Smoking Termination Opportunity for inPatients (STOP): superiority of a course of varenicline tartrate plus counselling over counselling alone for smoking cessation: a 12-month randomised controlled trial for inpatients

Autor: Robert Fitridge, Simon A. Koblar, Brian J. Smith, Nadina A Labiszewski, Jim Jannes, Sharon Goldsworthy, Malcolm P Brinn, Antony J. Veale, Adrian Esterman, John Litt, Kristin V Carson, David Edwards, Matthew J. Peters
Přispěvatelé: Smith, Brian James, Carson, Kristin Veronica, Brinn, Malcolm Philip, Labiszewski, Nadina Ann, Peters, Matthew J, Fitridge, Robert, Koblar, Simon A, Jannes, Jim, Veale, Antony J, Goldsworthy, Sharon J, Litt, John, Edwards, David, Esterman, Adrian Jeffrey
Rok vydání: 2012
Předmět:
Zdroj: Thorax. 68:485-486
ISSN: 1468-3296
0040-6376
DOI: 10.1136/thoraxjnl-2012-202484
Popis: Rationale Smoking cessation interventions in outpatient settings have been demonstrated to be cost effective. Given this evidence, we aimed to evaluate the effectiveness of varenicline tartrate plus Quitline-counselling compared with Quitline-counselling alone when initiated in the inpatient setting. Methods Adult patients (18–75 years) admitted with a smoking-related illness to three hospitals, were randomised to receive either 12-weeks of varenicline tartrate plus Quitline-counselling, (n=196) or Quitline-counselling alone, (n=196), with 12-months follow-up. Results For the primary analysis population (intention-to-treat), the proportion of subjects who remained continuously abstinent were significantly greater in the varenicline plus counselling arm (31.1%, n=61) compared with counselling alone (21.4%, n=42; RR 1.45, 95% CI 1.03 to 2.03, p=0.03). Conclusions The combined use of varenicline plus counselling when initiated in the inpatient setting has produced a sustained smoking cessation benefit at 12-months follow-up, indicating a successful opportunistic treatment for smokers admitted with smoking related illnesses. Trial registration http://www.clinicaltrials.gov/ ClinicalTrials.gov identification number: NCT01141855.
Databáze: OpenAIRE