Perioperative medicine & outcomes
Exploring factors that influence the implementation of presurgical smoking cessation interventions: a cross-sectional survey
Authors' conclusion
The level of implementation of smoking cessation in preoperative visits was poor. The main barriers detected were lack of knowledge and lack of resources and organizational support.
Study context
- Population
- Clinical health care professionals performing preoperative visits (anesthesiologists, nurses, psychologists) at hospitals in Catalonia, Spainof 633 invited (34.1%)
- Participants
- 216 professionals
- Outcome
- Implementation of 5As
Methodological detailsmulticentre, online survey
- Multicentre
- Online survey
Main finding
As reported in the abstract
5As engagement (0-10 Likert scale score)
Ask, median [IQR]
10.0
9.0–10.0
Advise, median [IQR]
7.5
5.0–10.0
Assist, median [IQR]
1.0
0.0–3.0
Arrange Follow-Up, median [IQR]
0.0
0.0–2.0
Observational data: associations, not effects.
Further findings
Barriers and facilitators (Knowledge, Attitudes, Behaviours, and Organization (KABO) questionnaire domains)
- "Individual skills" and "organizational support/resources" significantly lower scores vs other domains
- Holm-adjusted P < 0.05
- "Individual commitment" and "Beliefs about patients' desire/readiness" significantly higher scores
Original publication
Exploring factors that influence the implementation of presurgical smoking cessation interventions: a cross-sectional survey. Can J Anaesth. Published 27 July 2026. doi:10.
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