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Quality of smoking cessation advice in guidelines of tobacco-related diseases – An updated systematic review

Ekezie, Winifred; Murray, Rachael L.; Agrawal, Sanjay; Bogdanovica, Ilze; Britton, John; Leonardi-Bee, Jo; Tobacco Advisory Group of the Royal College of Physicians

Authors

Winifred Ekezie

Sanjay Agrawal

John Britton

JO LEONARDI-BEE jo.leonardi-bee@nottingham.ac.uk
Professor of Medical Statistics and Epidemiology

Tobacco Advisory Group of the Royal College of Physicians



Abstract

Tobacco smoking is a major risk factor for a wide range of diseases, and smoking cessation significantly reduces these risks. Clinical guidelines for diseases associated with smoking should therefore include guidance on smoking cessation. This review updated evidence on the proportion of clinical guidelines that do so. We conducted a systematic review investigating clinical guidelines and recommendations developed by UK national or European transnational medical specialty associations and societies between January 2014 and October 2019 on 16 diseases to be at least twice as common among smokers than non-smokers. Outcomes of interest were the reporting of smoking as a risk factor, and the inclusion either of smoking cessation advice or referral to other cessation guidance. We compared our findings with an earlier review of guidelines published between 2000 and 2013. We identified 159 clinical guidelines/recommendations. Over half (51%) made no mention of smoking, while 43% reported smoking as a risk factor for the development of the disease, 31% recommended smoking cessation and 19% provided detailed information on how to deliver smoking cessation support. These proportions were similar to those in our earlier review. Smoking cessation continues to be neglected in clinical management guidance for diseases caused by smoking.

Citation

Ekezie, W., Murray, R. L., Agrawal, S., Bogdanovica, I., Britton, J., Leonardi-Bee, J., & Tobacco Advisory Group of the Royal College of Physicians, . (2020). Quality of smoking cessation advice in guidelines of tobacco-related diseases – An updated systematic review. Clinical Medicine, 20(6), 551-559. https://doi.org/10.7861/clinmed.2020-0359

Journal Article Type Article
Acceptance Date Jul 30, 2020
Online Publication Date Nov 16, 2020
Publication Date Nov 16, 2020
Deposit Date Aug 10, 2020
Publicly Available Date Nov 17, 2021
Journal Clinical Medicine
Print ISSN 1470-2118
Electronic ISSN 1473-4893
Publisher Royal College of Physicians
Peer Reviewed Peer Reviewed
Volume 20
Issue 6
Pages 551-559
DOI https://doi.org/10.7861/clinmed.2020-0359
Keywords Smoking; Smoking cessation; Guidelines; Systematic review
Public URL https://nottingham-repository.worktribe.com/output/4824906
Publisher URL https://www.rcpjournals.org/content/clinmedicine/20/6/551