Interventions for smoking cessation: An overview of Cochrane reviews
Introduction Evidence of different smoking cessation interventions varies and has been assessed in many Cochrane reviews. We conducted an overview of these Cochrane reviews to summarize the effects of current interventions for smoking cessation. Methods Nine databases were searched from their incep...
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| Format: | Article |
| Language: | English |
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European Publishing
2024-11-01
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| Series: | Tobacco Induced Diseases |
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| Online Access: | https://www.tobaccoinduceddiseases.org/Interventions-for-smoking-cessation-An-overview-of-Cochrane-reviews,195302,0,2.html |
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| author | Chun-li Lu Jia-xuan Li<sup>*</sup> Qian-yun Wang<sup>*</sup> Rui-ting Wang Xing-ru Pan Xiao-ying Chen Chao-jie Wang Rui-lin Chen Si-hong Yang Zhi-hui Zhao Jing-jing Jiang Xue-han Liu Jian-hua Wang Xue Xue Li-rong Liang Nicola Robinson Jian-ping Liu |
| author_facet | Chun-li Lu Jia-xuan Li<sup>*</sup> Qian-yun Wang<sup>*</sup> Rui-ting Wang Xing-ru Pan Xiao-ying Chen Chao-jie Wang Rui-lin Chen Si-hong Yang Zhi-hui Zhao Jing-jing Jiang Xue-han Liu Jian-hua Wang Xue Xue Li-rong Liang Nicola Robinson Jian-ping Liu |
| author_sort | Chun-li Lu |
| collection | DOAJ |
| description | Introduction
Evidence of different smoking cessation interventions varies and has been
assessed in many Cochrane reviews. We conducted an overview of these Cochrane
reviews to summarize the effects of current interventions for smoking cessation.
Methods
Nine databases were searched from their inception to October 2024, with
no restrictions on language. Two authors independently extracted data from the
same studies simultaneously, double checking after extraction. A second round
of examination was conducted on all the extracted contents by another author.
We employed a measurement tool to assess systematic reviews (AMSTAR-2)
to evaluate the methodological rigor of the included systematic reviews (SRs),
synthesized the GRADE results as reported, and conducted a narrative synthesis.
The research protocol was registered on PROSPERO (CRD42023388884).
Results
Seventy-one Cochrane reviews involving 3022 trials were included in this
comprehensive analysis. The two predominant smoking cessation interventions
were pharmacotherapy (24 SRs) and non-pharmacological therapy (31SRs).
Overall, the methodological quality of all the reviews was good. Compared
with placebo, the point effect size for each Cochrane review on relative risk
(RR) regarding pharmacotherapies for prolonged abstinence rate ranged from
1.11 to 3.34, demonstrating high- or moderate-certainty evidence; whereas for
non-pharmacological therapies, it varied from 0.79 to 25.38, but substantial
heterogeneity was observed in most meta-analysis (I2>50%). Four studies
investigating pharmacotherapies as interventions, adverse events were reported
but no significant differences in outcomes were observed.
Conclusions
Pharmacotherapy demonstrated some efficacy in promoting prolonged
abstinence rate, while the effectiveness of different non-pharmacological
interventions for smoking cessation varied widely, highlighting the need for further
research on the integration of pharmacotherapy and non-pharmacological therapies. |
| format | Article |
| id | doaj-art-943ac4707eec4a85a93b7ff976975e6c |
| institution | Kabale University |
| issn | 1617-9625 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj-art-943ac4707eec4a85a93b7ff976975e6c2024-12-31T20:03:23ZengEuropean PublishingTobacco Induced Diseases1617-96252024-11-0122November11510.18332/tid/195302195302Interventions for smoking cessation: An overview of Cochrane reviewsChun-li Lu0https://orcid.org/0000-0003-2939-1327Jia-xuan Li<sup>*</sup>1Qian-yun Wang<sup>*</sup>2Rui-ting Wang3Xing-ru Pan4Xiao-ying Chen5Chao-jie Wang6Rui-lin Chen7Si-hong Yang8Zhi-hui Zhao9Jing-jing Jiang10Xue-han Liu11Jian-hua Wang12Xue Xue13Li-rong Liang14Nicola Robinson15Jian-ping Liu16Centre for Evidence- Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Clinical Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, ChinaDongfang Hospital, Beijing University of Chinese Medicine, Beijing, ChinaCardiovascular Department Ward 3, The Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, ChinaDongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Integrative Oncology, China-Japan Friendship Hospital, Beijing, ChinaAcupuncture and Moxibustion Massage College, Liaoning University of Traditional Chinese Medicine, Liaoning, ChinaDepartment of Traditional Chinese Medicine, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Hubei, ChinaChina Center for Evidence Based Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, ChinaSchool of Nursing, Shanghai Jiao Tong University, Shanghai, ChinaGraduate Institute of Interpretation and Translation, Shanghai International Studies University, Shanghai, ChinaCentre for Evidence- Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaSchool of Traditional Chinese Medicine, Liaoning University of Traditional Chinese Medicine, Liaoning, ChinaSchool of Clinical Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, ChinaDepartment of Research on Tobacco Dependence Therapies, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaCentre for Evidence- Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaCentre for Evidence- Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing, ChinaIntroduction Evidence of different smoking cessation interventions varies and has been assessed in many Cochrane reviews. We conducted an overview of these Cochrane reviews to summarize the effects of current interventions for smoking cessation. Methods Nine databases were searched from their inception to October 2024, with no restrictions on language. Two authors independently extracted data from the same studies simultaneously, double checking after extraction. A second round of examination was conducted on all the extracted contents by another author. We employed a measurement tool to assess systematic reviews (AMSTAR-2) to evaluate the methodological rigor of the included systematic reviews (SRs), synthesized the GRADE results as reported, and conducted a narrative synthesis. The research protocol was registered on PROSPERO (CRD42023388884). Results Seventy-one Cochrane reviews involving 3022 trials were included in this comprehensive analysis. The two predominant smoking cessation interventions were pharmacotherapy (24 SRs) and non-pharmacological therapy (31SRs). Overall, the methodological quality of all the reviews was good. Compared with placebo, the point effect size for each Cochrane review on relative risk (RR) regarding pharmacotherapies for prolonged abstinence rate ranged from 1.11 to 3.34, demonstrating high- or moderate-certainty evidence; whereas for non-pharmacological therapies, it varied from 0.79 to 25.38, but substantial heterogeneity was observed in most meta-analysis (I2>50%). Four studies investigating pharmacotherapies as interventions, adverse events were reported but no significant differences in outcomes were observed. Conclusions Pharmacotherapy demonstrated some efficacy in promoting prolonged abstinence rate, while the effectiveness of different non-pharmacological interventions for smoking cessation varied widely, highlighting the need for further research on the integration of pharmacotherapy and non-pharmacological therapies.https://www.tobaccoinduceddiseases.org/Interventions-for-smoking-cessation-An-overview-of-Cochrane-reviews,195302,0,2.htmloverviewsystematic reviewsmoking cessationtobacco controlcochrane review |
| spellingShingle | Chun-li Lu Jia-xuan Li<sup>*</sup> Qian-yun Wang<sup>*</sup> Rui-ting Wang Xing-ru Pan Xiao-ying Chen Chao-jie Wang Rui-lin Chen Si-hong Yang Zhi-hui Zhao Jing-jing Jiang Xue-han Liu Jian-hua Wang Xue Xue Li-rong Liang Nicola Robinson Jian-ping Liu Interventions for smoking cessation: An overview of Cochrane reviews Tobacco Induced Diseases overview systematic review smoking cessation tobacco control cochrane review |
| title | Interventions for smoking cessation: An overview of Cochrane reviews |
| title_full | Interventions for smoking cessation: An overview of Cochrane reviews |
| title_fullStr | Interventions for smoking cessation: An overview of Cochrane reviews |
| title_full_unstemmed | Interventions for smoking cessation: An overview of Cochrane reviews |
| title_short | Interventions for smoking cessation: An overview of Cochrane reviews |
| title_sort | interventions for smoking cessation an overview of cochrane reviews |
| topic | overview systematic review smoking cessation tobacco control cochrane review |
| url | https://www.tobaccoinduceddiseases.org/Interventions-for-smoking-cessation-An-overview-of-Cochrane-reviews,195302,0,2.html |
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