Winst 2006.
Methods | Double‐blind parallel‐group placebo‐controlled randomised clinical trial Study period: June 2006 to February 2008 |
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Participants | N = 420
Participants included hospitalised smokers who needed to stop smoking at admission. Participants were approached by information presented in the general hospital admission leaflet and/or on the intranet and by active recruitment by smoking consults in specific departments of the hospital. Inclusion criteria: over 18 years of age; daily consumption of ≥ 15 cigarettes in the past 3 years and average daily consumption of 10 cigarettes the week before study inclusion; life expectancy of ≥ 1 year; conscious and approachable; able to read and sign an informed consent form; Dutch‐ or French‐speaking; expected duration of hospitalisation ≥ 72 hours; treating physician and anaesthetist agree on the patient’s study inclusion Exclusion criteria: already using NS within 14 days before study inclusion; use of tobacco products other than cigarettes; alcohol abuse of > 5 U/d; simultaneous use of psychoactive drugs or hallucinogens; referred from other hospitals; existing contraindications for NS use; predicted postoperative ICU stay longer than 48 hours; pregnant or lactating |
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Interventions | 15 minutes counseling + placebo patch (n = 210) 15 minutes counseling + nicotine transdermal patch (n = 210) Participants received a nicotine transdermal patch at a 15 mg/16 hours dose, daily, for maximum 7 days after hospital admission (study inclusion), or a placebo patch for the same study duration. |
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Outcomes |
Primary outcome: total addiction score, calculated from the Minnesota questionnaires, taken up at randomisation, after ≥ 72 hours of hospital admission and after a maximum of 7 treatment days Additional outcomes: point prevalence of quit rate at short (7 days) and long term (6 months) |
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Funding source | Study was conducted through a grant from the Foundation of Scientific Research (FWO number G.0604.06), Vlaamse Liga tegen Kanker, and an independent research grant from McNeil AB, Helsingborg, Sweden. | |
Declaration of interest | Apart from the funding source, study authors report no other relevant affiliations or financial involvement with any organisation or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript, apart from those disclosed. | |
Notes | All information from this study is extracted from the study protocol; thus information regarding sample size should be interpreted as the initial target rather than the actual number of recruited participants. Analysis of pharmacogenetics is reported in De Ruyck 2010. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomisation was performed via an online‐available registration and randomisation website. |
Allocation concealment (selection bias) | Unclear risk | Randomisation occurred online, but it is unclear whether allocation was properly concealed. |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Active and placebo medications were identical in appearance, and the study is labeled as double‐blind. No additional details are presented. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Outcome is subjective and can be influenced by study participants. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Final study report not available |
Selective reporting (reporting bias) | Unclear risk | Final study report not available |
Other bias | Unclear risk | Final study report not available |
BUP: bupropion; CBTD: cognitive‐behavioural treatment for depression; CES‐D: Center for Epidemiologic Studies Depression Scale; CO: carbon monoxide; DSM‐IV: Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition; DSM‐IV‐TR, Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition, Text Revision; EOT: end of therapy; FTND: Fagerstrom Test of Nicotine Dependence; GHC: Group Health Cooperative; HE: health education; ITT: intention‐to‐treat analysis; MAO: monoamine oxidase; MAOI: monoamine oxidase inhibitor; MI: myocardial infarction; MINI: Mini‐International Neuropsychiatric Interview; NARSAD: National Alliance for Research on Schizophrenia and Depression; NIAAA: National Institute on Alcohol Abuse and Alcoholism; NIDA: National Institute on Drug Abuse; NIHR: National Institute on Health Research; NRT: nicotine replacement therapy; NST: nicotine sublingual tablet; PCA: Principal Component Analysis; PLAC: placebo; PPA: point prevalence abstinence; ppm: parts per million; SR: sustained‐release; ST: standard treatment; TQD: target quit date; UKCRC: UK Clinical Research Collaboration; UKCTCS: UK Centre for Tobacco Control Studies.