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. 2018 May 31;2018(5):CD000146. doi: 10.1002/14651858.CD000146.pub5

Tuisku 2016.

Methods Country: Finland
Recruitment: community
Participants 180 (in relevant arms)
18 to 26 years old, smoked daily for at least past month, smoked > 100 cigarettes in life, light smokers (as per Heaviness of Smoking Index based on cpd and time to first cigarette) only included in this review
52% female, median age 21, median cpd 10
Interventions 1. NRT patch (10 mg/16 h) for 8 weeks
2. Placebo
Level of support: high (individual smoking cessation counselling of 30 mins (and planned for week 52))
Outcomes 7‐day PP at 6 months (Methods section also states 12 months follow‐up but results not reported)
Validation: none
Notes New for 2017 update
Funding: Ministry of Social Affairs and Health, Finland; Finnish Research Foundation of the Pulmonary Disease; Finnish Medical Society Duodecim
Participants were assessed as light or heavy smokers. Light smokers were randomized to placebo or 10 mg NRT patches. Heavy smokers were randomized to varenicline or 15 mg NRT patches. First comparison is eligible for inclusion in this review (NRT vs no NRT). Second comparison is not (NRT vs varenicline). Cannot combine NRT 15 mg group with 10 mg group – different populations randomized
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: “After assessment… at the baseline visit, simple randomisation with a computer‐generated random list… was used to allocate study subjects into the different treatment groups”
Allocation concealment (selection bias) Unclear risk Not specified
Blinding (performance bias and detection bias) 
 All outcomes High risk Quote: “The placebo patch was not identical to the nicotine patch" “the study was not conducted in a blinded manner”
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Dropouts: 22/86 for placebo, 18/94 for NRT
Other bias High risk 12‐month cessation measured but not reported