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Preoperative smoking cessation: a questionnaire study.

D Owen1, C Bicknell, C Hilton

  • 1Department of Surgery, Barnet Hospital, Barnet, UK.

International Journal of Clinical Practice
|September 14, 2007
PubMed
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Preoperative smoking cessation significantly improves surgical outcomes. However, many non-vascular surgeons underestimate these benefits and the effectiveness of cessation interventions, leading to under-referral of patients to smoking cessation services.

Area of Science:

  • Surgical Outcomes Research
  • Public Health Interventions
  • Healthcare Professional Education

Background:

  • Preoperative smoking cessation is a proven method to enhance postoperative patient outcomes.
  • Despite established benefits, surgeon awareness and practice regarding smoking cessation advice remain suboptimal.

Purpose of the Study:

  • To assess non-vascular surgeons' practices and perceptions regarding preoperative smoking cessation.
  • To identify barriers to referring patients to smoking cessation services.

Main Methods:

  • Anonymous questionnaires were distributed to 120 non-vascular surgeons across four UK centers.
  • The survey explored smoking cessation advice practices, perceived benefits, and intervention efficacy.

Main Results:

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  • A 69% response rate (83 surgeons) was achieved, representing diverse surgical specialties.
  • 88% of respondents had not referred elective patients for smoking cessation in the prior month.
  • A majority of surgeons underestimated the positive impact of preoperative smoking cessation and the success rates of interventions.

Conclusions:

  • Non-vascular surgeons often underestimate the benefits of preoperative smoking cessation and the efficacy of cessation interventions.
  • Systematic frameworks and surgeon education are crucial to improve patient referral and optimize postoperative outcomes through smoking cessation.