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Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System
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Published on: May 24, 2017

Variation in smoking cessation after vascular operations.

Andrew W Hoel1, Brian W Nolan, Philip P Goodney

  • 1Division of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 60611, USA. awhoel@nmh.org

Journal of Vascular Surgery
|February 5, 2013
PubMed
Summary

Many patients quit smoking after vascular surgery, with higher success rates linked to more invasive procedures and older age. Treatment center significantly impacts cessation outcomes, highlighting opportunities for surgeons to improve success rates.

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Area of Science:

  • Vascular Surgery
  • Public Health
  • Smoking Cessation

Background:

  • Smoking is a critical modifiable risk factor for patients with vascular disease.
  • Postoperative smoking cessation is crucial for improving patient outcomes after vascular procedures.

Purpose of the Study:

  • To evaluate smoking cessation rates following major vascular procedures.
  • To identify patient and procedural factors associated with successful smoking cessation.
  • To explore variations in cessation rates across different treatment centers.

Main Methods:

  • Analysis of a registry of 7807 patients undergoing carotid endarterectomy, stenting, lower extremity bypass, or abdominal aortic aneurysm repair (2003-2009).
  • Multivariate analysis to determine factors independently associated with smoking cessation at 1-year follow-up.
  • Survey of surgeons regarding smoking cessation techniques offered to patients.

Main Results:

  • Overall, 45% of 2606 smokers quit within one year post-procedure.
  • Cessation rates varied by procedure type, with higher rates for open abdominal aortic aneurysm repair (50%) and lower rates for carotid artery stenting (27%).
  • Older age (>70 years) and dialysis dependence were associated with higher cessation rates, while treatment center showed the most significant variation (28%-62%).
  • Surgeons offering pharmacologic therapy or specialist referral had higher patient cessation rates (48% vs. 33%).

Conclusions:

  • A substantial proportion of patients successfully quit smoking after vascular surgery.
  • Patient age, procedure invasiveness, and dialysis dependence influence cessation.
  • Significant variation in cessation rates between treatment centers underscores the potential for targeted interventions by vascular surgeons to enhance smoking cessation support.