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Effectiveness of testing for genetic susceptibility to smoking-related diseases on smoking cessation outcomes: a systematic review and meta-analysis
  1. Chris Smerecnik1,2,
  2. Janaica E J Grispen2,3,
  3. Marieke Quaak2,3,4,5
  1. 1Department of Health Promotion, Maastricht University, Maastricht, The Netherlands
  2. 2School for Public Health and Primary Care (CAPHRI), Maastricht, The Netherlands
  3. 3Department of General Practice, Maastricht University, Maastricht, The Netherlands
  4. 4Department of Health Risk Analysis and Toxicology, Maastricht University, Maastricht, The Netherlands
  5. 5Nutrition and Toxicology Research Institute Maastricht (NUTRIM), Maastricht, The Netherlands
  1. Correspondence to Chris Smerecnik, School for Public Health and Primary Care (CAPHRI), Department of Health Promotion, Maastricht University, PO Box 616, Maastricht 6200 MD, The Netherlands; c.smerecnik{at}gvo.unimaas.nl

Abstract

Objective To examine whether genetic testing for smoking-related diseases benefits smoking cessation.

Data sources PubMed, EMBASE, ERIC, PsycINFO, PsychArticles, CiNAHL and socINDEX databases, the search engine Google Scholar, and key-author and reference list searches.

Study selection Randomised controlled smoking cessation interventions using genetic testing for smoking-related diseases.

Data extraction Consistent with the Cochrane guidelines, two reviewers completed the review process (initial n=139) in three phases, title selection (n=56), abstract selection (n=28) and whole paper selection (n=9). From these nine studies, each reviewer extracted information about outcome measures and statistical and methodological quality.

Data synthesis Relevant data were abstracted from included papers and were subsequently subjected to meta-analysis.

Results Interest in genetic testing was relatively high with 60-80% of smokers reporting to be interested. The authors observed positive short-term effects on risk perception, motivation to quit smoking and smoking cessation, but these effects fade at longer follow-ups. Importantly, the authors did not find any evidence of adverse effect of testing negative on the risk-predisposing gene.

Conclusions This systematic review does not provide solid evidence for the proposed beneficial effects of genetic testing for smoking-related diseases on smoking cessation, but does suggest the presence of an immediate motivational effect, such that genetic testing resulted in higher risk perception and more motivation to quit smoking.

  • Smoking addiction
  • genetic testing
  • smoking cessation
  • systematic review
  • meta-analysis
  • cessation
  • health services
  • smoking caused disease

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Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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