Evidence map›Paper›PMID 32155775›Full record

ArticleInternational journal of environmental research and public health2020

Low Burden Strategies Are Needed to Reduce Smoking in Rural Healthcare Settings: A Lesson from Cancer Clinics.

Alex T Ramsey, Timothy B Baker, Giang Pham, Faith Stoneking, Nina Smock, Graham A Colditz, Aimee S James, Jingxia Liu, Laura J Bierut, Li-Shiun Chen

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Systematic Review of Smoking Cessation Interventions for Smokers Diagnosed with Cancer.International journal of environmental research and public health · 2022
    Pooled it
  2. Predictors of Cessation Readiness among Cigarette Smokers Presenting for Low-Dose CT Lung Cancer Screening in Community Settings (WF-20817CD).Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Trial
  3. Article
  4. Article
  5. Who Reports Greater Chronic Disease Risk Behaviours? A Closer Look at Sociodemographic Differences Among Australian Adolescents: A Cross-Sectional Analysis.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  6. Observational
  7. Article
  8. Article
  9. Review
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  11. Alvin J. Siteman Cancer Center: Cancer Prevention Perspective.Cancer prevention research (Philadelphia, Pa.) · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Implementation Science to Improve Tobacco Cessation Services in Oncology Care.Journal of the National Comprehensive Cancer Network : JNCCN · 2021
    Article
  19. Article
  20. 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

10 authors at 3 institutions in 1 country.

Alex T RamseyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Timothy B BakerDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI 53726, USA.
Giang PhamDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Faith StonekingDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0001-6737-3598
Nina SmockDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Graham A ColditzAlvin J. Siteman Cancer Center, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0002-7307-0291
Aimee S JamesAlvin J. Siteman Cancer Center, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, MO 63110, USA.
Jingxia LiuAlvin J. Siteman Cancer Center, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, MO 63110, USA.
Laura J BierutDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Li-Shiun ChenDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110, USA.
Barnes-Jewish Hospital · USWashington University in St. Louis · USUniversity of Wisconsin–Madison · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Testing Relapse Recovery Intervention ComponentsP01CA180945 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI FIORE, MICHAEL C · 2014 to 2023
$23.0M
Transforming The Treatment of Tobacco Use in Health Care: Seizing The Potential of the Electronic Health Record to Deliver Comprehensive Chronic Care Treatment for SmokingR35CA197573 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI MICHAEL C FIORE · 2015 to 2026
$10.7M
Washington University Implementation Science Center for Cancer Control (WU-ISCCC)P50CA244431 · NCI · WASHINGTON UNIVERSITY · PI BROWNSON, ROSS C, COLDITZ, GRAHAM A. · 2019 to 2023
$8.0M
Washington University Career Development Program in Drug Abuse and AddictionK12DA041449 · NIDA · WASHINGTON UNIVERSITY · PI Laura J. Bierut, Patricia A Cavazos-Rehg · 2017 to 2026
$4.2M
Genetically Informed Smoking Cessation TrialR01DA038076 · NIDA · WASHINGTON UNIVERSITY · PI CHEN, LI-SHIUN · 2014 to 2018
$3.3M
Nicotine Dependence to Smoking Cessation: Sequencing Common and Rare VariantsR01DA036583 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2014 to 2017
$3.0M
NCATS NIH HHS UL1 TR002345NCATS NIH HHS UL1TR002345NCI NIH HHS P01CA180945NCI NIH HHS P30 CA091842NCI NIH HHS P30CA091842NCI NIH HHS P30CA091842-16S2NCI NIH HHS P50 CA244431NCI NIH HHS R35CA197573NIDA NIH HHS K12 DA041449NIDA NIH HHS K12DA041449NIDA NIH HHS R01DA036583NIDA NIH HHS R01DA038076
6 · The paper itself

Abstract

Rural populations face significant smoking-related health disparities, such as a higher prevalence of lung cancer and cancer mortality, higher prevalence of smoking, and lower likelihood of receiving cessation treatment than urban counterparts. A significant proportion of health disparities in rural populations could be eliminated with low-barrier, easy-access treatment delivery methods for smoking cessation. In this study, we assessed treatment engagement among patients in rural and urban settings. Then, we examined the effect of an electronic health record-based smoking cessation module on patient receipt of evidence-based cessation care. As part of a quality improvement project, we retrospectively observed 479,798 unique patients accounting for 1,426,089 outpatient clinical encounters from June 2018-March 2019 across 766 clinics in the greater St. Louis, southern Illinois, and mid-Missouri regions. Smoking prevalence was higher in rural versus urban clinics (20.7% vs. 13.9%, 6.7% [6.3, 7.1], odds ratio = 1.6 [1.6, 1.6],

Indexed as

Rural PopulationSmokingTobacco Use DisorderAdolescentAdultAgedAged, 80 and overFemaleHealth Status DisparitiesHumansIllinoisMaleMiddle AgedMissouriRetrospective StudiesYoung Adultcancer caredecision supportelectronic health recordhealth disparitiesimplementation strategiesruralsmoking cessation treatmenttobacco use

Identifiers

PMID32155775
PMCPMC7084618
OpenAlexW3010365102

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.