Preoperative smoking cessation interventions: a systematic review and meta-analysis
Mohammed Alsanad1,2,3, Mohammed Aljanoubi4, Faraj K Alenezi5,6
1College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia. Alsanad018@gmail.com.
Perioperative Medicine (London, England)
|January 10, 2025
Summary
Preoperative smoking cessation interventions significantly increase the odds of patients quitting smoking before surgery. However, these interventions did not reduce the rate of postoperative complications in the reviewed studies.
Area of Science:
- Public Health
- Surgical Outcomes Research
- Addiction Medicine
Background:
- Smoking is a leading cause of preventable death and increases postoperative complication risks.
- The preoperative period offers a window for smoking cessation interventions.
- Systematic review and meta-analysis to evaluate preoperative smoking cessation effectiveness.
Purpose of the Study:
- To assess the effectiveness of preoperative smoking cessation interventions on smoking cessation rates.
- To determine the impact of these interventions on postoperative complications.
Main Methods:
- Systematic literature search for relevant studies.
- Random-effects meta-analysis of 14 studies (2940 participants).
- Primary outcome: smoking cessation; Secondary outcome: postoperative complications.
Main Results:
- Interventions significantly increased odds of quitting smoking by surgery (RR 1.64) and long-term follow-up (RR 1.38).
- No significant difference in postoperative complication rates between intervention and control groups (RR 0.81).
- Moderate quality of evidence due to high risk of bias and heterogeneity.
Conclusions:
- Preoperative smoking cessation interventions are effective in helping patients quit smoking.
- Current evidence does not demonstrate a reduction in postoperative complications.
- Recommendations include standardized outcome measures and research into patient perspectives.
Related Concept Videos
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:26Stress Prevention and Stress Management Techniques IV
26
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
26
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.6K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.6K
01:25Statistical Methods for Analyzing Epidemiological Data
299
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
299
01:26COPD: Management Using Bronchodilators and Corticosteroids
177
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
177
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K