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. 2014 Jan 8;2014(1):CD000031. doi: 10.1002/14651858.CD000031.pub4

Summary of findings for the main comparison. Bupropion for smoking cessation.

Bupropion for smoking cessation
Patient or population: people who smoke
 Intervention: bupropion
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Control Bupropion
Bupropion versus placebo/control. Abstinence 
 Follow‐up: 6+ months 115 per 10001 187 per 1000 
 (172 to 203) RR 1.62 
 (1.49 to 1.76) 13728
 (44 studies) ⊕⊕⊕⊕
 high2,3  
Bupropion and NRT versus NRT alone. Abstinence 
 Follow‐up: 6+ months 186 per 10001 221 per 1000 
 (175 to 281) RR 1.19 
 (0.94 to 1.51) 3487
 (12 studies) ⊕⊕⊝⊝
 low3,4,5  
Bupropion versus NRT. Abstinence 
 Follow‐up: 6+ months 254 per 10001 244 per 1000 
 (216 to 277) RR 0.96 
 (0.85 to 1.09) 4086
 (8 studies) ⊕⊕⊕⊝
 moderate4  
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (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; RR: Risk ratio;
GRADE Working Group grades of evidence
 High quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: We are very uncertain about the estimate.

1 Control risk calculated as mean across included studies
 2 Sensitivity analyses including only those studies judged to be at low risk of bias did not impact the pooled results
 3 Funnel plot did not show evidence of asymmetry
 4 All but one study at unclear or high risk for selection bias
 5 Inconsistency across pooled results (I squared = 52%)