How confident should we be that smoking cessation treatments work?
Article first published online: 4 AUG 2009
© 2009 The Author. Journal compilation © 2009 Society for the Study of Addiction
Volume 104, Issue 10, pages 1637–1640, October 2009
How to Cite
Hughes, J. R. (2009), How confident should we be that smoking cessation treatments work?. Addiction, 104: 1637–1640. doi: 10.1111/j.1360-0443.2009.02645.x
- Issue published online: 8 SEP 2009
- Article first published online: 4 AUG 2009
- Submitted 3 February 2009; initial review completed 19 March 2009; final version accepted 30 April 2009
- smoking cessation;
- substance-related disorders;
Aim To determine (i) the concordance among recent meta-analyses about which treatments for smoking cessation are efficacious; (ii) the similarity of odds ratios (ORs) across meta-analyses; and (iii) among the validated treatments, the proportion of studies that found higher quit rates.
Methods Computerized literature search for meta-analyses during the last 5 years in PubMed and PsychInfo. Data were extracted from summary tables of overall effect of validated treatments.
Results Fourteen meta-analyses agreed 100% on the presence/absence of efficacy of 17 proven treatments. The ORs differed by <0.5 in 72/76 of the comparisons of meta-analyses. Among 37 comparisons in 33 comparisons, >85% of the studies reported numerical superiority for the active treatment.
Conclusions The efficacy of treatments for smoking cessation are extremely reliable. This argues for inclusion of treatment as an essential feature of tobacco control and clinical practice and argues for reimbursement of smoking cessation treatments on a par with other medical and behavioral disorders.