What Is the Fate of Total Joint Arthroplasty Patients Who Are Asked to Quit Smoking Prior to Surgery?
Background: Smoking is a known risk factor for complications following primary total joint arthroplasty (TJA). Little is known regarding the fate of patients who are asked to quit smoking before surgery. The purpose of this study was to evaluate the success of smoking cessation prior to primary TJA...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-02-01
|
| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344122002655 |
| _version_ | 1828032428586827776 |
|---|---|
| author | Katelyn Paulsen, BFA Christopher N. Carender, MD Nicolas O. Noiseux, MD Jacob M. Elkins, MD, PhD Timothy S. Brown, MD Nicholas A. Bedard, MD |
| author_facet | Katelyn Paulsen, BFA Christopher N. Carender, MD Nicolas O. Noiseux, MD Jacob M. Elkins, MD, PhD Timothy S. Brown, MD Nicholas A. Bedard, MD |
| author_sort | Katelyn Paulsen, BFA |
| collection | DOAJ |
| description | Background: Smoking is a known risk factor for complications following primary total joint arthroplasty (TJA). Little is known regarding the fate of patients who are asked to quit smoking before surgery. The purpose of this study was to evaluate the success of smoking cessation prior to primary TJA and the impact of smoking cessation on perioperative outcomes. Methods: This is a retrospective review of patients who presented between 2008 and 2020 to a single academic medical center with a documented smoking history and were asked to quit smoking prior to receiving a date for primary TJA. The cohort was surveyed about smoking cessation, smoking history, use of quit aids, seeking surgery elsewhere due to the cessation policy, and postoperative complications. Descriptive statistics evaluated the relationship between demographics, smoking cessation, and postoperative complications. Results: A total of 101 patients completed the survey with an overall response rate of 48%. Sixty-two percent of patients quit smoking before surgery, and 51% of these patients reported remaining smoke-free at 6 months postoperatively. The average time to quit before TJA was 45 days (range: 1-365 days), and 62% quit without quit aids. The wound complication/infection rate was significantly higher for patients who did not stop smoking prior to TJA (4 of 16; 27%) than for those who did quit prior to surgery (3 of 63; 5%; P = .02). Conclusions: This study demonstrates that most patients (62%) will stop smoking, if required, prior to primary TJA. Furthermore, 51% of patients reported abstinence from smoking at 6 months following TJA. TJA appears to be an effective motivator for smoking cessation. Level of Evidence: III (retrospective cohort study). |
| first_indexed | 2024-04-10T15:05:17Z |
| format | Article |
| id | doaj.art-5dcf5d4401f745e3a947fe6a0469de42 |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-04-10T15:05:17Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-5dcf5d4401f745e3a947fe6a0469de422023-02-15T04:28:26ZengElsevierArthroplasty Today2352-34412023-02-0119101087What Is the Fate of Total Joint Arthroplasty Patients Who Are Asked to Quit Smoking Prior to Surgery?Katelyn Paulsen, BFA0Christopher N. Carender, MD1Nicolas O. Noiseux, MD2Jacob M. Elkins, MD, PhD3Timothy S. Brown, MD4Nicholas A. Bedard, MD5Department of Orthopedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USADepartment of Orthopedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USADepartment of Orthopedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USADepartment of Orthopedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USADepartment of Orthopedic Surgery, Houston Methodist, Houston, TX, USADepartment of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA; Corresponding author. Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W, Rochester, MN 55905, USA. Tel.: +1 507 284 2884.Background: Smoking is a known risk factor for complications following primary total joint arthroplasty (TJA). Little is known regarding the fate of patients who are asked to quit smoking before surgery. The purpose of this study was to evaluate the success of smoking cessation prior to primary TJA and the impact of smoking cessation on perioperative outcomes. Methods: This is a retrospective review of patients who presented between 2008 and 2020 to a single academic medical center with a documented smoking history and were asked to quit smoking prior to receiving a date for primary TJA. The cohort was surveyed about smoking cessation, smoking history, use of quit aids, seeking surgery elsewhere due to the cessation policy, and postoperative complications. Descriptive statistics evaluated the relationship between demographics, smoking cessation, and postoperative complications. Results: A total of 101 patients completed the survey with an overall response rate of 48%. Sixty-two percent of patients quit smoking before surgery, and 51% of these patients reported remaining smoke-free at 6 months postoperatively. The average time to quit before TJA was 45 days (range: 1-365 days), and 62% quit without quit aids. The wound complication/infection rate was significantly higher for patients who did not stop smoking prior to TJA (4 of 16; 27%) than for those who did quit prior to surgery (3 of 63; 5%; P = .02). Conclusions: This study demonstrates that most patients (62%) will stop smoking, if required, prior to primary TJA. Furthermore, 51% of patients reported abstinence from smoking at 6 months following TJA. TJA appears to be an effective motivator for smoking cessation. Level of Evidence: III (retrospective cohort study).http://www.sciencedirect.com/science/article/pii/S2352344122002655Smoking cessationPack yearsSmoke-freePostoperative outcomesTotal hip arthroplastyTotal knee arthroplasty |
| spellingShingle | Katelyn Paulsen, BFA Christopher N. Carender, MD Nicolas O. Noiseux, MD Jacob M. Elkins, MD, PhD Timothy S. Brown, MD Nicholas A. Bedard, MD What Is the Fate of Total Joint Arthroplasty Patients Who Are Asked to Quit Smoking Prior to Surgery? Arthroplasty Today Smoking cessation Pack years Smoke-free Postoperative outcomes Total hip arthroplasty Total knee arthroplasty |
| title | What Is the Fate of Total Joint Arthroplasty Patients Who Are Asked to Quit Smoking Prior to Surgery? |
| title_full | What Is the Fate of Total Joint Arthroplasty Patients Who Are Asked to Quit Smoking Prior to Surgery? |
| title_fullStr | What Is the Fate of Total Joint Arthroplasty Patients Who Are Asked to Quit Smoking Prior to Surgery? |
| title_full_unstemmed | What Is the Fate of Total Joint Arthroplasty Patients Who Are Asked to Quit Smoking Prior to Surgery? |
| title_short | What Is the Fate of Total Joint Arthroplasty Patients Who Are Asked to Quit Smoking Prior to Surgery? |
| title_sort | what is the fate of total joint arthroplasty patients who are asked to quit smoking prior to surgery |
| topic | Smoking cessation Pack years Smoke-free Postoperative outcomes Total hip arthroplasty Total knee arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2352344122002655 |
| work_keys_str_mv | AT katelynpaulsenbfa whatisthefateoftotaljointarthroplastypatientswhoareaskedtoquitsmokingpriortosurgery AT christopherncarendermd whatisthefateoftotaljointarthroplastypatientswhoareaskedtoquitsmokingpriortosurgery AT nicolasonoiseuxmd whatisthefateoftotaljointarthroplastypatientswhoareaskedtoquitsmokingpriortosurgery AT jacobmelkinsmdphd whatisthefateoftotaljointarthroplastypatientswhoareaskedtoquitsmokingpriortosurgery AT timothysbrownmd whatisthefateoftotaljointarthroplastypatientswhoareaskedtoquitsmokingpriortosurgery AT nicholasabedardmd whatisthefateoftotaljointarthroplastypatientswhoareaskedtoquitsmokingpriortosurgery |