兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Effects of different interventions on smoking cessation in chronic obstructive pulmonary disease patients: A systematic review and network meta-analysis

Xiuxia Li; Xiaohui Zhang
2022-11-04
Background and objectives:Smoking is responsible for 9 out of 10 deaths related to chronic obstructive pulmonary disease, and this number can be reduced by quitting smoking. In this study, the effect of different interventions on smoking cessation of patients with chronic obstructive pulmonary disease was assessed through a network meta-analysis. Methods:Eight databases were searched to obtain randomized controlled trials involving different interventions for smoking cessation in chronic obstructive pulmonary disease patients. The Cochrane Handbook tool was employed to assess the risk bias of included studies. Network meta-analysis was performed using STATA software. Results:A total of 23 studies involving 13,480 patients were included. Eight studies were rated as having a high risk of bias, seven studies had a low risk, and in eight studies, the risk was unclear. All studies employed 13 different interventions, including eight monotherapies and five combination therapies. Network meta-analysis showed that a combination of behavioral therapy and pharmacotherapy was superior in achieving patients' smoking cessation compared to monotherapy. Moreover, varenicline was more helpful for smoking cessation than other single interventions. The final surface under the cumulative ranking curve value indicated that cognitive behavior therapy combined with bupropion achieved the best smoking cessation effect. Conclusions:The obtained results indicate that a combination of behavioral therapy and pharmacotherapy is most powerful in helping chronic obstructive pulmonary disease patients to quit smoking. Researchers should focus more on the safety of pharmacotherapeutic interventions. Moreover, more high-quality trials investigating the stability of evidence levels of different interventions on abstinence must be conducted.
International Journal of Nursing Studies
卷号:136
ISSN:0020-7489|收录类别:SCIE
DOI
10.1016/j.ijnurstu.2022.104362
EISSN
1873-491X
出版日期
2022-11-04
资助信息
National Natural Science Founda- tion of China [72074103]
资助机构
National Natural Science Foundation of China
相关链接
https://www.sciencedirect.com/science/article/abs/pii/S0020748922001912?via%3Dihub
语种
英文
国家
中国
学科领域
循证医学
WOS学科分类
Nursing
被引频次(WOS)
7
研究类型
Meta分析
关键词
Chronic obstructive pulmonary disease Network meta-analysis Smoking cessation Systematic review