Evidence map›Paper›PMID 35636564›Full record

ArticlePreventive medicine2022

A comprehensive electronic health record-enabled smoking treatment program: Evaluating reach and effectiveness in primary care in a multiple baseline design.

Danielle E McCarthy, Timothy B Baker, Mark E Zehner, Robert T Adsit, Nayoung Kim, Deejay Zwaga, Katherine Coates, Hannah Wallenkamp, Margaret Nolan, Margaret Steiner and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Representativeness of Electronic Referral to Smoking Treatment Trials in Adult Primary Care.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  9. 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

13 authors.

Danielle E McCarthyCenter for Tobacco Research and Intervention, Division of General Internal Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, 1930 Monroe St., Suite 200, Madison 53711, WI, USA. Electronic address: demccarthy@ctri.wisc.edu.
Timothy B BakerCenter for Tobacco Research and Intervention, Division of General Internal Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, 1930 Monroe St., Suite 200, Madison 53711, WI, USA.
Mark E ZehnerCenter for Tobacco Research and Intervention, Division of General Internal Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, 1930 Monroe St., Suite 200, Madison 53711, WI, USA.
Robert T AdsitCenter for Tobacco Research and Intervention, Division of General Internal Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, 1930 Monroe St., Suite 200, Madison 53711, WI, USA.
Nayoung KimCenter for Tobacco Research and Intervention, Division of General Internal Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, 1930 Monroe St., Suite 200, Madison 53711, WI, USA.
Deejay ZwagaCenter for Tobacco Research and Intervention, Division of General Internal Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, 1930 Monroe St., Suite 200, Madison 53711, WI, USA.
Katherine CoatesGroup Health Cooperative of South Central Wisconsin, 1265 John Q. Hammons Dr., Madison 53717, WI, USA.
Hannah WallenkampGroup Health Cooperative of South Central Wisconsin, 1265 John Q. Hammons Dr., Madison 53717, WI, USA.
Margaret NolanCenter for Tobacco Research and Intervention, Division of General Internal Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, 1930 Monroe St., Suite 200, Madison 53711, WI, USA.
Margaret SteinerGroup Health Cooperative of South Central Wisconsin, 1265 John Q. Hammons Dr., Madison 53717, WI, USA.
Amy SkoraCenter for Tobacco Research and Intervention, Division of General Internal Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, 1930 Monroe St., Suite 200, Madison 53711, WI, USA.
Christian KastmanGroup Health Cooperative of South Central Wisconsin, 1265 John Q. Hammons Dr., Madison 53717, WI, USA.
Michael C FioreCenter for Tobacco Research and Intervention, Division of General Internal Medicine, Department of Medicine, School of Medicine and Public Health, University of Wisconsin, 1930 Monroe St., Suite 200, Madison 53711, WI, USA.

Funding

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
NCI NIH HHS R35 CA197573
6 · The paper itself

Abstract

Effective treatments for smoking cessation exist but are underused. Proactive chronic care approaches may enhance the reach of cessation treatment and reduce the prevalence of smoking in healthcare systems. This pragmatic study evaluated a population-based Comprehensive Tobacco Intervention Program (CTIP) implemented in all (6) adult primary care clinics in a Madison, Wisconsin, USA healthcare cooperative, assessing treatment reach, reach equity, and effectiveness in promoting smoking cessation. CTIP launched in 3 waves of 2 clinics each in a multiple baseline design. Electronic health record (EHR) tools facilitated clinician-delivered pharmacotherapy and counseling; guiding tobacco care managers in phone outreach to all patients who smoke; and prompting multimethod bulk outreach to all patients on a smoking registry using an opt-out approach. EHR data were analyzed to assess CTIP reach and effectiveness among 6894 adult patients between January 2018 and February 2020. Cessation treatment reach increased significantly after CTIP launch in 5 of 6 clinics and was significantly higher when clinics were active vs. inactive in CTIP [Odds Ratio (OR) range = 2.0-3.0]. Rates of converting from current to former smoking status were also higher in active vs. inactive clinics (OR range = 2.2-10.5). Telephone treatment reach was particularly high in historically underserved groups, including African-American, Hispanic, and Medicaid-eligible patients. Implementation of a comprehensive, opt-out, chronic-care program aimed at all patients who smoke was associated with increases in the rates of pharmacotherapy and counseling delivery and quitting smoking. Proactive outreach may help reduce disparities in treatment access.

Indexed as

Smoking CessationTobacco Use DisorderAdultElectronic Health RecordsHumansPrimary Health CareSmokingElectronic health recordOpt-outPrimary careProactive outreachSmoking cessationSystem change

Identifiers

PMID35636564
PMCPMC9990874

What OpenQuestion holds

Textmetadata
LicenceTDM
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.