Long‐term effects of a preoperative smoking cessation programme

Abstract

Introduction: Preoperative smoking intervention programmes reduce postoperative complications in smokers. Little is known about the long-term effect upon smoking cessation. Aim: To discover long-term quit rates and the reasons behind successful cessation. Materials and Methods: 101 one of 120 smokers, randomised to smoking intervention or no intervention before hip and knee surgery, completed questionnaires concerning smoking after 1 year. We selected representative men and women for focus group interviews. Results: Significantly more patients from the intervention group abstained from smoking for 1 year post-operatively [13 in 60 patients (22%) vs 2 in 60 (3%), P < 0.01]. Sex (male), low nicotine dependency, non-smoking spouse and preoperative smoking intervention were related to smoking cessation. All patients gave the same reasons for smoking cessation: improved health and saving money. Follow-up for 5 years showed 17% of the controls and 8% in the intervention group (P = 0.42) had died. Conclusion:The intervention group had a significantly higher quit rate 1 year after a preoperative smoking cessation programme.Please cite this paper as: Villebro NM, Pedersen T, Møller AM and Tønnesen H. Long-term effects of a preoperative smoking cessation programme.

Cost-effectiveness of intensive smoking cessation therapy among patients with small abdominal aortic aneurysms

“…8,35 In the current study, a base-case smoking cessation rate of 15% was assumed in the nonintervention group, based on the spontaneous smoking cessation rate in patients in the preoperative setting and in patients with a coronary artery event. 12,14,36,37 The success rate increases when the intervention includes information on the health effects of smoking, motivational counseling, strategies for successful cessation, information on changes in behavior and exercise, prevention of relapses and different drugs, including nicotine replacement therapy (NRT), bupropion, and varenicline. 8 The absolute risk reduction of intervention compared with nonintervention is an 18% to 28% higher abstinence rate.…”

Patient insight - perioperative smoking and alcohol cessation intervention

“…Conclusion The patients seem to have a high preference for smoking-and alcohol cessation intervention in relation to surgery, especially towards the intensive programs. (Table 1), while the last study focused on the 1-year follow-up (18). All studies were performed as individual or focus group interviews by semi-structured interview guides.…”

“…Thus, 9 publications were further evaluated and 7 of those fulfilled the inclusion, but not the exclusion criteria. They were therefore included (17)(18)(19)(20)(21)(22)(23). One publication only existed as detailed abstract (23), but the related quantitative study has been published afterwards (24).…”

“…mentioned the operation, anaesthesia and the risk of post-operative complications as supportive for quitting (18).…”

Translating preoperative smoking cessation interventions into routine clinical care of veterans: provider beliefs

“…Shi et al found the incidence rate ratio for smoking cessation in those undergoing major surgery was 2.02 (95% CI 1.67-2.44) [11]. Villebro et al found that those patients who receive preoperative smoking cessation intervention have higher quit rates at 1 year than those not receiving intervention [19]. While smoking cessation prior to surgery reduces surgical complications, the benefits of preoperative cessation have more far reaching effects, including improved lung function [20] and increased life expectancy [21].…”