Smoking cessation prior to gynecological surgery-A registry-based randomized trial

Area of Science:

• Surgery
• Public Health
• Preventive Medicine

Background:

• Perioperative smoking cessation is vital for minimizing surgical complications.
• Healthcare systems face challenges in effectively informing patients about preoperative smoking cessation.

Purpose of the Study:

• To evaluate the effectiveness of different interventions for promoting smoking cessation in women undergoing gynecological surgery.

Main Methods:

• A randomized registry-based trial was conducted using the Swedish national quality register for gynecological surgery (GynOp).
• Current smokers were randomized into four groups: control, web-based written information, doctor-provided information, or a combination of both interventions.
• Smoking habits were assessed via a postoperative questionnaire two months after surgery.

Main Results:

• A combined approach of web-based information and doctor recommendation showed significantly higher odds of smoking cessation.
• Women receiving both interventions reported increased smoking cessation 1-3 weeks preoperatively (OR 1.8) and 1-3 weeks postoperatively (OR 1.9) compared to the control group.

Conclusions:

• A combination of written information and physician recommendation may enhance smoking cessation rates in the perioperative period.
• Targeted interventions can improve patient adherence to smoking cessation guidelines, thereby reducing surgical risks.