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Adverse Effects of Smoking on Musculoskeletal Health
Belal Tarakji1, Akin Cil2, Richard E Butin3
1Belal Tarakji, BA, in the Department of Orthopaedic Surgery, University of Missouri-Kansas City School of Medicine, and Truman Medical Center.
Missouri Medicine
|September 20, 2018
Summary
Smoking negatively impacts surgical outcomes, increasing risks like infection and nonunion. Perioperative smoking cessation can improve patient results and reduce healthcare costs.
Area of Science:
- Orthopedics
- Public Health
- Surgical Outcomes
Background:
- Smoking is a widespread public health issue affecting millions.
- Cigarette use is linked to significant morbidity and mortality.
- Smoking adversely impacts surgical patient outcomes.
Purpose of the Study:
- To examine the effects of smoking on musculoskeletal surgical outcomes.
- To highlight the increased risk of postoperative complications in smokers.
- To emphasize the economic burden of smoking-related surgical complications.
Main Methods:
- Literature review on smoking and surgical outcomes.
- Analysis of postoperative complication rates in smokers versus non-smokers.
- Assessment of economic implications associated with smoking-related complications.
Main Results:
- Smoking is associated with higher rates of infection, nonunion, and malunion post-surgery.
- Musculoskeletal procedures show a notable increase in complications for active smokers.
- Significant economic costs arise from managing these postoperative complications.
Conclusions:
- Perioperative smoking cessation is recommended to mitigate negative surgical outcomes.
- Physicians should counsel patients on the risks of smoking before surgery.
- Smoking cessation can lead to improved patient recovery and reduced healthcare expenditures.
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