Behavioural interventions for smoking cessation: an overview and network meta-analysis.

Paul Aveyard,Annika Theodoulou,Thomas R Fanshawe,Jonathan Livingstone-Banks,Suzanne C Freeman,Jamie Hartmann-Boyce,José M Ordóñez-Mena,Nicola Lindson,Alex J Sutton

doi:10.1002/14651858.cd013229.pub2

Abstract

Behavioural interventions for smoking cessation: an overview and network meta-analysis.

Highlights

Smoking is a leading cause of disease and death worldwide
Evidence of benefit is strongest for the provision of any form of counselling, and guaranteed financial incentives
We identified 23 economic evaluations; evidence did not consistently suggest one type of behavioural intervention for smoking cessation was more cost-e ective than another

Summary

Introduction

In people who smoke, quitting smoking can reverse much of the damage. Tobacco kills up to half of its users, increasing mortality primarily through cardiovascular disease, lung cancer, and chronic obstructive pulmonary disease (WHO 2018). It is causally associated with other cancer- and non-cancer-related health conditions, giving rise to premature morbidity and mortality (USDHHS 2014). Stopping smoking before the age of 35 years prevents almost all early mortality; stopping by age 60 years improves life expectancy by three years; and stopping a er 60 still reduces mortality, cardiovascular disease, and cancer risk (Doll 2004; Mons 2015; Müezzinler 2015; Ordóñez-Mena 2016). Aside from the risks to the individual, smoking remains the prime preventable cause of morbidity and mortality, making it an important population health concern (GBD 2016)

Objectives

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Discussion

Conclusion