Evidence map›Paper›PMID 35187212›Full record

ArticleTransplantation direct2022

Poor Practitioner Adherence to Clinical Tobacco Use Guidelines in Liver Transplant Recipients.

Claire Harrington, Megan Kosirog, Patrick Campbell, Dyanna Gregory, Amna Daud, Josh Levitsky, Jane L Holl, Donald M Lloyd-Jones, Lisa B VanWagner

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Review
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

9 authors at 1 institution in 1 country.

Claire HarringtonDivision of GI and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Megan KosirogDivision of GI and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Patrick CampbellDivision of GI and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Dyanna GregoryDivision of GI and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Amna DaudDivision of Organ Transplantation, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Josh LevitskyDivision of GI and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Jane L HollBiological Sciences Division, Center for Healthcare Delivery Science and Innovation and Department of Neurology, University of Chicago, Chicago, IL.
Donald M Lloyd-JonesDivision of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Lisa B VanWagnerDivision of GI and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Northwestern University · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Implementation science to improve cardiovascular outcomes among liver transplant recipientsK23HL136891 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI VANWAGNER, LISA B · 2017 to 2020
$757k
NCATS NIH HHS UL1 TR001422NHLBI NIH HHS K23 HL136891
6 · The paper itself

Abstract

Tobacco use is a modifiable risk factor for cardiovascular events (CVEs) in liver transplant recipients (LTRs), but there is a paucity of data about practitioner adherence to tobacco cessation guidelines for LTRs. We sought to assess adherence to these guidelines as a predictor of CVEs after liver transplant.

methodsWe conducted a retrospective, observational, cohort study of adult LTRs from 2010 to 2016 at a large urban, tertiary care transplant network.

resultsOf 572 LTRs (mean age' 56.9; 64.1% male), 325 (56.8%) were never, 191 (33.4%) were former, and 56 (9.8%) were current tobacco users before liver transplant. Most LTRs (59%) had their tobacco use assessed annually by transplant providers. Among current users, documented tobacco cessation interventions decreased over time' and <25% were offered pharmacologic treatment or referral to counseling. There was no difference in CVEs between tobacco users who received cessation interventions compared with those who did not.

conclusionsThis single-center study suggests that although tobacco use cessation counseling and interventions were not associated with a decrease in CVEs, evidence-based interventions for tobacco use were under utilized in this high cardiac risk population. These findings underscore missed opportunities for transplant practitioners to provide tobacco use cessation interventions to LTRs, which potentially could reduce CVEs.

Identifiers

PMID35187212
PMCPMC8806375
OpenAlexW4210530678

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.