Evidence map›Paper›PMID 31427313›Full record

SynthesisBMJ open2019

What components of smoking cessation care during pregnancy are implemented by health providers? A systematic review and meta-analysis.

Gillian Sandra Gould, Laura Twyman, Leah Stevenson, Gabrielle R Gribbin, Billie Bonevski, Kerrin Palazzi, Yael Bar Zeev

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2019. 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
–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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Quitting Smoking before and after Pregnancy: Study Methods and Baseline Data from a Prospective Cohort Study.International journal of environmental research and public health · 2022
    Article
  9. Article
  10. Article
  11. Review
  12. Article
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

7 authors.

Gillian Sandra GouldSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia gillian.gould@newcastle.edu.au.ORCID 0000-0001-8489-2576
Laura TwymanSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Leah StevensonSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Gabrielle R GribbinSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Billie BonevskiSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Kerrin PalazziHunter Medical Research Institute, Newcastle, New South Wales, Australia.
Yael Bar ZeevSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.ORCID 0000-0002-1916-836X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy is an opportunity for health providers to support women to stop smoking.

objectivesIdentify the pooled prevalence for health providers in providing components of smoking cessation care to women who smoke during pregnancy.

designA systematic review synthesising original articles that reported on (1) prevalence of health providers' performing the 5As ('Ask', 'Advise', 'Assess', 'Assist', 'Arrange'), prescribing nicotine replacement therapy (NRT) and (2) factors associated with smoking cessation care. DATA SOURCES: MEDLINE, EMBASE, CINAHL and PsycINFO databases searched using 'smoking', 'pregnancy' and 'health provider practices'. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies included any design except interventions (self-report, audit, observed consultations and women's reports), in English, with no date restriction, up to June 2017.

participantsHealth providers of any profession. DATA EXTRACTION, APPRAISAL AND ANALYSIS: Data were extracted, then appraised with the Hawker tool. Meta-analyses pooled percentages for performing each of the 5As and prescribing NRT, using, for example, 'often/always' and 'always/all'. Meta-regressions were performed of 5As for 'often/always'.

resultsOf 3933 papers, 54 were included (n=29 225 participants): 33 for meta-analysis. Health providers included general practitioners, obstetricians, midwives and others from 10 countries. Pooled percentages of studies reporting practices 'often/always' were: 'Ask' (n=9) 91.6% (95% CI 88.2% to 95%); 'Advise' (n=7) 90% (95% CI 72.5% to 99.3%), 'Assess' (n=3) 79.2% (95% CI 76.5% to 81.8%), 'Assist (cessation support)' (n=5) 59.1% (95% CI 56% to 62.2%), 'Arrange (referral)' (n=6) 33.3% (95% CI 20.4% to 46.2%) and 'prescribing NRT' (n=6) 25.4% (95% CI 12.8% to 38%). Heterogeneity (I

conclusionsHealth providers 'Ask', 'Advise' and 'Assess' most pregnant women about smoking. 'Assist', 'Arrange' and 'prescribing NRT' are reported at lower rates: strategies to improve these should be considered. PROSPERO REGISTRATION NUMBER: CRD42015029989.

Indexed as

FemaleHumansMaternal Health ServicesPhysiciansPregnancyPregnancy ComplicationsSmoking Cessationhealthcare providersmaternal healthpregnancysmokingsmoking cessation

Identifiers

PMID31427313
PMCPMC6701616

What OpenQuestion holds

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LicenceCC BY-NC
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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.