Effect of a Smoking and Alcohol Cessation Intervention Initiated Shortly Before Radical Cystectomy—the STOP-OP Study: A Randomised Clinical Trial

Lauridsen, Susanne Vahr; Thomsen, Thordis; Jensen, Jørgen Bjerggaard; Kallemose, Thomas; Behrend, Monika Schmidt; Steffensen, Kirsten; Poulsen, Alicia Martin; Jacobsen, André; Walther, Lisa; Isaksson, Anders; Thind, Peter; Tønnesen, Hanne

doi:10.1016/j.euf.2022.02.005

Cited by 18 publications

(22 citation statements)

References 31 publications

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“…In addition, a systematic review of prehabilitation in hepatobiliary, colorectal and upper gastrointestinal cancer surgery showed a reduced hospital stay of almost 2 days [ 17 ]. Similar results have been reported for bladder cancer, assessing both unimodal and multimodal prehabilitation programmes, with improvements found in complication rates, functional capacity and strength and quality of life [ 36 , 37 , 38 , 39 ].…”

Section: Discussionsupporting

confidence: 82%

Prehabilitation to Improve Outcomes of Patients with Gynaecological Cancer: A New Window of Opportunity?

Dhanis

Keidan

Blake

et al. 2022

Cancers

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The literature evaluating the effect of prehabilitation programmes on postoperative outcomes and quality of life of patients with gynaecological cancer undergoing surgery was reviewed. Databases including Pubmed, Medline, EMBASE (Ovid) and PsycINFO were systematically searched to identify studies evaluating the effect of prehabilitation programmes on patients with gynaecological cancer. Both unimodal and multimodal prehabilitation programmes were included encompassing physical exercise and nutritional and psychological support. Primary outcomes were surgical complications and quality of life. Secondary outcomes were anthropometric changes and adherence to the prehabilitation programme. Seven studies fulfilled the inclusion criteria, comprising 580 patients. Included studies were nonrandomised prospective studies (n = 4), retrospective studies (n = 2) and one case report. Unimodal programmes and multimodal programmes were included. In patients with ovarian cancer, multimodal prehabilitation resulted in significantly reduced hospital stay and time to chemotherapy. In patients with endometrial and cervical cancer, prehabilitation was associated with significant weight loss, but had no significant effects on surgical complications or mortality. No adverse events of the programmes were reported. Evidence on the effect of prehabilitation for patients with gynaecological cancer is limited. Future studies are needed to determine the effects on postoperative complications and quality of life.

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Section: Discussionsupporting

confidence: 82%

Prehabilitation to Improve Outcomes of Patients with Gynaecological Cancer: A New Window of Opportunity?

Dhanis

Keidan

Blake

et al. 2022

Cancers

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“…A total of 11 studies reported in 2002 and 2022 satisfied the inclusion criteria for the meta‐analysis among the 978 distinctive reports 14‐24 . This meta‐analysis study included 218 567 subjects after post‐surgery at the beginning of the study; 176 670 were smoke cessation or non‐smokers, and 41 897 were smokers.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 11 studies reported in 2002 and 2022 satisfied the inclusion criteria for the meta‐analysis among the 978 distinctive reports. 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 This meta‐analysis study included 218 567 subjects after post‐surgery at the beginning of the study; 176 670 were smoke cessation or non‐smokers, and 41 897 were smokers. All studies evaluated the effect of preoperative smoking and smoke cessation on wound healing and infection in post‐surgery subjects.…”

Section: Resultsmentioning

confidence: 99%

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The effect of preoperative smoking and smoke cessation on wound healing and infection in post‐surgery subjects: A meta‐analysis

Liu

Zhu

Yang

2022

International Wound Journal

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A meta‐analysis was performed to evaluate the preoperative smoking and smoke cessation on wound healing and infection in post‐surgery subjects. A systematic literature search up to January 2022 incorporated 11 trials involving 218 567 subjects after post‐surgery at the beginning of the study; 176 670 were smoke cessation or non‐smokers, and 41 897 were smokers. Statistical tools like the dichotomous method were used within a random or fixed‐influence model to establish the odds ratio (OR) with 95% confidence intervals (CIs) to evaluate the influence of preoperative smoking and smoke cessation on wound healing and infection in post‐surgery subjects. Smoke cessation or non‐smokers had significantly lower postoperative wound healing problems (OR, 0.59; 95% confidence interval, 0.43‐0.82, P < .001), and surgical site wound infection (OR, 0.74; 95% CI, 0.63‐0.87, P < .001) compared with smokers in post‐surgery subjects. Smoke cessation or non‐smokers had significantly lower postoperative wound healing problems, and surgical site wound infection compared with smokers in post‐surgery subjects. Furthermore, evidence is needed to confirm the outcomes.

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“…Bjurlin et al (2013) reported, after one year of follow‐up, that urology patients who received brief smoking cessation counselling were 2.3 times more likely to stop smoking than patients who did not receive counselling. In a randomized clinical trial, Lauridsen et al (2022) reported that patients with bladder cancer who received support in the form of a short intervention for smoking cessation before the operation achieved higher successful abstinence from smoking compared to a control group (51% vs. 27%, RR 2.0, CI 1.14–3.51) at 30 days postoperative follow‐up. Nevertheless, there are barriers that prevent urology physicians and nurses from adopting the role of smoking cessation counsellor, such as lack of time, knowledge, training and skills, and feeling unqualified to provide smoking cessation counselling (Kemppainen et al, 2013; Sosnowski et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Intervention training of urology healthcare staff to counsel acute care inpatients on smoking cessation: An evaluation study

2022

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Aim To evaluate the differences, following intervention training, in the knowledge, attitudes, role perception, self‐capacity and intention of urology staff to counsel inpatients on smoking cessation. Design A descriptive evaluation study of intervention training in counselling on smoking cessation. The study was designed following guidance by the Medical Research Council. Methods The evaluation was based on a closed‐end questionnaire with four time‐point measurements from May 2018–December 2019 (N = 29 at each time‐point). A repeated measure within‐subjects ANOVA was conducted to explore the variance in participants' attitudes, role perception, self‐capacity and intention to counsel patients regarding smoking cessation. Eta squared and Bonferroni post hoc tests were used to interpret the results. Results No change was observed in the research variables after theoretical science‐based learning of the smoking hazards and the benefits of cessation. A statistically significant difference was found following procedural knowledge based on training, practical experience and skill development.

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Effect of a Smoking and Alcohol Cessation Intervention Initiated Shortly Before Radical Cystectomy—the STOP-OP Study: A Randomised Clinical Trial

Cited by 18 publications

References 31 publications

Prehabilitation to Improve Outcomes of Patients with Gynaecological Cancer: A New Window of Opportunity?

Prehabilitation to Improve Outcomes of Patients with Gynaecological Cancer: A New Window of Opportunity?

The effect of preoperative smoking and smoke cessation on wound healing and infection in post‐surgery subjects: A meta‐analysis

Intervention training of urology healthcare staff to counsel acute care inpatients on smoking cessation: An evaluation study

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