Evidence map›Paper›PMID 40235012›Full record

SynthesisArchives of public health = Archives belges de sante publique2025

Efficacy of pharmacological intervention for smokeless tobacco cessation in adults: a systematic review and meta-analysis.

Saplin Pradhan, Smita R Priyadarshini, Saurav Panda, Satya Ranjan Misra, Rajat Panigrahi, Basanta Kumar Choudhury

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Saplin PradhanDepartment of Oral Medicine and Radiology, Institute of Dental Sciences, Siksha O Anusandhan University Bhubaneswar, Odisha, 751003, India.
Smita R PriyadarshiniDepartment of Oral Medicine and Radiology, Institute of Dental Sciences, Siksha O Anusandhan University Bhubaneswar, Odisha, 751003, India. smitapriyadarshini@soa.ac.in.
Saurav PandaDepartment of Periodontics and Implantology, Institute of Dental Sciences, Siksha O Anusandhan University Bhubaneswar, Odisha, 751003, India.
Satya Ranjan MisraDepartment of Oral Medicine and Radiology, Institute of Dental Sciences, Siksha O Anusandhan University Bhubaneswar, Odisha, 751003, India.
Rajat PanigrahiDepartment of Oral Medicine and Radiology, Institute of Dental Sciences, Siksha O Anusandhan University Bhubaneswar, Odisha, 751003, India.
Basanta Kumar ChoudhuryDepartment of Oral Medicine and Radiology, Institute of Dental Sciences, Siksha O Anusandhan University Bhubaneswar, Odisha, 751003, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

objectivesSmokeless tobacco (SLT) use is a global burden, and its long-term use can result in health issues like oral cancers, oral potentially malignant disorders, etc. This review assessed the effectiveness of behavioural and pharmacological interventions for SLT cessation, adding new dimensions to the evidence found earlier in the literature, including recent trials. SEARCH

methodsFour electronic databases were used in the search: PubMed, Scopus, Cochrane, and Web-of-Science. Study Selection included randomized control trials (RCTs) comparing pharmacological and behavioural interventions with or without placebo to help users quit SLT with 3 & 6 months follow-up. Two review writers who separately evaluated abstracts for possible inclusion extracted data from included trials. Mantel-Haenszel's random-effect method was used to assess pooled effects for trial subgroups. Furthermore, the effectiveness of the intervention was evaluated from the reported odds ratios, confidence intervals and quit rates.

resultsNineteen, consisting of 4575 participants, fulfilled the requirements to be listed in the review. A significant difference was observed at 6 months for pharmacological versus behavioural intervention with a low heterogeneity at a 95% confidence interval. Pooling the fifteen pharmacotherapy-versus-behavioural modification studies in adults, we discovered that pharmacotherapy had a statistically significant impact on raising quit rates by the conclusion of the follow-up period (OR 1.21, 95% CI 1.03 to 1.43; 3271 participants) with low heterogeneity (I

conclusionWorldwide, there has been minimal data on interventions for SLT cessation, yet the pharmacological interventional methods have been found to be comparatively effective than behavioural intervention. Adequate awareness, health care professionals training, and law implementation are necessary to achieve habit cessation. CLINICAL TRIAL NUMBER: Not Applicable. The present systematic review is registered in PROSPERO's International Prospective Register of Systematic Reviews (registration number CRD42023399178 dated 13th Feb 2023).

Indexed as

Behaviour modificationBupropionCessationNicotine replacement therapyRandomized controlled trialSmokeless tobaccoTobacco cessationVarenicline

Identifiers

PMID40235012
PMCPMC11998230

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.