Table 4

Randomised controlled trials and population studies of effectiveness of NRT

ReferenceSample and designMajor findings
Randomised controlled trialsFiore et al 1 Meta-analysis of 83 studies, including 77 individual NRT treatment arms and 80 placebo armsEffectiveness was higher in NRT treatment arms than placebo treatment arms (OR 1.5–3.1)
Stead et al 5 Meta-analysis of 111 studies, with over 40 000 participants, typically of adult cigarette smokers, average age 40 to 50 years and smoked at least 15 cigarettes per dayAbstinence rates were higher among users of NRT relative to persons in control groups (RR 1.58)
Silagy et al 38 Meta-analysis of 103 studies with over 35 600 participantsAbstinence among NRT treatment groups was greater than persons in control groups (OR 1.77)
Population studiesPierce et al 11 Cross-sectional state-wide samples of previous-year cigarette smokers in 1996 and 1999 California Tobacco SurveyNo difference in time to relapse among moderate-to-heavy smokers using over-the-counter NRT compared with those using no medication
Fiore et al 6 Cross-sectional national sample of 13 031 adult ever-smokers in 1986 Adult Use of Tobacco SurveyQuitters with unassisted cessation were more successful than quitters using assisted cessation (OR 3.3)
Alberg et al 8 Longitudinal cohort study of 1954 current cigarette smoker residents in Washington County, Maryland, in 1989 and 1998Quitting rates among NRT users were 4.9% less than among non-NRT users
  • NRT, nicotine replacement therapy.