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Surgery as a teachable moment for smoking cessation
1Department of Anesthesiology and Nicotine Research Center, Mayo Clinic, Rochester, Minnesota 55905, USA. warner.david@mayo.edu
Anesthesiology
|December 10, 2009
Summary
Major surgery significantly increases the likelihood of smoking cessation in older adults, acting as a crucial teachable moment. Cessation rates were double for major procedures compared to outpatient surgery.
Area of Science:
- Gerontology
- Public Health
- Surgical Outcomes
Background:
- A teachable moment is an event that prompts behavior change.
- Major surgery for smoking-related illnesses may serve as a teachable moment for smoking cessation.
Purpose of the Study:
- To test if surgery increases smoking cessation likelihood.
- To compare cessation rates after major versus outpatient surgery.
Main Methods:
- Secondary analysis of longitudinal survey data (1992-2004) from the Health and Retirement Study.
- Examined U.S. adults over 50, assessing smoking cessation incidence relative to surgery occurrence.
Main Results:
- Smokers undergoing major surgery had a 2.02 times higher incidence rate of quitting than non-surgical smokers.
- Outpatient surgery was associated with a 1.28 times higher incidence rate of quitting.
- Approximately 8% of U.S. annual smoking quit events are linked to the analyzed surgical procedures.
Conclusions:
- Surgery is associated with increased smoking cessation in older U.S. adults.
- Major surgical procedures are more strongly linked to cessation than outpatient surgery.
- Findings support surgery as a teachable moment for smoking cessation.
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