Cochrane · systematic review · CD011556

Strategies to improve smoking cessation rates in primary care

Lindson, N, Pritchard, G, Hong, B, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Tobacco AddictionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 12.5%Low 3 · 37.5%Moderate 4 · 50%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Adjunctive counseling in addition to standard smoking cessation care in primary care

Population: people who attend primary care and smoke tobacco
3 questions
OutcomeEffectEvidenceStatus / GRADE
Smoking abstinence at 6‐month
RR 1.31 [1.1, 1.55]22 studies · 18150 participantsModerate
Downgraded: inconsistency
Smoking abstinence at 6‐month
RR 1.43 [1.15, 1.78]17 studies · 12852 participantsModerate
Downgraded: risk of bias
Smoking abstinence at 6‐month
RR 1.04 [0.87, 1.23]5 studies · 5298 participantsLow
Downgraded: imprecision

Cost‐free medications used in addition to standard care in primary care

Population: people who attend primary care and smoke tobacco
1 question
OutcomeEffectEvidenceStatus / GRADE
Smoking abstinence at 6‐month
RR 1.36 [1.05, 1.76]10 studies · 7560 participantsModerate
Downgraded: inconsistency, publication bias

Biomedical feedback in addition to standard smoking cessation treatment in primary care

Population: people who attend primary care and smoke tobacco
1 question
OutcomeEffectEvidenceStatus / GRADE
Smoking abstinence at 6‐month
RR 1.07 [0.81, 1.41]7 studies · 3491 participantsLow
Downgraded: imprecision

Tailored print materials in addition to standard smoking cessation treatment in primary care

Population: people who attend primary care and smoke tobacco
1 question
OutcomeEffectEvidenceStatus / GRADE
Smoking abstinence at 6‐month
RR 1.29 [1.04, 1.59]6 studies · 15978 participantsModerate
Downgraded: risk of bias

Provider training in addition to standard smoking cessation treatment in primary care

Population: people who attend primary care and smoke tobacco
1 question
OutcomeEffectEvidenceStatus / GRADE
Smoking abstinence at 6‐month
RR 1.1 [0.85, 1.41]7 studies · 13685 participantsLow
Downgraded: imprecision, inconsistency

Provider incentives in addition to standard smoking cessation treatment in primary care

Population: people who attend primary care and smoke tobacco
1 question
OutcomeEffectEvidenceStatus / GRADE
Smoking abstinence at 6‐month
RR 1.14 [0.97, 1.34]2 studies · 2454 participantsVery low
Downgraded: risk of bias, imprecision