NDLI: Long-term quit rates after a perioperative smoking cessation randomized controlled trial.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lee, Susan M. Landry, Jennifer Jones, Philip M. Buhrmann, Ozzie Morley-Forster, Patricia
Spatial Coverage	Ontario
Description	Country affiliation: Canada Author Affiliation: Lee SM ( From the *Department of Anesthesia & Perioperative Medicine, Department of Epidemiology & Biostatistics, University of Western Ontario, London, Ontario, Canada)
Abstract	BACKGROUND: While surgery and perioperative smoking cessation interventions may motivate patients to quit smoking in the short term, it is unknown how often this translates into permanent cessation. In this study, we sought to determine the rates of long-term smoking cessation after a perioperative smoking cessation intervention and predictors of successful cessation at 1 year. METHODS: We previously reported short-term results from a perioperative randomized controlled trial comparing usual care with an intervention involving (1) brief counseling by the preadmission nurse, (2) smoking cessation brochures, (3) referral to a telephone quitline, and (4) a free 6-week supply of transdermal nicotine replacement. We now report our 1-year follow-up outcomes. RESULTS: Between October 2010 and April 2012, 168 patients were randomized. At 1 year, 127 patients (76%) were available for follow-up telephone interview. Smoking cessation occurred in 8% of control patients compared with 25% of patients in the intervention group (relative risk, 3.0; 95% confidence interval [CI], 1.2-7.8; P = 0.018). The number needed-to-treat to achieve smoking cessation for 1 patient at 1 year postoperatively was 5.9 (95% CI, 3.4-25.9). Multivariable logistic regression modeling found that the intervention (P = 0.020) and lower nicotine dependency at baseline (P < 0.001) were predictive of success at smoking cessation at 1 year. Poisson regression showed that adjusted for nicotine dependency, those randomized to the intervention group were 2.7 times (95% CI, 1.1-6.7; P = 0.028) more likely to achieve long-term cessation than those in the control group. Adjusted for randomization group, a low level of nicotine dependency resulted in a relative risk of quitting of 5.1 (95% CI, 2.0-12.8; P = 0.001). CONCLUSIONS: This study demonstrates that an intervention designed for a busy preadmission clinic results in decreased smoking rates not only around the time of surgery but also continued benefit in smoking cessation at 1 year. Perioperative care providers have a unique opportunity to assist patients in smoking cessation and achieve long-lasting results.
File Format	HTM / HTML
ISSN	00032999
Issue Number	3
Volume Number	120
Journal	Anesthesia & Analgesia
e-ISSN	15267598
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2015-03-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Perioperative Care Methods Smoking Cessation Smoking Prevention & Control Tobacco Use Disorder Therapy Administration, Cutaneous Adult Counseling Female Health Behavior Health Knowledge, Attitudes, Practice Humans Logistic Models Male Middle Aged Motivation Multivariate Analysis Nicotine Administration & Dosage Nicotinic Agonists Odds Ratio Ontario Pamphlets Patient Education As Topic Recurrence Risk Factors Adverse Effects Psychology Telephone Time Factors Tobacco Use Cessation Products Transdermal Patch Treatment Outcome Journal Article Randomized Controlled Trial Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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