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An evidence-based programme for smoking cessation: effectiveness in routine general practice.

G Grandes1, J M Cortada, A Arrazola

  • 1Deusto Health Centre, Osakidetza/Basque Health Service, Spain. grandesg@ap.osakidetza

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|December 29, 2000
PubMed
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A smoking cessation program in primary care significantly increased sustained abstinence rates by five percentage points. This demonstrates the effectiveness of combining advice, support, and nicotine patches for smokers in routine practice.

Area of Science:

  • Public Health
  • Clinical Practice
  • Smoking Cessation

Background:

  • Clinical practice guidelines for smoking cessation often rely on randomized controlled trials.
  • Practitioners express skepticism regarding the generalizability of trial findings to routine clinical practice.
  • There is a need to evaluate smoking cessation interventions in real-world primary care settings.

Purpose of the Study:

  • To assess the effectiveness of a comprehensive smoking cessation program within routine primary care.
  • To evaluate the feasibility and impact of integrated smoking cessation support in general practice.

Main Methods:

  • A non-randomized controlled trial involving smokers from 10 general practices over one year.
  • Comparison of sustained, biochemically validated abstinence rates at 6-12 months between intervention (n=1203) and control (n=565) groups.

Related Experiment Videos

  • Multiple logistic regression analysis was used to adjust for baseline differences between groups.
  • Main Results:

    • The smoking cessation program achieved a five percentage point increase in validated, sustained one-year abstinence.
    • The intervention group showed a 7.1% abstinence rate, with an adjusted odds ratio of 3.7 (95% CI = 2.4-5.7).
    • The program demonstrated a statistically significant improvement in smoking cessation outcomes.

    Conclusions:

    • Comprehensive smoking cessation programs combining advice, support, follow-up, and nicotine patches are feasible in primary care.
    • These programs are effective in routine practice, with clinicians identifying 20 smokers yielding one additional success.
    • Primary care settings can successfully implement and benefit from structured smoking cessation interventions.