Evidence map›Paper›PMID 34187835›Full record

ArticleBMJ open2021

Preoperative contingency management intervention for smoking abstinence in cancer patients: trial protocol for a multisite randomised controlled trial.

Alana M Rojewski, Lisa M Fucito, Nathaniel L Baker, Amanda M Palmer, Madeline G Foster, Graham W Warren, Steven L Bernstein, Benjamin A Toll

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04605458 (Contingency Management to Promote Smoking Abstinence in Cancer Patients), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 91% 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.

NCT04605458 nacompletednot on this map

Contingency Management to Promote Smoking Abstinence in Cancer Patients

TypeinterventionalSponsorMedical University of South CarolinaRan2020 to 2025Enrolled282ConditionsSmoking CessationArmsContingency Management, Standard Care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
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 at 3 institutions in 1 country.

Alana M RojewskiPublic Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA rojewski@musc.edu.ORCID 0000-0003-1531-9287
Lisa M FucitoPsychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Nathaniel L BakerPublic Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Amanda M PalmerPublic Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Madeline G FosterPublic Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Graham W WarrenHollings Cancer Center, Charleston, South Carolina, USA.
Steven L BernsteinDartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Benjamin A TollPublic Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA.
Medical University of South Carolina · USDartmouth College · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Pulmonary Focused Foundations in Innovation and Scholarship (PuFFInS)T32HL144470 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Carol A. Feghali-Bostwick · 2019 to 2026
$2.6M
Contingency Management to Promote Smoking Abstinence in Cancer PatientsR01CA251158 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TOLL, BENJAMIN ANDREW · 2020 to 2024
$2.5M
Tobacco Treatment in the Context of Lung Cancer Screening - Administrative SupplementK07CA214839 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ROJEWSKI, ALANA · 2017 to 2021
$911k
Novel Treatment to Enhance Smoking Cessation before Cancer SurgeryR21CA181569 · NCI · YALE UNIVERSITY · PI TOLL, BENJAMIN ANDREW · 2014 to 2015
$438k
NCATS NIH HHS UL1 TR001863NCI NIH HHS K07 CA214839NCI NIH HHS R01 CA251158NCI NIH HHS R21 CA181569NHLBI NIH HHS T32 HL144470
6 · The paper itself

Abstract

introductionContinued smoking following a cancer diagnosis has substantial health risks including increased overall and cancer-specific mortality, risk of secondary malignancies, cancer treatment toxicity and risk of surgical complications. These risks can be mitigated by quitting smoking. The preoperative period represents a prime opportunity in which to administer robust smoking cessation treatment to both improve health and support and improve surgical outcomes. We will conduct a randomised clinical trial to evaluate the effectiveness of financial incentives delivered contingent on biochemically verified smoking abstinence (contingency management (CM)) in patients with cancer undergoing surgery. METHODS AND ANALYSIS: The study will take place across two study sites, and participants (N=282) who smoke, are diagnosed with or suspected to have any type of operable cancer and have a surgical procedure scheduled in the next 10 days to 5 weeks will be randomised to receive standard care plus Monitoring Only or CM prior to surgery. All patients will receive breath carbon monoxide (CO) tests three times per week, nicotine replacement therapy and counselling. The CM group will also earn payments for self-reported smoking abstinence confirmed by CO breath test ≤4 ppm on an escalating schedule of reinforcement (with a reset if they smoked). Point prevalence abstinence (PPA) outcomes (self-report of 7-day abstinence confirmed by CO≤4 ppm and/or anabasine ≤2 ng/mL) will be assessed on the day of surgery and 6 months after surgery. The effect of CM on 7-day PPA at the time of surgery and 6-month follow-up will be modelled using generalised linear mixed effects models. ETHICS AND DISSEMINATION: This study has been reviewed and approved by the Medical University of South Carolina Institutional Review Board. We will disseminate our scientific results through traditional research-oriented outlets such as presentations at scientific meetings and publications in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT04605458.

Indexed as

NeoplasmsSmoking CessationHumansMotivationRandomized Controlled Trials as TopicSmokingTobacco Use Cessation Devicesoncologypublic healthsurgery

Identifiers

PMID34187835
PMCPMC8245459
OpenAlexW3174431246

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.