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. 2017 Sep 7;2017(9):CD011823. doi: 10.1002/14651858.CD011823.pub2

Summary of findings 2. Active NRT compared with placebo ‐ rs16969968 ‐ non‐Hispanic white for smoking cessation.

Active NRT compared with placebo ‐ rs16969968 ‐ non‐Hispanic white for smoking cessation
Patient or population: people who smoke
 Setting: community and healthcare settings
 Intervention: active NRT
 Comparison: placebo
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) No. of participants
 (studies) Quality of the evidence
 (GRADE) Comments
Risk with placebo ‐ rs16969968 ‐ non‐Hispanic white Risk with active NRT
End of treatment Study population RR 1.38
 (0.97 to 1.98) 1127
 (2 RCTs) ⊕⊕⊕⊝
 MODERATEa,b Pooled result across studies, including all genotypes. Between‐genotype group heterogeneity P value = 0.03 (see results for individual subgroups in below rows)
251 per 1000 346 per 1000
 (243 to 496)
End of treatment ‐ homozygous major Study population RR 1.01
 (0.77 to 1.33) 449
 (2 RCTs) ⊕⊕⊝⊝
 LOWa,c For participants with homozygous major genotype, low‐quality evidence suggests no effect.
333 per 1000 337 per 1000
 (257 to 443)
End of treatment ‐ heterozygous Study population RR 1.85
 (1.33 to 2.59) 550
 (2 RCTs) ⊕⊕⊕⊕
 HIGH For participants with heterozygous genotype, high‐quality evidence shows effect in favour of intervention.
193 per 1000 358 per 1000
 (257 to 501)
End of treatment ‐ homozygous minor Study population RR 1.80
 (0.45 to 7.23) 128
 (2 RCTs) ⊕⊕⊝⊝
 LOWd For participants with homozygous minor genotype, low‐quality evidence shows that point estimate favours intervention, but 95% CI crosses null effect.
233 per 1000 420 per 1000
 (105 to 1000)
*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 
 CI: confidence interval; NRT: nicotine replacement therapy; RCT, randomised controlled trial; RR: risk ratio.
GRADE Working Group grades of evidence.High quality: We are very confident that the true effect lies close to that of the estimate of the effect.
 Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different.
 Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect.
 Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect.

aDowngraded one level owing to imprecision: Optimal information size criterion is met, but 95% CIs include the null effect and fail to exclude important benefit or important harm.

bNot downgraded owing to inconsistency, as large statistical heterogeneity can be explained by differences in genotypes.

cDowngraded one level owing to inconsistency: unexplained heterogeneity.

dDowngraded two levels owing to serious imprecision: optimal information size criterion not met, and 95% CIs include the null effect and fail to exclude important benefit or important harm.