Sylwer fod y cymhwysiad hwn dan ddatblygiad. Os ydych chi'n gweld unrhyw gamgymeriadau neu os nad yw rhywbeth yn gweithio, cysylltwch â ni yn evidence.service@wales.nhs.uk.

Smoking cessation medicines and e-cigarettes: a systematic review, network meta-analysis and cost-effectiveness analysis

Thomas KH el al (2021)

Health Technology Assessment - 10.3310/hta25590

Mapiau Tystiolaeth

  • Lleoliadau Gofal: Lleoliad gofal iechyd
  • Lleoliadau Gofal: Lleoliad gweithle
  • Lleoliadau Gofal: Lleoliad Addysgol
  • Lleoliadau Gofal: Byw â chymorth/cartrefi gofal
  • Grwpiau Poblogaeth: Oedolion
  • Ymyriadau: Bupropian
  • Ymyriadau: Systemau Dosbarthu Nicotin Electronig
  • Ymyriadau: Therapi Amnewid Nicotin
  • Ymyriadau: Varenicline
  • Canlyniad: Rhoi'r gorau i ysmygu

Math o Dystiolaeth

Adolygiad Systematig

Nodau

Mae'r awduron yn datgan:

"To determine the clinical effectiveness, safety and cost-effectiveness of smoking cessation medicines and e-cigarettes."

Canfyddiadau

Mae'r awduron yn datgan:

"Most monotherapies and combination treatments were more effective than placebo at achieving sustained abstinence. Varenicline standard plus nicotine replacement therapy standard (odds ratio 5.75, 95% credible interval 2.27 to 14.90) was ranked first for sustained abstinence, followed by e-cigarette low (odds ratio 3.22, 95% credible interval 0.97 to 12.60), although these estimates have high uncertainty. We found effect modification for counselling and dependence, with a higher proportion of smokers who received counselling achieving sustained abstinence than those who did not receive counselling, and higher odds of sustained abstinence among participants with higher average dependence scores. We found that bupropion standard increased odds of serious adverse events compared with placebo (odds ratio 1.27, 95% credible interval 1.04 to 1.58)."

Casgliadau

Mae'r awduron yn datgan:

"Combined therapies of medicines are among the most clinically effective, safe and cost-effective treatment options for smokers. Although the combined therapy of nicotine replacement therapy and varenicline at standard doses was the most effective treatment, this is currently unlicensed for use in the UK."