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Evaluation of a pilot perioperative smoking cessation program: A pre-post study

Journal of Surgical Research Mar 28, 2019

Young-Wolff KC, et al. - Evaluation of the implementation of a pilot smoking cessation intervention integrated into standard perioperative care was performed via analyzing English-speaking adult smokers undergoing elective surgery in Kaiser Permanente San Francisco before (2015) and after (2016-2017) the implementation of a smoking cessation intervention. Studying 276 patients (70% male; 59% non-Hispanic white; mean age = 50 y, they noted that tobacco cessation counseling referrals (3% to 28%) and preoperative carbon monoxide testing (38% to 50%) had significant pre-to-post increases. At ∼30 d after discharge, smoking abstinence in the previous 7 d (24% pre, 44% post) and since hospital discharge (18% pre, 39% post) were more frequent in patients in the postintervention period. They observed an increase in cessation medication orders and patient use of counseling and medications, whereas a decrease in surgical complications. However, pre-to-post differences were not significant. These findings demonstrate positive smoking-related outcomes in correlation with the perioperative smoking cessation program integrated into standard care. However, larger studies are needed to be done to assess the efficacy of these programs.
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