The role of doctors in smoking cessation: evidence from the Cochrane Library

This article examines the role of doctors in assisting patients who smoke to quit, using evidence from Cochrane systematic reviews of randomised trials. Doctors may help such patients by providing advice, referring patients for counselling and support and by offering pharmacological therapy. Complem...

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Autor principal:	Tim Lancaster
Formato:	article
Lenguaje:	EN
Publicado:	South African Heart Association 2021
Materias:	tobacco cochrane nicotine replacement therapy Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/bf117bdbea1b423491ec16c0b3540b67
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spelling	oai:doaj.org-article:bf117bdbea1b423491ec16c0b3540b672021-11-26T14:14:35ZThe role of doctors in smoking cessation: evidence from the Cochrane Library10.24170/8-1-19211996-67412071-4602https://doaj.org/article/bf117bdbea1b423491ec16c0b3540b672021-04-01T00:00:00Zhttps://www.journals.ac.za/index.php/SAHJ/article/view/1921https://doaj.org/toc/1996-6741https://doaj.org/toc/2071-4602This article examines the role of doctors in assisting patients who smoke to quit, using evidence from Cochrane systematic reviews of randomised trials. Doctors may help such patients by providing advice, referring patients for counselling and support and by offering pharmacological therapy. Complementary therapies used for smoking cessation include hypnotherapy and acupuncture, but there is a lack of evidence that these interventions have a specific effect in aiding cessation. The number needed to treat (NNT) for simple advice to unselected smokers is 50 - 120. Based on a median no-treatment clinical trial quit rate of 7.5%, the NNT for nicotine replacement therapy is 23 (95% CI 20 to 27), for the antidepressant Bupropion 18 (95% CI 14 to 23), and for the nicotinic partial agonist Varenicline 10 (95% CI 7 to 14). These numbers compare favourably with other preventive healthcare interventions. There remains wide variations in the extent to which these interventions are available in different healthcare systems.Tim LancasterSouth African Heart Associationarticletobaccocochranenicotine replacement therapyDiseases of the circulatory (Cardiovascular) systemRC666-701ENSA Heart Journal, Vol 8, Iss 1, Pp 24-27 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	tobacco cochrane nicotine replacement therapy Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	tobacco cochrane nicotine replacement therapy Diseases of the circulatory (Cardiovascular) system RC666-701 Tim Lancaster The role of doctors in smoking cessation: evidence from the Cochrane Library
description	This article examines the role of doctors in assisting patients who smoke to quit, using evidence from Cochrane systematic reviews of randomised trials. Doctors may help such patients by providing advice, referring patients for counselling and support and by offering pharmacological therapy. Complementary therapies used for smoking cessation include hypnotherapy and acupuncture, but there is a lack of evidence that these interventions have a specific effect in aiding cessation. The number needed to treat (NNT) for simple advice to unselected smokers is 50 - 120. Based on a median no-treatment clinical trial quit rate of 7.5%, the NNT for nicotine replacement therapy is 23 (95% CI 20 to 27), for the antidepressant Bupropion 18 (95% CI 14 to 23), and for the nicotinic partial agonist Varenicline 10 (95% CI 7 to 14). These numbers compare favourably with other preventive healthcare interventions. There remains wide variations in the extent to which these interventions are available in different healthcare systems.
format	article
author	Tim Lancaster
author_facet	Tim Lancaster
author_sort	Tim Lancaster
title	The role of doctors in smoking cessation: evidence from the Cochrane Library
title_short	The role of doctors in smoking cessation: evidence from the Cochrane Library
title_full	The role of doctors in smoking cessation: evidence from the Cochrane Library
title_fullStr	The role of doctors in smoking cessation: evidence from the Cochrane Library
title_full_unstemmed	The role of doctors in smoking cessation: evidence from the Cochrane Library
title_sort	role of doctors in smoking cessation: evidence from the cochrane library
publisher	South African Heart Association
publishDate	2021
url	https://doaj.org/article/bf117bdbea1b423491ec16c0b3540b67
work_keys_str_mv	AT timlancaster theroleofdoctorsinsmokingcessationevidencefromthecochranelibrary AT timlancaster roleofdoctorsinsmokingcessationevidencefromthecochranelibrary
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The role of doctors in smoking cessation: evidence from the Cochrane Library

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