping CountriesTobacco Use Cessation DevicesAdultBupropionCigarette SmokingClonidineHumansMobile ApplicationsNaltrexoneNortriptylineRandomized Controlled Trials as TopicSmoking CessationSmoking Cessation AgentsVareniclineBupropionClonidineNaltrexoneNortriptylineSmoking Cessation AgentsVareniclineDeveloping countrieslow- and middle-income countriesmeta-analysissmoking cessationsystematic reviewtobacco use

Identifiers

PMID30506845
PMCPMC6411424

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.