Evidence map›Paper›PMID 34083493›Full record

ArticleTobacco control2023

Primary care-based smoking cessation treatment and subsequent healthcare service utilisation: a matched cohort study of smokers using linked administrative healthcare data.

Dolly Baliunas, Peter Selby, Claire de Oliveira, Paul Kurdyak, Laura Rosella, Laurie Zawertailo, Longdi Fu, Rinku Sutradhar

Abstract read
In one paragraph

Article in Tobacco control, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Author reply.Internal medicine journal · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Longitudinal adherence to surveillance for late effects of cancer treatment: a population-based study of adult survivors of childhood cancer.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Association Between Smoking Cessation Treatment and Healthcare Costs in a Single-Payer Public Healthcare System.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  10. 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

8 authors.

Dolly BaliunasSchool of Public Health, The University of Queensland, Herston, Queensland, Australia d.baliunas@uq.edu.au.ORCID 0000-0001-5685-0715
Peter SelbyDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-5401-2996
Claire de OliveiraCentre for Health Economics and Hull York Medical School, University of York, York, UK.ORCID 0000-0003-3961-6008
Paul KurdyakDepartment of Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Laura RosellaDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Laurie ZawertailoNicotine Dependence Service, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID 0000-0002-4547-1565
Longdi FuICES, Toronto, Ontario, Canada.
Rinku SutradharDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Funding

CIHR
6 · The paper itself

Abstract

backgroundNo research has assessed the individual-level impact of smoking cessation treatment delivered within a general primary care patient population on multiple forms of subsequent healthcare service use.

objectiveWe aimed to compare the rate of outpatient visits, emergency department (ED) visits and hospitalisations during a 5-year follow-up period among smokers who had and had not accessed a smoking cessation treatment programme.

methodsThe study was a retrospective matched cohort study using linked demographic and administrative healthcare databases in Ontario, Canada. 9951 patients who accessed smoking cessation services between July 2011 and December 2012 were matched to a smoker who did not access services, obtained from the Canadian Community Health Survey, using a combination of hard matching and propensity score matching. Outcomes were rates of healthcare service use from index date (programme enrolment or survey response) to March 2017.

resultsAfter controlling for potential confounders, patients in the overall treatment cohort had modestly greater rates of the outcomes: outpatient visits (rate ratio (RR) 1.10, 95% CI: 1.06 to 1.14), ED visits (RR 1.08, 95% CI: 1.03 to 1.13) and hospitalisations (RR 1.09, 95% CI: 1.02 to 1.18). Effect modification of the association between smoking cessation treatment and healthcare service use by prevalent comorbidity was found for outpatient visits (p=0.006), and hospitalisations (p=0.050), but not ED visits.

conclusionsPatients who enrolled in smoking cessation treatment offered through primary care clinics in Ontario displayed a modest but significantly greater rate of outpatient visits, ED visits and hospitalisations over a 5-year follow-up period.

Indexed as

Smoking CessationCohort StudiesEmergency Service, HospitalHumansOntarioPatient Acceptance of Health CarePrimary Health CareRetrospective StudiesSmokerscessationhealth servicesprimary health care

Identifiers

PMID34083493
PMCPMC9763184

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.