Home > A systematic review with meta-analysis of the effects of smoking cessation strategies in patients with rheumatoid arthritis.

Lopez-Olivo, Maria A and Sharma, Gaurav and Singh, Gagandeep and James, Justin and Krause, Kate J and Cinciripini, Paul and Volk, Robert J and Suarez-Almazor, Maria E (2022) A systematic review with meta-analysis of the effects of smoking cessation strategies in patients with rheumatoid arthritis. PLoS ONE, 17, (12), e0279065. doi: 10.1371/journal.pone.0279065.

External website: https://journals.plos.org/plosone/article?id=10.13...

OBJECTIVE: Smoking rates among patients with rheumatoid arthritis (RA) exceed those in the general population. This study identified smoking cessation strategies used in patients with RA and synthesized data on their effects.

METHODS: We conducted a systematic review of studies that reported effects of interventions for smoking cessation in patients with RA. We searched 5 electronic databases until March 2022. Screening, quality appraisal, and data collection were done independently by 2 reviewers.

RESULTS: We included 18 studies reporting interventions for patients or providers: 14 evaluated strategies for patients (5 education on cardiovascular risk factors including smoking, 3 educational interventions on smoking cessation alone, 3 education with nicotine replacement and counseling, and 1 study each: education with nicotine replacement, counseling sessions alone, and a social marketing campaign). Smoking cessation rates ranged from 4% for cardiovascular risk education to 43% for counseling sessions alone. The pooled cessation rate for all interventions was 22%. Four interventions trained providers to ascertain smoking status and provide referrals for smoking cessation. The pooled rates of referrals to quit services increased from 5% in pre-implementation populations to 70% in post-implementation populations.

CONCLUSION: Studies varied in patient characteristics, the interventions used, and their implementation structure. Only 3 studies were controlled clinical trials. Additional controlled studies are needed to determine best practices for smoking cessation for patients with RA.


Item Type
Article
Publication Type
International, Open Access, Article
Drug Type
Tobacco / Nicotine
Intervention Type
Treatment method
Date
December 2022
Identification #
doi: 10.1371/journal.pone.0279065
Publisher
Public Library of Science
Volume
17
Number
12
EndNote

Repository Staff Only: item control page