Perioperative medicine & outcomes

Assessment of Duration of Smoking Cessation Prior to Surgical Treatment of Non-small Cell Lung Cancer

Ann SurgPublished Retrospective cohort study

Authors' conclusion

Smoking cessation at least 3 weeks prior to the surgical treatment of lung cancer is associated with reduced morbidity and mortality.

Study context

Population
Patients with clinical stage I non-small cell lung cancer undergoing surgical treatment, Veterans Health Administration, 2006–20166,168 (64.9%) smoking at diagnosis
Participants
9,509 patients
Exposure
Duration of preoperative smoking cessation; quit ≥3 weeks or within 3 weeks before surgery vs nonsmokers
Outcome
Major complication or mortality
Follow-up
30 days
Methodological detailsmultivariable restricted cubic spline functions
  • Multivariable restricted cubic spline functions

Main finding

As reported in the abstract

Major complication or mortality within 30 days
Each group vs nonsmokersAdjusted odds ratio (95% CI)P value
Quit at least 3 weeks before surgery
1.005(0.702–1.437)
P = 0.98
Quit within 3 weeks of surgery
1.698(1.203–2.396)
P = 0.003

Observational data: associations, not effects.

Further findings

Smoking cessation before surgery among smokers at diagnosis

Stopped smoking prior to surgery
662 (10.7%)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Assessment of Duration of Smoking Cessation Prior to Surgical Treatment of Non-small Cell Lung Cancer. Ann Surg. Published 18 November 2021. doi:10.1097/sla.0000000000005312

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