Cost-effectiveness of the Transdermal Nicotine Patch as an Adjunct to Physicians' Smoking Cessation Counseling
JAMAPublished 24 April 1996
Kevin Fiscella
Citations197
SJR quartileQ1
SJR score5.35
SNIP10.71
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TL;DR
The findings provide support both for the routine use of the nicotine patch as an adjunct to physicians' smoking cessation counseling and for health insurance coverage of nicotine patch therapy.
Abstract
The findings provide support both for the routine use of the nicotine patch as an adjunct to physicians' smoking cessation counseling and for health insurance coverage of nicotine patch therapy.
Keywords
Medicine
Cost-Effectiveness in Health and Medicine
7,119 Citations1996
Methods for the Economic Evaluation of Health Care Programmes
4,559 Citations2005Michael E Drummond, Mark J Sculpher +3 more
BMJEffect of general practitioners' advice against smoking
938 Citations1979Michael A. Russell, Casey Wilson +2 more
The results suggest that any GP who adopts this simple routine could expect about 25 long-term successes yearly, which would exceed half a million ex-smokers a year if all GPs in the UK participated, and could not be matched by increasing the present 50 or so special withdrawal clinics.
The LancetMeta-analysis on efficacy of nicotine replacement therapies in smoking cessation
483 Citations1994C Silagy, David Mant +2 more
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Archives of Internal MedicineAn Analysis of the Effectiveness of Interventions Intended to Help People Stop Smoking
462 Citations1995Malcolm Law
Following personal advice and encouragement to stop smoking given by physicians during a single routine consultation, an estimated 2% of all smokers stopped smoking and did not relapse up to 1 year as a direct consequence of the advice.
JAMAPredicting smoking cessation. Who will quit with and without the nicotine patch
409 Citations1994Susan L. Kenford
New England Journal of MedicineA Double-Blind Trial of a 16-Hour Transdermal Nicotine Patch in Smoking Cessation
296 Citations1991Philip Tønnesen, Jesper Nørregaard +2 more
The nicotine skin patch proved to be safe and effective, as demonstrated by a higher rate of abstinence than with placebo, which is lower than the rate in studies that have combined the use of nicotine chewing gum with behavioral therapy.
JAMAThe Cost-effectiveness of Counseling Smokers to Quit
281 Citations1989Steven R. Cummings
Physician counseling against smoking is at least as cost-effective as several other preventive medical practices and should be a routine part of health care for patients who smoke.
BMJRandomised controlled trial of nicotine chewing-gum.
279 Citations1982M. J. Jarvis, Martin Raw +2 more
The results clearly confirm the usefulness of nicotine chewing-gum as an aid to stopping smoking and imply a definite role for nicotine in cigarette dependence and withdrawal.
BMJControlled trial of three different antismoking interventions in general practice.
260 Citations1984Konrad Jamrozik, Martin Vessey +4 more
Giving advice routinely against smoking has a useful effect, and showing an immediate, personal, and potentially harmful consequence of smoking using a CO-oximeter may improve this, particularly in lower socioeconomic groups.
BMJEffect of nicotine chewing gum as an adjunct to general practitioner's advice against smoking.
250 Citations1983Michael A. Russell, R Merriman +2 more
The effect of the offer and prescription of gum was to motivate more smokers to try to stop, to increase the success rate among those who tried, and to reduce the relapse rate of those who stopped.
BMJHow effective is nicotine replacement therapy in helping people to stop smoking?
225 Citations1994Jin-Ling Tang, Matthew Law +1 more
Among the most highly nicotine dependent smokers (those craving a cigarette on waking) the 4 mg gum is the most effective form of replacement therapy; it could enable one third to stop.
JAMANicotine Patch Therapy for Smoking Cessation Combined With Physician Advice and Nurse Follow-up
212 Citations1994R. Douglas Hurt
Clinically significant smoking cessation can be achieved using nicotine patch therapy combined with physician intervention, nurse counseling, follow-up, and relapse prevention.
The LancetCONTROLLED TRIAL OF TRANSDERMAL NICOTINE PATCH IN TOBACCO WITHDRAWAL
202 Citations1989T Abelin, Philipp Müller +3 more
The patches were generally well tolerated, although 25% of subjects in the nicotine group and 13% in the placebo group had transient local erythema after application of the patch; 5 members of the Nicotine group withdrew because of poor cutaneous tolerance.
The LancetMETA-ANALYSIS OF RANDOMISED CONTROLLED TRIALS OF NICOTINE CHEWING-GUM
202 Citations1987Warren Lam, H S Sacks +2 more
The data suggest that proper use of nicotine gum in specialised cessation clinics will increase the rate of stopping patients smoking, and the use of the gum in general medical practices is questionable.
BMJProspective study of factors predicting outcome of transdermal nicotine treatment in smoking cessation
200 Citations1994Steven G. Gourlay, Andrew Forbes +3 more
Age, sex, marital status, motivation, concern about weight gain, recent marijuana smoking, and other smokers in the household were baseline factors associated with differences in outcome of smoking cessation attempts.
Milbank QuarterlyCigarette Smoking and Lifetime Medical Expenditures
199 Citations1992Thomas A. Hodgson
It is concluded that in the first five years from baseline the population of smokers aged 25 and over incurs excess medical expenditures totaling $187 billion, which is $2,324 per smoker, and it is possible that future changes beyond recent historical trends in the habits of those who currently smoke, such as reductions in the amount smoked, higher rates of quitting, may result in lower costs of smoking than estimated.
Journal of Behavioral MedicineA comparison of psychological and pharmacological treatment in smoking cessation
185 Citations1982Karl -Olov Fagerstr�m
A double-blind trial of a smoking-withdrawal chewing gum containing 2 mg nicotine was conducted with 100 consecutive patients in a smoking cessation clinic and found that 71% of the high-nicotine-dependent smokers in the experimental group were abstinent after 6 months, as compared to 39% in the placebo group.
PsycEXTRA DatasetYears of Healthy Life
182 Citations1995Pennifer Erickson, Ronald S. Wilson +1 more
The years of healthy life (YHL) concept has emerged as one of the more commonly used health status measures that include both mortality and morbidity.
Annals of Internal MedicineScreening for Hypertension
175 Citations1990Benjamin Littenberg, Alan M. Garber +1 more
According to the estimates, screening is most cost-effective for older adults compared with younger adults and for men compared with women and is highly sensitive to the cost of therapy for mild hypertension.
AddictionDose effects and predictors of outcome in a randomized trial of transdermal nicotine patches in general practice
172 Citations2003John Stapleton, Michael A. Russell +5 more
Patches were particularly helpful to smokers with pre-treatment subclinical dysthymic symptoms and all but one of the 96 subjects eventually achieving long-term abstinence in the study quit during the first week of cessation.
JAMACost-effectiveness of Nicotine Gum as an Adjunct to Physician's Advice Against Cigarette Smoking
172 Citations1986Gerry Oster
The findings indicate that nicotine gum is a cost-effective adjunct to physician's advice against cigarette smoking in a primary care setting, and compares favorably with other widely accepted medical practices.
Archives of Internal MedicineEffectiveness of a 16-Hour Transdermal Nicotine Patch in a Medical Practice Setting, Without Intensive Group Counseling
149 Citations1993David P.L. Sachs
Nicotine replacement therapy via a 16-hour transdermal nicotine patch provided safe and effective treatment for tobacco-dependent patients and was as good as or better than results achieved by nicotine patches using behavior modification or group counseling.
JAMAEffect of nicotine chewing gum in smoking cessation. A randomized, placebo-controlled, double-blind study
141 Citations1984Å. Hjalmarson
JAMAUse of Transdermal Nicotine in a State-Level Prescription Plan for the Elderly
121 Citations1994C. Tracy Orleans
This survey offers an important first look at problems and prospects for nicotine patch therapy in older adults, with implications for other groups as well.
Preventive MedicinePredictors and Reasons for Relapse in Smoking Cessation with Nicotine and Placebo Patches
119 Citations1993Jesper Nørregaard, Philip Tønnesen +1 more
Previous attempts to quit smoking and a low saliva cotinine concentration were significantly associated with abstinence in the nicotine-treated group and a trend toward higher abstinence rates was found among males and among subjects with a low nicotine dependency score.
Social Science & MedicineLife expectancies of cigarette smokers and nonsmokers in the United States
114 Citations1991Richard G. Rogers, Eve Powell‐Griner
Differences in life expectancy by sex appear to be due, in part, to cigarette smoking, but also to occupational, environmental, and sociodemographic factors.
Social Science & MedicineDoes smoking increase medical care expenditure?
109 Citations1983Robert E. Leu, T. Schaub
The impact of smoking on medical care expenditure is analyzed, challenging the widespread belief that smoking imposes a large cost burden on health services systems and suggesting that reducing smoking is unlikely to decrease it.
Preventive MedicineEffect of cost on the self-administration and efficacy of nicotine gum: A preliminary study
96 Citations1991John R. Hughes, William Wadland +3 more
Cost-benefit estimates suggest that an insurance plan, HMO, etc., would recoup any costs in subsidizing nicotine gum and perhaps incur a net financial gain.
Journal of Consulting and Clinical PsychologyMeta-analytical review of the efficacy of nicotine chewing gum in smoking treatment programs.
93 Citations1993Antonio Cepeda‐Benito
Results show that the positive effects of nicotine gum in smoking treatment are a function of an interaction between the gum's pharmacological properties and the effectiveness of intensive treatment strategies.
PubMedThe impact of routine advice on smoking cessation from family physicians.
81 Citations1982P Stewart, W W Rosser
A controlled trial was undertaken to measure the impact of family physicians' advice to cigarette smokers during a routine office visit, and suggestions are made on how to increase the impact family physicians could have on smoking cessation to their practices.
Preventive MedicineThe economic costs of smoking and benefits of quitting for individual smokers
78 Citations1984Gerry Oster, Graham A. Colditz +1 more
The results of a study that estimated the expected lifetime economic consequences of cigarette smoking for individual smokers are reported herein and the economic benefits of quitting were found to be sizable for all groups of smokers.
PubMedEffectiveness of a transdermal nicotine system in smoking cessation studies.
77 Citations1989T Abelin, Rolf Ehrsam +5 more
To investigate the effectiveness and tolerability of a transdermal nicotine system (TNS) as an aid towards easing smoking cessation, two double-blind placebo-controlled randomized field studies were performed.
Archives of Internal MedicineControlled Trial of Nicotine Polacrilex Gum With Supportive Measures
63 Citations1989Þorsteinn Blöndal
Of participants with a high nicotine-dependence score, those allotted to the nicotine group rather than to the placebo group were 13 times more likely to be abstaining at the 2-year follow-up, suggesting use of nicotine polacrilex gum can substantially aid in stopping smoking, particularly among highly dependent smokers.
Addictive BehaviorsCombination of behavioral smoking cessation with transdermal nicotine substitution
61 Citations1989Gerhard Buchkremer, Hinrich Bents +3 more
It is demonstrated that transdermal nicotine substitution significantly enhances the effectiveness of behavioral smoking cessation methods and self-assessments suggest an aversive effect of transDermal nicotine on cigarette taste.
American Journal of PsychiatryDegree of addiction and effectiveness of nicotine gum therapy for smoking
57 Citations1984Murray E. Jarvik, Nina Schneider
In a double-blind trial, smokers completed a nicotine tolerance questionnaire and then received nicotine gum or placebo during smoking cessation, and were more likely to remain abstinent if their questionnaire responses indicated high nicotine dependence.
Archives of Internal MedicineEffectiveness of the 4-mg Dose of Nicotine Polacrilex for the Initial Treatment of High-Dependent Smokers
54 Citations1995David P.L. Sachs
It appears that the 4-mg dose of nicotine polacrilex is the drug and dose of choice for the initial phase of tobacco dependence treatment in high-dependent smokers; the 2-mg doses are not better than placebo during the first 6 weeks of treatment for high- dependent cigarette smokers, and thus should not be used for these patients during the initial treatment phase.
JNCI Journal of the National Cancer InstituteNicotine Patch Use in the General Population: Results From the 1993 California Tobacco Survey
46 Citations1995John P. Pierce, E A Gilpin +1 more
The nicotine patch appears to be an important aid to smokers who want to quit, primarily when used as an adjuvant to other forms of assistance.
PubMedNicotine chewing gum use in the outpatient care setting.
41 Citations1992Robert E. Johnson, Stevens Vj +2 more
Only a small percentage of the patients used the nicotine gum according to the established guidelines, and most of the Patients used the gum in ways that have been shown to be ineffective for smoking cessation.
Health Education QuarterlyHealth Insurance Coverage for Smoking Cessation Services
37 Citations1993Helen Halpin Schauffler, Michael Parkinson
Current public policy for health insurance coverage of smoking cessation services is described and the current status of policy adoption by private health insurance carriers, health maintenance organizations, self-funded employers, as well as public insurance programs including Medicare and Medicaid are reviewed.
Social Science & MedicineMore on the impact of smoking on medical care expenditures
30 Citations1985Robert E. Leu, T. Schaub
Archives of Family MedicineUse and effectiveness of transdermal nicotine in primary care settings
16 Citations1994K. Michael Cummings
Transdermal nicotine patches appear to be an effective cessation aid for smokers receiving care outside specialized smoking cessation programs as well as proper pretreatment screening to identify patients who are motivated to stop smoking.
