1
|
Phillips LC, Nguyen H, Genge TL, Maddigan WJ. Effectiveness and cost-effectiveness of an intensive and abbreviated individualized smoking cessation program delivered by pharmacists: A pragmatic, mixed-method, randomized trial. Can Pharm J (Ott) 2022; 155:334-344. [DOI: 10.1177/17151635221128263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 06/27/2022] [Accepted: 07/12/2022] [Indexed: 11/16/2022]
Abstract
Background: Tobacco use is the leading preventable cause of morbidity and mortality in Canada. Smoking cessation programs (SCPs) that are effective, cost-effective and widely available are needed to help smokers quit. Pharmacists are uniquely positioned to provide such services. This study compares the abstinence rates between 2 pharmacist-led SCPs and the cost-effectiveness between these and a comparator group. The study was conducted in St. John’s, Newfoundland and Labrador. Methods: This pragmatic, mixed-method trial randomized smokers to either an existing intensive SCP or a new abbreviated SCP designed for community pharmacies. The primary outcome was 6-month abstinence rates. Cost-effectiveness was determined using abstinence rates for the SCPs and a comparator group. Incremental costs per additional quit were calculated for the trial duration, and incremental costs per life-year gained were estimated over a lifetime. Results: Quit rates for the SCPs were 36% (intensive) and 22% (abbreviated) ( p = 0.199). Incremental costs per life-year gained for the SCPs were $1576 (intensive) and $1836 (abbreviated). The incremental costs per additional quit, relative to the comparator group, for the SCPs were $1217 (intensive) and $1420 (abbreviated). Discussion: Both SCPs helped smokers quit, and quit rates exceeded those reported for a comparator group that included a general population of adult smokers (~7%). The incremental costs per additional quit for both SCPs compare favourably to those reported for other initiatives such as quit lines and hospital-based interventions. Conclusion: Pharmacist-led smoking cessation programs are effective and highly cost-effective. Widespread implementation, facilitated by remuneration, has potential to lower smoking prevalence and associated costs and harms.
Collapse
|
2
|
Clase CM, Dicks E, Holden R, Sood MM, Levin A, Kalantar-Zadeh K, Moore LW, Bartlett SJ, Bello AK, Bohm C, Bridgewater D, Bouchard J, Burger D, Carrero JJ, Donald M, Elliott M, Goldenberg MJ, Jardine M, Lam NN, Maddigan WJ, Madore F, Mavrakanas TA, Molnar AO, Prasad GVR, Rigatto C, Tennankore KK, Torban E, Trainor L, White CA, Hartwig S. Can Peer Review Be Kinder? Supportive Peer Review: A Re-Commitment to Kindness and a Call to Action. Can J Kidney Health Dis 2022; 9:20543581221080327. [PMID: 35514878 PMCID: PMC9067031 DOI: 10.1177/20543581221080327] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Accepted: 01/27/2022] [Indexed: 11/15/2022] Open
Abstract
Peer review aims to select articles for publication and to improve articles before publication. We believe that this process can be infused by kindness without losing rigor. In 2014, the founding editorial team of the Canadian Journal of Kidney Health and Disease (CJKHD) made an explicit commitment to treat authors as we would wish to be treated ourselves. This broader group of authors reaffirms this principle, for which we suggest the terminology “supportive review.”
Collapse
Affiliation(s)
- Catherine M. Clase
- Department of Medicine, McMaster University, Hamilton, ON, Canada
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
- Department of Medicine, St Joseph’s Healthcare Hamilton, ON, Canada
| | | | - Rachel Holden
- Department of Medicine, Queen’s University, Kingston, ON, Canada
| | - Manish M. Sood
- Department of Medicine, The Ottawa Hospital Research Institute, The Ottawa Hospital, ON, Canada
| | - Adeera Levin
- Department of Medicine, The University of British Columbia, Vancouver, Canada
| | | | - Linda W Moore
- Houston Methodist Hospital Department of Surgery, Houston, TX, USA
| | | | - Aminu K. Bello
- Division of Nephrology, Department of Medicine, University of Alberta, Edmonton, Canada
| | - Clara Bohm
- Department of Internal Medicine, Chronic Disease Innovation Centre, University of Manitoba, Winnipeg, Canada
| | - Darren Bridgewater
- Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, Canada
| | - Josee Bouchard
- Department of Medicine, Université de Montréal, QC, Canada
| | - Dylan Burger
- Kidney Research Centre, Ottawa Hospital Research Institute, University of Ottawa, ON, Canada
| | - Juan Jesús Carrero
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Maoliosa Donald
- Cumming School of Medicine, University of Calgary, AB, Canada
| | - Meghan Elliott
- Cumming School of Medicine, University of Calgary, AB, Canada
| | | | - Meg Jardine
- National Health and Medical Research Council Clinical Trials Centre, University of Sydney, NSW, Australia
| | - Ngan N. Lam
- Division of Nephrology, Cumming School of Medicine, University of Calgary, AB, Canada
- Department of Community Health Sciences, University of Calgary, AB, Canada
| | - W. Joy Maddigan
- Faculty of Nursing, Memorial University of Newfoundland, St. John’s, Canada
| | | | | | - Amber O. Molnar
- Department of Medicine, McMaster University, Hamilton, ON, Canada
- Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada
- Department of Medicine, St Joseph’s Healthcare Hamilton, ON, Canada
| | - G. V. Ramesh Prasad
- Division of Nephrology, Department of Medicine, University of Toronto, ON, Canada
| | - Claudio Rigatto
- Department of Medicine, University of Manitoba, Winnipeg, Canada
| | - Karthik K. Tennankore
- Department of Medicine, Dalhousie University, Halifax, NS, Canada
- Nova Scotia Health Authority, Halifax, Canada
| | - Elena Torban
- Department of Medicine, McGill University, Montreal, QC, Canada
| | - Laurel Trainor
- Department of Psychology, Neuroscience & Behaviour, McMaster Institute for Music and the Mind, McMaster University, Hamilton, ON, Canada
| | | | - Sunny Hartwig
- University of Prince Edward Island, Charlottetown, Canada
| |
Collapse
|