The effectiveness of smoking cessation interventions prior to surgery: a systematic review.

Cropley, M, Theadom, A, Pravettoni, G and Webb, G (2008) The effectiveness of smoking cessation interventions prior to surgery: a systematic review. Nicotine & Tobacco Research, 10 (3). pp. 407-412.

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Abstract

The objective of this review was to evaluate the effectiveness of smoking cessation interventions prior to surgery and examine smoking cessation rates at 6 months follow-up. The Cochrane Library Database, PsycINFO, EMBASE, Medline, and Cinahl databases were searched using the terms: smok$, smoking cessation, tobacco, cigar$, preop$, operati$, surg$, randomi*ed control$ trial, intervention, program$, cessation, abstinen$, quit. Further articles were obtained from reference lists. The search was limited to articles on adults, written in English and published up to December 2006. Only randomized control trials (RCTs) that incorporated smoking cessation interventions to patients awaiting elective surgery were included. Seven studies met the inclusion criteria. Methodological quality was assessed by all the authors. The findings revealed that short-term quit rates (or a reduction by more than half of normal daily rate) ranged from 18% to 93% in patients receiving a smoking intervention (mean 55%), compared with a range of 2%-65% of controls (mean = 27.7%). Two studies examined smoking status at 6 months but these revealed no significant difference in abstinence rates between patients who had received an intervention and those that had not. Studies that incorporated counseling in addition to nicotine replacement therapy appeared to show greater benefits. It is concluded that smoking cessation interventions prior to surgery are effective in helping patients to quit smoking. However, such effects appear to be short-lived. Future research needs to examine intervention and patient factors to see whether tailoring the smoking cessation intervention specifically to the patient improves overall abstinence rates.

Item Type:	Article
Divisions :	Faculty of Health and Medical Sciences > School of Psychology
Authors :	Name Email ORCID Cropley, M Theadom, A Pravettoni, G Webb, G
Date :	March 2008
Identification Number :	10.1080/14622200801888996
Uncontrolled Keywords :	Follow-Up Studies, Health Status, Humans, Patient Education as Topic, Preoperative Care, Randomized Controlled Trials as Topic, Research Design, Smoking, Smoking Cessation, Surgical Procedures, Operative
Related URLs :	Publisher
Additional Information :	This is a pre-copy-editing, author produced PDF of an article accepted for publication in "Nicotine & Tobacco Research" following peer review. The definite publisher-authenticated version "Nicotine & Tobacco Research, 2008, 10(3):407-412" is available online at http://ntr.oxfordjournals.org/content/10/3.toc
Depositing User :	Symplectic Elements
Date Deposited :	05 Nov 2013 16:20
Last Modified :	09 Jun 2014 13:30
URI:	http://epubs.surrey.ac.uk/id/eprint/803134

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