Perioperative tobacco use interventions in Japan: a survey of thoracic surgeons and anaesthesiologists

Kai, Tetsuya; Maki, Toshihide; Takahashi, Shinya; Warner, David O.

doi:10.1093/bja/aem400

Cited by 28 publications

(45 citation statements)

References 23 publications

(21 reference statements)

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“…Initiation of smoking cessation was visible in 15.3% of our OCRs, which is a strikingly low number, considering that previous studies have found 58 to 70% of surgeons to advise their patients to quit smoking before surgery [13][14][15][16]. Insufficient training, lack of knowledge, lack of perceived efficacious interventions, and lack of time have proven the most significant smoking cessation barriers for surgeons [13,16,17].…”

Section: Discussionmentioning

confidence: 84%

Weak smoking cessation awareness in primary health care before surgery: a real-world, retrospective cohort study

Gräsbeck

Ekroos²,

Halonen³

et al. 2020

Scandinavian Journal of Primary Health Care

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Objective: Tobacco smoking is a well-established risk factor for postoperative complications. Research on preoperative smoking cessation in primary health care is scarce. Design: This was a retrospective cohort study. Setting: The Stop Smoking before Surgery Project (SSSP) started in Porvoo, Finland, in May of 2016, involving both primary health care and specialized health care. The goals of the project were smoking awareness and preoperative smoking cessation. Subjects: Our study involved 1482 surgical patients operated at Porvoo Hospital between May and December of 2016. Main outcome measures: We studied the recording of smoking status in all patients, and ICD-10 diagnosis of nicotine dependency and the initiation of preoperative smoking cessation in current smokers. Variables were studied from electronic patient records, comparing primary health care referrals and surgical outpatient clinic records. Results: Smoking status was visible in 14.2% of primary health care referrals, and in 18.4% of outpatient clinic records. Corresponding rates for current smokers (n ¼ 275) were 0.0 and 8.7% for ICD-10 diagnosis of nicotine dependence, and 2.2 and 15.3% for initiation of preoperative smoking cessation. The differences between primary health care referrals and outpatient clinic records were statistically significant for all three variables (p .001). Conclusion: In primary health care, very little attention was paid to preoperative smoking cessation. Rates were significantly better at the surgical outpatient clinic, but still low. We could not demonstrate any certain effect of the intervention. Our results call for future research on ways to improve smoking cessation rates. KEY POINTSTobacco smoking is a well-established risk factor for postoperative complications. Research on preoperative smoking cessation in primary health care is scarce. We found weak smoking awareness and weak smoking cessation intervention numbers among both primary and specialized health care doctors. Our results indicate an urgent need for an efficient preoperative smoking cessation model involving both primary and specialized health care. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 84%

Weak smoking cessation awareness in primary health care before surgery: a real-world, retrospective cohort study

Gräsbeck

Ekroos²,

Halonen³

et al. 2020

Scandinavian Journal of Primary Health Care

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“…Second, Chinese anesthesiologists recognize their responsibilities and are willing to engage in tobacco control efforts. For example, the perception of responsibility to make sure that patients get help in quitting is much stronger among Chinese anesthesiologists compared with their American and Japanese counterparts (71% agreed or strongly agreed with this item, compared with 20 and 35%, respectively, in the prior surveys 17,18 ). They also have a strong interest in learning about ways to help patients quit, including participation in educational programs and other training opportunities.…”

Section: Discussionmentioning

confidence: 92%

“…Consistent with previous studies of physicians, nonsmoking anesthesiologists were more likely to advise patients about the health risks of smoking and advise smokers to quit. 15,16,18 This funding suggests that efforts to help anesthesiologists quit smoking may increase the frequency with which these physicians provide tobacco interventions. Most anesthesiologists who smoked were interested in quitting and many of them had made quit attempts in the past year.…”

Section: Discussionmentioning

confidence: 99%

“…The primary limitation is whether this sample is representative of Chinese anesthesiologists. No data are available to describe the practice characteristics of Chinese anesthesiologists, and a national roster of anesthesiologists that could be used to sample this population (as was done in our prior studies 17,18 ) is not available. As a feasible alternative, we sampled attendees of a national anesthesiologists' meeting that represented primarily practices in large urban centers.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of the survey items are modified from a questionnaire previously designed to study practices and attitudes of anesthesiologists and surgeons regarding tobacco use interventions administered to clinicians in the United States 17 and Japan. 18 The questionnaires included items in three main domains. Demographics.…”

Section: Questionnairementioning

confidence: 99%

See 2 more Smart Citations

Perioperative Tobacco Interventions by Chinese Anesthesiologists

Shi¹,

Luo

et al. 2010

Anesthesiology

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Perioperative complications of abdominal surgery in smokers

et al. 2020

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Purpose This study examined the association between smoking and perioperative complications of laparoscopic abdominal surgery and whether these complications were reduced with ≥ 4 weeks of preoperative smoking cessation. Methods A total of 555 patients who underwent gastric and colorectal cancer surgeries under general anesthesia were divided into the following groups retrospectively: 290 individuals without smoking history (NS group), 144 previous smokers (stopped smoking more than 8 weeks before surgery, PS group), and 121 current smokers (CS group) divided to two groups according to preoperative smoking cessation for < 4 (CS1, n = 76) and 4–8 weeks (CS2, n = 45). Results When compared with the NS group, postoperative hospitalization duration was significantly longer in the CS1 group (p < 0.01), whereas differences between the CS2 or PS groups and NS group were not significant. The total number of postoperative complications was higher in all groups of smoking than in NS group, independent on preoperative smoking cessation; however, suture failure was significantly more frequent only in CS1 group. Although pack-years did not significantly affect complication rates in smokers, duration of smoking cessation time in PS group was a negative predictor of postoperative complications. Conclusion Providing more than 4 weeks of smoking cessation before gastrointestinal surgery can reduce the duration of hospitalization and rate of suture failure.

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Perioperative tobacco use interventions in Japan: a survey of thoracic surgeons and anaesthesiologists

Cited by 28 publications

References 23 publications

Weak smoking cessation awareness in primary health care before surgery: a real-world, retrospective cohort study

Weak smoking cessation awareness in primary health care before surgery: a real-world, retrospective cohort study

Perioperative Tobacco Interventions by Chinese Anesthesiologists

Perioperative complications of abdominal surgery in smokers

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