Are there sex differences in transdermal nicotine replacement therapy patch efficacy? A meta-analysis.

Smoking-related death and disability rates for women have risen sharply recently. Despite lower smoking cessation success rates for women using behavioral therapies, data are limited on whether specific pharmacological therapies are equally efficacious in men and women. Using meta-analytic technique...

Full description

Bibliographic Details
Main Authors: Munafò, M, Bradburn, M, Bowes, L, David, S
Format: Journal article
Language:English
Published: 2004
_version_ 1826266373110628352
author Munafò, M
Bradburn, M
Bowes, L
David, S
author_facet Munafò, M
Bradburn, M
Bowes, L
David, S
author_sort Munafò, M
collection OXFORD
description Smoking-related death and disability rates for women have risen sharply recently. Despite lower smoking cessation success rates for women using behavioral therapies, data are limited on whether specific pharmacological therapies are equally efficacious in men and women. Using meta-analytic techniques, we examined whether significant differences in therapeutic efficacy of nicotine replacement therapy (NRT) for smoking cessation exist by sex. Out of the 31 randomized clinical trials of NRT that met inclusion criteria, 11 contributed to the analysis. The odds ratios for NRT vs. placebo were derived from each trial separately by sex for males and females, and these ratios were combined to give a pooled estimate of the effect of sex in response to NRT. NRT was effective at all time points in men (< 6 months: OR = 2.05, 95% CI= 1.61-2.60; 6 months: OR = 1.98, 95% CI = 1.51-2.60; 12 months: OR = 1.86, 95% CI = 1.39-2.50) and women (< 6 months: OR = 2.09, 95% CI = 1.65-2.65; 6 months, OR = 1.52, 95% CI = 1.17-1.98; 12 months: OR = 1.63, 95% CI = 1.22-2.18). At all time points, no significant difference was observed between sexes (< 6 months: OR = .97, 95% CI = .69-1.36; 6 months: OR = 1.33, 95% CI = .91-1.95; 12 months: OR = 1.21, 95% CI = .79-1.84). The results of this meta-analysis do not support the hypothesis that NRT has higher therapeutic efficacy for men than women.
first_indexed 2024-03-06T20:37:56Z
format Journal article
id oxford-uuid:33410efe-5101-4e11-b8d9-de62194062eb
institution University of Oxford
language English
last_indexed 2024-03-06T20:37:56Z
publishDate 2004
record_format dspace
spelling oxford-uuid:33410efe-5101-4e11-b8d9-de62194062eb2022-03-26T13:19:16ZAre there sex differences in transdermal nicotine replacement therapy patch efficacy? A meta-analysis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:33410efe-5101-4e11-b8d9-de62194062ebEnglishSymplectic Elements at Oxford2004Munafò, MBradburn, MBowes, LDavid, SSmoking-related death and disability rates for women have risen sharply recently. Despite lower smoking cessation success rates for women using behavioral therapies, data are limited on whether specific pharmacological therapies are equally efficacious in men and women. Using meta-analytic techniques, we examined whether significant differences in therapeutic efficacy of nicotine replacement therapy (NRT) for smoking cessation exist by sex. Out of the 31 randomized clinical trials of NRT that met inclusion criteria, 11 contributed to the analysis. The odds ratios for NRT vs. placebo were derived from each trial separately by sex for males and females, and these ratios were combined to give a pooled estimate of the effect of sex in response to NRT. NRT was effective at all time points in men (< 6 months: OR = 2.05, 95% CI= 1.61-2.60; 6 months: OR = 1.98, 95% CI = 1.51-2.60; 12 months: OR = 1.86, 95% CI = 1.39-2.50) and women (< 6 months: OR = 2.09, 95% CI = 1.65-2.65; 6 months, OR = 1.52, 95% CI = 1.17-1.98; 12 months: OR = 1.63, 95% CI = 1.22-2.18). At all time points, no significant difference was observed between sexes (< 6 months: OR = .97, 95% CI = .69-1.36; 6 months: OR = 1.33, 95% CI = .91-1.95; 12 months: OR = 1.21, 95% CI = .79-1.84). The results of this meta-analysis do not support the hypothesis that NRT has higher therapeutic efficacy for men than women.
spellingShingle Munafò, M
Bradburn, M
Bowes, L
David, S
Are there sex differences in transdermal nicotine replacement therapy patch efficacy? A meta-analysis.
title Are there sex differences in transdermal nicotine replacement therapy patch efficacy? A meta-analysis.
title_full Are there sex differences in transdermal nicotine replacement therapy patch efficacy? A meta-analysis.
title_fullStr Are there sex differences in transdermal nicotine replacement therapy patch efficacy? A meta-analysis.
title_full_unstemmed Are there sex differences in transdermal nicotine replacement therapy patch efficacy? A meta-analysis.
title_short Are there sex differences in transdermal nicotine replacement therapy patch efficacy? A meta-analysis.
title_sort are there sex differences in transdermal nicotine replacement therapy patch efficacy a meta analysis
work_keys_str_mv AT munafom aretheresexdifferencesintransdermalnicotinereplacementtherapypatchefficacyametaanalysis
AT bradburnm aretheresexdifferencesintransdermalnicotinereplacementtherapypatchefficacyametaanalysis
AT bowesl aretheresexdifferencesintransdermalnicotinereplacementtherapypatchefficacyametaanalysis
AT davids aretheresexdifferencesintransdermalnicotinereplacementtherapypatchefficacyametaanalysis