RT Journal Article
SR Electronic
T1 Quality of smoking cessation advice in guidelines of tobacco-related diseases: An updated systematic review
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 551
OP 559
DO 10.7861/clinmed.2020-0359
VO 20
IS 6
A1 Winifred Ekezie
A1 Rachael L Murray
A1 Sanjay Agrawal
A1 Ilze Bogdanovica
A1 John Britton
A1 Jo Leonardi-Bee
YR 2020
UL http://www.rcpjournals.org/content/20/6/551.abstract
AB Tobacco smoking is a major risk factor for a wide range of diseases, and smoking cessation significantly reduces these risks. Clinical guidelines for diseases associated with smoking should therefore include guidance on smoking cessation. This review updated evidence on the proportion of clinical guidelines that do so. We conducted a systematic review investigating clinical guidelines and recommendations developed by UK national or European transnational medical specialty associations and societies between January 2014 and October 2019 on 16 diseases to be at least twice as common among smokers than non-smokers. Outcomes of interest were the reporting of smoking as a risk factor, and the inclusion either of smoking cessation advice or referral to other cessation guidance. We compared our findings with an earlier review of guidelines published between 2000 and 2013. We identified 159 clinical guidelines/recommendations. Over half (51%) made no mention of smoking, while 43% reported smoking as a risk factor for the development of the disease, 31% recommended smoking cessation and 19% provided detailed information on how to deliver smoking cessation support. These proportions were similar to those in our earlier review. Smoking cessation continues to be neglected in clinical management guidance for diseases caused by smoking.