Featured Research

from universities, journals, and other organizations

Stopping smoking shortly before surgery is not associated with increased postoperative complications

Date:
March 15, 2011
Source:
JAMA and Archives Journals
Summary:
A meta-analysis of nine previous studies found that quitting smoking shortly before surgery was not associated with an increased risk of postoperative complications, according to a new study.

A meta-analysis of nine previous studies found that quitting smoking shortly before surgery was not associated with an increased risk of postoperative complications, according to a report published online that will appear in the July 11 print issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

"Cigarette smoking has been implicated as a risk factor for postoperative complications across a spectrum of surgical specialties," the authors provide as background information. "Compared with nonsmokers, smokers who undergo surgery have longer hospital stays, higher risk of readmission, are more likely to be admitted to an intensive care unit, and have an increased risk of in-hospital mortality." They add that existing data do not provide clear advice on an optimal period for a patient to quit smoking before a surgical procedure.

To determine whether there is any evidence that stopping smoking within eight weeks before surgery is associated with postoperative complications, Katie Myers, M.Sc., C.Psychol., and colleagues from Queen Mary University of London, Barts and The London School of Medicine and Dentistry, analyzed existing studies through a search of the medical literature. They found nine studies that met their inclusion criteria comparing post-operative complications in patients who stopped smoking eight weeks or less prior to surgery with those who continued to smoke.

"Only one of the nine included studies reported a significant result, and this was in favor of recent abstainers. When all nine studies are combined, there is no beneficial or detrimental effect of quitting within eight weeks before surgery compared with continued smoking," the authors report. However, they stress the findings need to be interpreted with caution.

"Future studies should focus on patients with a very short duration of abstinence and should use biochemical validation of self-reported abstinence. In the meantime, until some new evidence of harm emerges, firm advice to stop smoking and an offer of smoking cessation treatment to those who need it can be provided to pre-surgical patients at any time," the authors conclude.

Editorial: The Optimal Timing of Smoking Cessation Before Surgery

In an accompanying editorial, Clara K. Chow, M.B.B.S., Ph.D., and P.J. Devereaux, M.D., Ph.D., from the Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada, write that "while the review performed by Myers et al provides valuable information, it does not definitively answer the question raised."

'Physicians should ideally try to get their patients to stop smoking several months prior to their surgery. The appropriate advice regarding the optimal timing of smoking cessation for patients seen close to their scheduled surgery awaits further research. The magnitude of the problem (i.e., upwards of 70 million adult smokers worldwide undergo major surgery annually) highlights the need for large, high-quality, perioperative tobacco use studies."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal References:

  1. Katie Myers; Peter Hajek; Charles Hinds; Hayden McRobbie. Stopping Smoking Shortly Before Surgery and Postoperative Complications: A Systematic Review and Meta-analysis. Arch Intern Med, 2011; DOI: 10.1001/archinternmed.2011.97
  2. Clara K. Chow; P. J. Devereaux. The Optimal Timing of Smoking Cessation Before Surgery: Comment on 'Smoking Cessation Shortly Before Surgery and Postoperative Complications'. Arch Intern Med, 2011; DOI: 10.1001/archinternmed.2011.88

Cite This Page:

JAMA and Archives Journals. "Stopping smoking shortly before surgery is not associated with increased postoperative complications." ScienceDaily. ScienceDaily, 15 March 2011. <www.sciencedaily.com/releases/2011/03/110314163435.htm>.
JAMA and Archives Journals. (2011, March 15). Stopping smoking shortly before surgery is not associated with increased postoperative complications. ScienceDaily. Retrieved July 30, 2014 from www.sciencedaily.com/releases/2011/03/110314163435.htm
JAMA and Archives Journals. "Stopping smoking shortly before surgery is not associated with increased postoperative complications." ScienceDaily. www.sciencedaily.com/releases/2011/03/110314163435.htm (accessed July 30, 2014).

Share This




More Health & Medicine News

Wednesday, July 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Generics Eat Into Pfizer's Sales

Generics Eat Into Pfizer's Sales

Reuters - Business Video Online (July 29, 2014) Pfizer, the world's largest drug maker, cut full-year revenue forecasts because generics could cut into sales of its anti-arthritis drug, Celebrex. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Nigeria Ups Ebola Stakes on 1st Death

Nigeria Ups Ebola Stakes on 1st Death

Reuters - Business Video Online (July 29, 2014) Nigerian authorities have shut and quarantined a Lagos hospital where a Liberian man died of the Ebola virus, the first recorded case of the highly-infectious disease in Africa's most populous economy. David Pollard reports Video provided by Reuters
Powered by NewsLook.com
Running 5 Minutes A Day Might Add Years To Your Life

Running 5 Minutes A Day Might Add Years To Your Life

Newsy (July 29, 2014) According to a new study, just five minutes of running or jogging a day could add years to your life. Video provided by Newsy
Powered by NewsLook.com
Ebola Outbreak Poses Little Threat To U.S.: CDC

Ebola Outbreak Poses Little Threat To U.S.: CDC

Newsy (July 29, 2014) The Ebola outbreak in West Africa poses little threat to Americans, according to officials with the Centers for Disease Control and Prevention. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins