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NAQC Newsroom: Research

Interventions for Preoperative Smoking Cessation

Monday, July 26, 2010  
Interventions for Preoperative Smoking Cessation.
Thomsen T, Villebro N, Møller AM. Cochrane Database of Systematic Reviews 2010, Issue 7. Art. No.: CD002294. DOI: 10.1002/14651858.CD002294.pub3

This systematic review tried to answer the question, "Can people be helped to stop smoking before they have surgery?" The review concluded that based on indirect comparisons and evidence from two small trials, interventions that begin four to eight weeks before surgery, include weekly counseling, and use NRT are more likely to have an impact on complications and on long-term smoking cessation. The plain-language summary is repeated here: "Smoking is a well-known risk factor for complications after surgery. Studies of interventions to encourage smokers to stop smoking before their operation show that short- and long-term quitting can be achieved. Evidence from two small trials indicates that interventions that begin four to eight weeks before surgery, which include weekly counseling and use NRT, support smoking cessation and may reduce complication rates. Brief interventions support short-term smoking cessation but there is insufficient evidence from this review to determine whether they reduce complications. This may be due to the longer period of pre-operative abstinence that can be achieved when interventions begin four to eight weeks before surgery."

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