Perioperative medicine & outcomes

Peri‐operative tobacco cessation interventions: a systematic review and meta‐analysis

AnaesthesiaPublished Systematic review and meta-analysis of randomised trials

Pooled result · Abstinence at the time of surgeryResult — go to the resultRelative risk 1.48 95% CI 1.20–1.83

Authors' conclusion

Overall, peri-operative tobacco cessation interventions increased successful abstinence both at the time of surgery, risk ratio (95%CI) 1.48 (1.20-1.83), number needed to treat 7; and 12 months after surgery, risk ratio (95%CI) 1.62 (1.29-2.03), number needed to treat 9.

Study context

Population
Surgical patients who smoke tobacco26 studies in meta-analysis
Participants
5,969 patients
Comparison
Peri-operative tobacco cessation interventions vs control
Outcome
Abstinence at the time of surgery
Follow-up
Time of surgery
Methodological detailsrandom-effects meta-analysis, subgroup analysis by timing and intensity
  • Random-effects meta-analysis
  • Subgroup analysis by timing and intensity

Pooled result

As reported in the abstract

Relative risk

1.48

95% CI 1.20–1.83

Peri-operative tobacco cessation interventions vs control
RR 1.48 (95% CI 1.20–1.83)

Further pooled results

Abstinence at 12 months · 12 months after surgery

RR (95% CI)
Tobacco cessation interventionsNNT 91.62 (1.29–2.03)

Original publication

Peri‐operative tobacco cessation interventions: a systematic review and meta‐analysis. Anaesthesia. Published 1 September 2023. doi:10.1111/anae.16120

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