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Meta-analysis of studies investigating one-year effectiveness of transdermal nicotine patches for smoking cessation

Cited 9 time in Web of Science Cited 10 time in Scopus
Authors
Myung, Seung Kwon; Yoo, Keun-Young; Oh, Seung Won; Park, Seong Hi; Seo, Hong Gwan; Hwang, Seung Sik; Park, Sue Kyung
Issue Date
2007-12-01
Publisher
American Society of Health-system Pharmacists
Citation
Am J Health Syst Pharm. 2007; 64:2471-6
Keywords
Administration, CutaneousHumansNicotine/*administration & dosage/therapeutic useOdds RatioPlacebosRandomized Controlled Trials as TopicSmoking/*prevention & controlSmoking Cessation/*methodsTreatment Outcome
Abstract
PURPOSE: The one-year effectiveness of transdermal nicotine patches versus placebo patches for smoking cessation based on continuous or sustained abstinence was studied. METHODS: A literature search of MEDLINE (PubMed), EMBASE, and the Cochrane Central Register of Controlled Trials up to April 2006 was conducted. Articles containing relevant keywords were reviewed by two evaluators independently. To be considered for inclusion in the meta-analysis, studies had to be randomized clinical trials with a transdermal nicotine patch group and a placebo patch group, had to include at least one year of follow-up, had to have abstinence biochemically verified, and had to include the odds ratio (OR) as an outcome measure. RESULTS: Sixteen trials met the selection criteria. The total number of subjects was 9457 (6084 in the nicotine patch group and 3373 in the placebo patch group). The pooled OR for smoking abstinence at one year for the nicotine patch group versus the placebo patch group was 1.79 (95% confidence interval [CI], 1.55-2.08). The pooled OR for one-year continuous or sustained abstinence for the nicotine patch compared with placebo, excluding four studies reporting only point-prevalence abstinence, was 1.75 (95% CI, 1.49-2.05). CONCLUSION: A meta-analysis of trials of transdermal nicotine patch therapy versus placebo for smoking cessation yielded ORs for smoking abstinence of about 1.8 at one year after the start of therapy. ORs were similar whether the endpoint was point-prevalence abstinence, continuous or sustained abstinence, or both.
ISSN
1535-2900 (Electronic)
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=18029953
Language
English
URI
http://www.ajhp.org/cgi/content/abstract/64/23/2471

http://hdl.handle.net/10371/28550
DOI
https://doi.org/10.2146/ajhp070196
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College of Medicine/School of Medicine (의과대학/대학원)Preventive Medicine (예방의학전공)Journal Papers (저널논문_예방의학전공)
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