Interventions for preoperative smoking cessation

Thomsen, Thordis; Villebro, Nete; Møller, Ann Merete

doi:10.1002/14651858.cd002294.pub3

Cited by 146 publications

(171 citation statements)

References 62 publications

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“…20,21 Our findings substantiate previous investigations: in adjusted multivariable analyses, former smokers were less likely to experience adverse outcomes than current smokers. The effect of former smoking on adverse outcomes was most notable after cardiovascular procedures (Fig.…”

Section: Commentssupporting

confidence: 90%

Impact of smoking on perioperative outcomes after major surgery

Schmid

Sood

Campbell

et al. 2015

The American Journal of Surgery

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Section: Commentssupporting

confidence: 90%

Impact of smoking on perioperative outcomes after major surgery

Schmid

Sood

Campbell

et al. 2015

The American Journal of Surgery

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“…Since this study aimed at assessing smoking as a risk factor for poor post-surgical outcomes, studies of smoking interventions were not included. A Cochrane systematic review of efficacy of smoking cessation interventions has been published 18 . Therefore we did not include these randomized studies, since the Cochrane review had combined multiple studies across several surgeries including but not limited to arthroplasty and had provided good estimates for smoking cessation interventions.…”

Section: Methodsmentioning

confidence: 99%

Smoking and Outcomes After Knee and Hip Arthroplasty: A Systematic Review

Singh¹

2011

J Rheumatol

170

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Background Studies have suggested higher rates of peri- and post-operative complications in smokers compared to non-smokers. The objective of this systematic review was to assess the association of smoking and post-operative outcomes following total hip arthroplasty (THA) or total knee arthroplasty (TKA). Methods A search of six databases (The Cochrane Library, Scopus, Proquest Dissertation abstracts, CINAHL, OVID MEDLINE and EMBASE) was performed by a Cochrane librarian. All titles and abstracts were screened by two independent reviewers, with expertise in performing systematic reviews. Studies were included if they were fully published reports that included smoking and any perior post-operative clinical outcome in patients with either TKA or THA. Results 21 studies were included for the review, of which six included multivariable-adjusted analyses, 14 univariate analyses and one statistical modeling. For most outcomes, results from 1-2 studies could be pooled. Current smokers were significantly more likely to have any post-operative complication (risk ratio, 1.24 [95% confidence interval, 1.01 to 1.54]) and death (risk ratio, 1.63 [95% confidence interval, 1.06 to 2.51]), compared to non-smokers. Former smokers were significantly more likely to have any post-operative complication (risk ratio, 1.32 [95% confidence interval, 1.05 to 1.66]) and death (risk ratio, 1.69 [95% confidence interval, 1.08 to 2.64]). Conclusion This systematic review finds that smoking is associated with significantly higher risk of post-operative complication and mortality following THA or TKA. Studies examining long-term consequences of smoking on implant survival and complications are needed. Smoking cessation may improve outcomes after THA or TKA.

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“…In recent years, studies concerning preoperative lifestyle interventions and postoperative recovery have been increasingly in focus, resulting in clinical routines to assist patients to both stop smoking and stop overconsumption of alcohol, as needed [9,10]. Prospective observational studies have reported that physical activity before and after a colorectal cancer diagnosis as well as after treatment is associated with better survival [11][12][13].…”

Section: Introductionmentioning

confidence: 99%