Evidence map›Paper›PMID 30713413›Full record

Trial reportEthnicity & disease2019

Reasons for Exclusion from a Smoking Cessation Trial: An Analysis by Race/Ethnicity.

Monica Webb Hooper, Taghrid Asfar, Marina Unrod, Asha Dorsey, John B Correa, Karen O Brandon, Vani N Simmons, Michael A Antoni, Tulay Koru-Sengul, David J Lee and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Ethnicity & disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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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

11 authors.

Monica Webb HooperCase Western Reserve University, Case Comprehensive Cancer Center.
Taghrid AsfarUniversity of Miami Miller School of Medicine, Department of Public Health Sciences and Sylvester Comprehensive Cancer Center.
Marina UnrodMoffitt Cancer Center.
Asha DorseyUniversity of Miami Miller School of Medicine, Department of Public Health Sciences and Sylvester Comprehensive Cancer Center.
John B CorreaVA San Diego Healthcare System.
Karen O BrandonMoffitt Cancer Center.
Vani N SimmonsMoffitt Cancer Center.
Michael A AntoniUniversity of Miami Miller School of Medicine, Department of Public Health Sciences and Sylvester Comprehensive Cancer Center.
Tulay Koru-SengulUniversity of Miami Miller School of Medicine, Department of Public Health Sciences and Sylvester Comprehensive Cancer Center.
David J LeeUniversity of Miami Miller School of Medicine, Department of Public Health Sciences and Sylvester Comprehensive Cancer Center.
Thomas H BrandonMoffitt Cancer Center.

Funding

Tumor Biology Research ProgramP30CA240139 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Stephen D. Nimer · 2019 to 2026
$24.1M
NCI NIH HHS P30 CA240139
6 · The paper itself

Abstract

Objective: The exclusion criteria of tobacco cessation randomized clinical trials (RCTs) may have unintended consequences on inclusion and cessation disparities. We examined racial/ethnic differences in: a) exclusion from a group-based cessation RCT; and b) reasons for exclusion. Design: Quasi-experimental. Inclusion criteria were self-identification as African American/Black, non-Hispanic White, or Hispanic (any race), adults, minimum five cigarettes/day or carbon monoxide reading of ≥ 8 parts per million (ppm), interest in quitting, and spoke/read English. Data were obtained from a parent trial, which is ongoing and will be completed in 2019. Analyses for our present study on participant screening and enrollment were conducted in 2018. Main Outcome Measures: Study ineligibility, and reasons for exclusion (contraindications for nicotine patch use, serious mental illness [SMI, eg, bipolar disorder or schizophrenia], alcohol dependence or illicit drug use, current tobacco treatment, attendance barriers [eg, transportation], and other concerns [eg, aggressive, intoxicated, disruptive, visibly ill]). Results: Of 1,206 individuals screened, 36% were ineligible. The most frequent reasons were SMI (28%), alcohol dependence or drug use (10%), and attendance barriers (7%). Ineligibility was greater among African Americans (42%) and Hispanics (37%), compared with Whites (24%; P<.001). Compared with African Americans and Hispanics, Whites were more likely to be excluded for single reasons, including attendance barriers, and medical conditions (P<.05). African Americans were more than twice as likely as Whites to be excluded for 3 or more reasons (12% vs 5% respectively, P<.05). Conclusions: A notable proportion of smokers were ineligible for this RCT, with SMI as the greatest single cause. Racial/ethnic minorities were more likely to be excluded, with African Americans deemed ineligible for multiple reasons. Findings have implications for RCT generalizability, addressing tobacco disparities and health equity.

Indexed as

EthnicityPatient SelectionRacial GroupsAdolescentAdultFemaleFloridaHumansMaleMiddle AgedPrevalenceSmokersSmoking CessationTobacco ProductsTobacco Use Cessation DevicesYoung AdultDisparitiesEligibility CriteriaExclusion CriteriaRacial/Ethnic DifferencesRandomized Clinical TrialsTobacco Cessation

Identifiers

PMID30713413
PMCPMC6343546

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.