Printed Quit-pack Sent to Surgical Patients at Time of Waiting List Placement Improved Perioperative
Wednesday, March 12, 2014
Posted by: Natalia Gromov
ANZ J Surg. 2014 Feb 18.
doi: 10.1111/ans.12519. [Epub ahead of print]
Printed Quit-pack Sent
to Surgical Patients at Time of Waiting List Placement Improved Perioperative
Webb AR, Robertson N,
Sparrow M, Borland R, Leong S.
This study aimed to measure the effects of sending a smoking cessation
'quit-pack' to all patients placed on the elective surgical waiting list.
METHOD: Questionnaire-based study before intervention (mid-2011, 177 patients)
and after (2012/13, 170 patients) conducted on day of surgery. All were
identified as adult smokers at time of waiting list placement. The intervention
was a quit-pack consisting of educational brochure containing cessation advice
and focused on perioperative risks of smoking, together with Quitline referral
form and reply-paid envelope. The primary outcome measure was proportion of
smokers who quit on waiting list for ≥1 month before surgery, considered a
clinically meaningful duration to reduce surgical complications. RESULTS: An
8.6% improvement in waiting list smokers achieving the target ≥1 month
abstinence at day of surgery (P = 0.03). The number needed to treat of 12 (95%
confidence interval 6-240) meant 12 smokers receiving intervention would create
one additional episode of clinically meaningful quitting on wait list.
CONCLUSION: Smoking cessation outcomes before elective surgery are
significantly improved by systematic application of a printed intervention
delivered at time of wait list placement that encourages and supports