ATTUD Journal Club Postings

Recent Cochrane Reviews

This year Cochrane updated 5 reviews. It is important to note that all of these were based on those already motivated to quit and did not assess the ability of the intervention to prompt new quit attempts. The 75 studies of print-based self help materials found that non-tailored materials had almost no benefit but tailored […]

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Tobacco Treatment Specialists Are Needed

In prior blogs on 11/2/04, 1/31/13 and 12/21/15 (see ATTUD website) I presented evidence on whether TTSs achieve quit rates greater than brief advice or quitlines. One important study that I missed should be added to those reviews (Kotz et al, Addiction 109:491, 2013). This study used a survey of UK smokers. It is important […]

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Partner Support for Smoking Cessation

A recent Cochrane Review (“Enhancing Partner Support… 2018) concluded that the 11 RCTs indicate providing partner support to smokers trying to quit does not increase quit rates. There are multiple lines of evidence that partner support is associated with greater quitting. For example, living with another smoker decreases quit rates and if a smoker quits, […]

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How Clinical Trial Statistics Can be Misleading

A recent review paper (Rosen et al, Addiction, in press) quantified how some cessation statistics can be misleading. Lets see if I can summarize that without too much jargon. The most commonly reported effectiveness statistics are the Odds Ratio (OR) and Relative Risk (RR). They are usually very similar and the RR is easier to […]

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Is it Best to Switch or Add to New Treatment When Trying to Quit Again?

A recent article based on very large prospective study reported that smokers who failed a quit attempt on one medication, tried again and used a different medication, had 3 times higher success rates than those who tried again and used the same medication (Heckman et al Am J Prev Med, in press). Although this is […]

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Repeat quit attempts: Use new therapy or old therapy?

Most smokers who seek individual treatment for smoking cessation have tried to quit in the past and many have already used a behavioral or pharmacological treatment. Assessing why past treatments were used, compliance and perceived benefit of the prior treatment is recommended in most treatment guidelines. However, whether it is best to repeat old treatments […]

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Recent Data on Quitting Smoking in the US

A recent CDC report (MMWR 65:1457) reports that the incidence of at least one quit attempt/yr has increased from 50% to 55%. That may sound encouraging but that also means that, despite stigmatization, taxes, smoking restrictions, free treatment in most states, almost half of smokers tried to stop. In addition, the CDC reports that 32% […]

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