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Tob Control. 2005 Aug; 14(4): 242–246.
PMCID: PMC1748064

Smoking cessation treatment in primary care: prospective cohort study


Objective: To compare the characteristics of smokers who do and do not receive smoking cessation treatment in primary care.

Design: Prospective cohort study using practices registered with the pilot QRESEARCH database.

Setting: 156 550 patients aged 18 years and over from 39 general practices located within four strategic health authorities, representing the former Trent Region, UK.

Subjects: Patients registered with practices between 1 April 2001 and 31 March 2003 aged 18 years and over who were identified as smokers before the two year study period.

Outcome: Prescription for smoking cessation treatment (nicotine replacement therapy (NRT) or bupropion) in the two year study period.

Variables: Age, sex, deprivation score, co-morbidity.

Results: Of the 29 492 patients recorded as current smokers at the start of the study period 1892 (6.4%) were given prescriptions for smoking cessation treatment during the subsequent two years. Of these, 1378 (72.8%) were given NRT alone, 406 (21.5%) bupropion alone, and 108 (5.7%) both treatments. Smokers were more likely to receive smoking cessation treatment if they lived in the most deprived areas (odds ratio (OR) for the most relative to the least deprived fifth, adjusted for sex, age, and co-morbidity, 1.50, 95% confidence interval (CI) 1.26 to 1.78), and if they were aged 25–74 years compared to 18–24 years or 75 and over. Smokers with co-morbidity were also more likely to receive smoking cessation treatment. Smokers were less likely to receive smoking cessation treatment if they were male (adjusted OR 0.68, 95% CI 0.62 to 0.75).

Conclusion: The low proportion of smokers being prescribed these products strongly suggests that a major public health opportunity to prevent smoking related illness is being missed.

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Selected References

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  • Doll Richard, Peto Richard, Boreham Jillian, Sutherland Isabelle. Mortality in relation to smoking: 50 years' observations on male British doctors. BMJ. 2004 Jun 26;328(7455):1519–1519. [PMC free article] [PubMed]
  • Britton J, Jarvis MJ. Bupropion: a new treatment for smokers. Nicotine replacement treatment should also be available on the NHS. BMJ. 2000 Jul 8;321(7253):65–66. [PMC free article] [PubMed]
  • Coleman T, West R. Newly available treatments for nicotine addiction. Smokers wanting help with stopping now have effective treatment options. BMJ. 2001 May 5;322(7294):1076–1077. [PMC free article] [PubMed]
  • West R, McNeill A, Raw M. Smoking cessation guidelines for health professionals: an update. Health Education Authority. Thorax. 2000 Dec;55(12):987–999. [PMC free article] [PubMed]
  • Coleman T, Wynn AT, Barrett S, Wilson A, Adams S. Intervention study to evaluate pilot health promotion payment aimed at increasing general practitioners' antismoking advice to smokers. BMJ. 2001 Aug 25;323(7310):435–436. [PMC free article] [PubMed]
  • Coleman Tim, Wynn Alison, Barrett Stephen, Wilson Andrew. Discussion of NRT and other antismoking interventions in UK general practitioners' routine consultations. Nicotine Tob Res. 2003 Apr;5(2):163–168. [PubMed]
  • Thorndike AN, Rigotti NA, Stafford RS, Singer DE. National patterns in the treatment of smokers by physicians. JAMA. 1998 Feb 25;279(8):604–608. [PubMed]
  • Hippisley-Cox Julia, Stables David, Pringle Mike. QRESEARCH: a new general practice database for research. Inform Prim Care. 2004;12(1):49–50. [PubMed]
  • Coleman Tim, Barrett Stephen, Wynn Alison, Wilson Andrew. Comparison of the smoking behaviour and attitudes of smokers who believe they have smoking-related problems with those who do not. Fam Pract. 2003 Oct;20(5):520–523. [PubMed]
  • Wilson A, McDonald P. Comparison of patient questionnaire, medical record, and audio tape in assessment of health promotion in general practice consultations. BMJ. 1994 Dec 3;309(6967):1483–1485. [PMC free article] [PubMed]

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