Perioperative smoking cessation programs should be standard-of-care

Lee, Susan M.

doi:10.1007/s12630-019-01364-1

Cited by 3 publications

(3 citation statements)

References 5 publications

(4 reference statements)

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“…The physician is familiar with the health and social circumstances of the smoker’s family. In addition, it is necessary for a family physician to take advantage of every patient visit and apply a comprehensive approach related to an intensive smoking cessation intervention [ 28 , 29 , 30 ]. What negatively affects the success of this method is the knowledge of the high prevalence of smoking among young people, students, and physicians, and that smoking is a socially acceptable norm [ 31 , 32 , 33 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

Intensive Intervention on Smoking Cessation in Patients Undergoing Elective Surgery: The Role of Family Physicians

Domić,

Pilipović-Broćeta,

Grabež

et al. 2024

Medicina

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Background and Objectives: The aim of this study was to determine the role of physicians in the intensive intervention and education regarding the smoking cessation of patients undergoing elective surgery under general anaesthesia. Materials and Methods: A randomised prospective study was conducted in family physicians’ clinics in which smokers of both sexes, aged 21–65 years, without cognitive impairments, and who were not addicted to psychoactive substances voluntarily participated. Four weeks preoperatively, 120 smokers were randomised into two equal groups; the intervention group (IG) underwent an intervention for the purpose of smoking cessation and the control group (CG) underwent no intervention. Biochemical tests were performed in order to determine the smoking status of the participants in the phase of randomisation, one week preoperatively, as well as 40, 120, and 180 days and 12 months postoperatively. The examinees of the IG talked to the physician five times and received 140 telephone messages, leaflets, and motivational letters along with the pharmacotherapy, while the participants in the CG received little or no advice on smoking cessation. Results: The results of this study confirmed a significant influence of the intervention and education on the smoking abstinence in the IG compared to the CG (p < 0.001). The smokers in the IG had 7.31 (95% CI: 2.32–23.04) times greater odds of abstinence upon the 12-month follow-up than the smokers in the CG. The smokers in the IG who did not stop smoking had a lower degree of dependence and smoked fewer cigarettes (p < 0.0001) compared to those in the CG, as well as a multiple times higher prevalence of short- and long-term abstinence. Conclusions: It can be concluded that the intensive intervention and education can motivate patients preparing for elective surgery to stop smoking in the short- and long term.

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Section: Discussionmentioning

confidence: 99%

Intensive Intervention on Smoking Cessation in Patients Undergoing Elective Surgery: The Role of Family Physicians

Domić,

Pilipović-Broćeta,

Grabež

et al. 2024

Medicina

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“… 16 , 34 However, few have investigated potential barriers to this intervention. 35 Understanding the reasons for previous failed attempts can guide the development of specific interventions for an effective smoking cessation pathway in PAC. Our study provides the data for planning such a programme in the elective surgery setting.…”

Section: Discussionmentioning

confidence: 99%

Smoking Characteristics and Readiness-to-Quit Status Among Smokers Attending Preoperative Assessment Clinic – A Prospective Cohort Study

He¹,

Tan²,

Shi³

et al. 2021

RMHP

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Background Perioperative smoking is associated with an increased incidence of general postoperative morbidity and mortality. The perioperative period is recognized as an important “teachable moment” that can motivate patients to adopt health changing behaviors. Objective In this study, we aimed to determine the prevalence of smokers among elective surgical patients in an Asian tertiary hospital. We also investigated their smoking characteristics, previous quitting attempts, readiness-to-quit status as well as knowledge of smoking-related postoperative complications. Methods We conducted a single-center prospective cohort study among all patients who attended a preoperative assessment clinic within a 2-month period (August to September 2020) using a preoperative smoking questionnaire. Results A total of 3362 patients participated in the study, of which 348 (10.4%) were current smokers. More than half (65.6%) of the smokers had previously attempted to quit smoking, with most (78%) having made more than one attempt. Forty-nine percent of current smokers were in the pre-contemplation stage of quitting and thirty-one percent were in the contemplation stage. Only twenty-one percent were in the preparation stage of quitting. Thirty-eight percent of patients recognized the importance of smoking cessation perioperatively but only twenty-eight percent were confident of quitting perioperatively. Less than sixty percent of smokers were aware of at least one type of smoking-related postoperative complication. Less than half of the patients (45%) had ever received advice on perioperative smoking cessation from the surgeons. Conclusion A thorough understanding of smokers’ smoking characteristics, barriers to quit and readiness-to-quit status are crucial to establishing a successful multidisciplinary perioperative smoking cessation program. Counselling should address knowledge deficits and be tailored to a patient’s stage-of-change in order to seize this precious perioperative “teachable moment”.

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“…Multiple investigators have identified the very significant clinical benefits that follow the delivery of smoking cessation in cardiac settings 39–45. Moreover, the advantages of hospital smoking cessation programmes have been clearly documented across an array of clinical disciplines: addressing smoking among surgical patients46–48; combating peri-operative complications by anaesthesiologists49 50; reducing the multiple smoking-related complications following orthopaedic procedures51–57; demonstrating the benefits of cessation services in psychiatric settings58–60 and identifying opportunities to deliver tobacco-dependence treatment in emergency departments 61 62…”

Section: Smoking Cessation In Hospital Settingsmentioning

confidence: 99%

Smoking cessation: health system challenges and opportunities

2022

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The systematic integration of evidence-based tobacco treatment has yet to be broadly viewed as a standard-of-care. The Framework Convention on Tobacco Control recommends the provision of support for tobacco cessation. We argue that the provision of smoking cessation services in clinical settings is a fundamental clinical responsibility and permits the opportunity to more effectively assist with cessation. The role of clinicians in prioritising smoking cessation is essential in all settings. Clinical benefits of implementing cessation services in hospital settings have been recognised for three decades—but have not been consistently provided. The Ottawa Model for Smoking Cessation has used an ‘organisational change’ approach to its introduction and has served as the basis for the introduction of cessation programmes in hospital and primary care settings in Canada and elsewhere. The significance of smoking cessation dwarfs that of many preventive interventions in primary care. Compelling evidence attests to the importance of providing cessation services as part of cancer treatment, but implementation of such programmes has been slow. We recognise that the provision of such services must reflect the realities and resources of a particular health system. In low-income and middle-income countries, access to treatment facilities pose unique challenges. The integration of cessation programmes with tuberculosis control services may offer opportunities; and standardisation of peri-operative care to include smoking cessation may not require additional resources. Mobile phones afford unique opportunities for interactive cessation programming. Health system change is fundamental to improving the provision of cessation services; clinicians can be powerful advocates for such change.

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Perioperative smoking cessation programs should be standard-of-care

Cited by 3 publications

References 5 publications

Intensive Intervention on Smoking Cessation in Patients Undergoing Elective Surgery: The Role of Family Physicians

Intensive Intervention on Smoking Cessation in Patients Undergoing Elective Surgery: The Role of Family Physicians

Smoking Characteristics and Readiness-to-Quit Status Among Smokers Attending Preoperative Assessment Clinic – A Prospective Cohort Study

Smoking cessation: health system challenges and opportunities

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