Printed quit-pack sent to surgical patients at time of waiting list placement improved perioperative quitting

Webb, Ashley; Robertson, Nicola J.; Sparrow, Maryanne; Borland, Ron; Leong, Samuel

doi:10.1111/ans.12519

Cited by 18 publications

(20 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… At the time of GP referral (about 6 weeks a ) About 6 weeks a Walker et al 2009 [ 39 ] (UK) Forefoot surgery 25 (100 %) Senior author (based at the Orthopaedic Department) reviewed all patients prior to planned surgery (approximately 6 months prior to planned surgery). Screening of medical records (about 6 months) Unclear Webb et al 2014 [ 40 ] (Australia) Non-obstetric elective surgery 347 (99.1 %) Printed quit-pack was sent to all adult patients (including smokers) at the time of waiting list placement for non-obstetric elective surgery. Help from waiting list staff was acknowledged.…”

Section: Resultsmentioning

confidence: 99%

“…Eligible smokers were usually identified and recruited by dedicated research personnel. Smokers were identified from elective surgery waiting lists (or medical records) in six studies [ 11 , 14 , 16 , 17 , 39 , 40 ]. There was only one study in which the identification of smokers for preoperative smoking cessation was started at the point of referral in primary care [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…Smokers were enrolled into smoking cessation programmes at various time points before surgery (Table 1 ). The duration of preoperative recruitment of smokers was unclear in four studies, less than 4 weeks before surgery in 17 studies, and at least 4 weeks before surgery in 11 studies [ 10 , 13 – 16 , 20 , 34 , 35 , 38 – 40 ]. Smokers were recruited at least 4 weeks before surgery in four of the six waiting list-based studies (67 %) and in only three of the 18 preoperative clinic-based studies (17 %) (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Identifying and recruiting smokers for preoperative smoking cessation—a systematic review of methods reported in published studies

et al. 2015

View full text Add to dashboard Cite

BackgroundSmoking cessation before surgery reduces postoperative complications, and the benefit is positively associated with the duration of being abstinent before a surgical procedure. A key issue in providing preoperative smoking cessation support is to identify people who smoke as early as possible before elective surgery. This review aims to summarise methods used to identify and recruit smokers awaiting elective surgery.MethodsWe searched MEDLINE, EMBASE, CINAHL, and PsycINFO, and references of relevant reviews (up to May 2014) to identify prospective studies that evaluated preoperative smoking cessation programmes. One reviewer extracted and a second reviewer checked data from the included studies. Data extracted from included studies were presented in tables and narratively described.ResultsWe included 32 relevant studies, including 18 randomised controlled trials (RCTs) and 14 non-randomised studies (NRS). Smokers were recruited at preoperative clinics (n = 18), from surgery waiting lists (n = 6), or by general practitioners (n = 1), and the recruitment methods were not explicitly described in seven studies. Time points of preoperative recruitment of smokers was unclear in four studies, less than 4 weeks before surgery in 17 studies, and at least 4 weeks before surgery in only 11 studies. The recruitment rate tended to be lower in RCTs (median 58.2 %, range 9.1 to 90.9 %) than that in NRS (median 99.1 %, range 12.3 to 100 %) and lower in preoperative clinic-based RCTs (median 54.4 %, range 9.1 to 82.4 %) than that in waiting list-based RCTs (median 70.1 %, range 36.8 to 85.0 %). Smokers were recruited at least 4 weeks before surgery in four of the six waiting list-based studies and in only three of the 18 preoperative clinic-based studies.ConclusionsPublished studies often inadequately described the methods for recruiting smokers into preoperative smoking cessation programmes. Although smoking cessation at any time is beneficial, many programmes recruited smokers at times very close to scheduled surgery so that the benefit of preoperative smoking cessation may have not been fully effected. Optimal delivery of preoperative smoking cessation remains challenging, and further research is required to develop effective preoperative cessation programmes for smokers awaiting elective operations.Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-015-0152-x) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Identifying and recruiting smokers for preoperative smoking cessation—a systematic review of methods reported in published studies

et al. 2015

View full text Add to dashboard Cite

show abstract

“…We read with interest the recent paper by Webb et al that described the utility of a written 'quit-pack' intervention to increase smoking cessation prior to elective surgery. 1 This before-and-after study highlights an important area of modifiable patient-related risk factor optimization that can be achieved by using a simple and costeffective intervention. However, we would like to offer a few additional points.…”

Section: Re: Printed Quit-pack Sent To Surgical Patients At Time Of Wmentioning

confidence: 88%

“…We thank Byrne et al for raising important points regarding how best to help smokers quit before surgery. 1 Smoking rates among the poorest 20% of Australians are approximately three times higher than the wealthiest 20%, and rates of adequate health literacy are double in the wealthiest compared with the poorest. 2 With this in mind, our cessation brochure underwent consumer testing to improve readability prior to finalizing the version for study use.…”

Section: Response To Re: Printed Quit-pack Sent To Surgical Patients mentioning

confidence: 99%

Re: Printed quit-pack sent to surgical patients at time of waiting list placement improved perioperative quitting

et al. 2014

View full text Add to dashboard Cite

Re: Printed quit-pack sent to surgical patients at time of waiting list placement improved perioperative quittingWe read with interest the recent paper by Webb et al. that described the utility of a written 'quit-pack' intervention to increase smoking cessation prior to elective surgery. 1 This before-and-after study highlights an important area of modifiable patient-related risk factor optimization that can be achieved by using a simple and costeffective intervention. However, we would like to offer a few additional points.First, recent evidence from the UK reports that smoking is significantly more prevalent among those from socio-economically deprived areas. 2 Adult smokers in more deprived areas are also more likely to smoke more heavily than smokers from more affluent areas. 3 In addition, adults from the most deprived areas are also more likely to have higher rates of functional illiteracy. 4 Therefore, an intervention based on printed written material to promote smoking cessation may be of limited impact among patients who are at highest risk. Other methods including the provision of information on DVD or podcast, engaging medical professionals to perform face-to-face brief opportunistic interventions or regular reminders via text messaging may further improve rates of perioperative smoking cessation.Second, no clinical outcome measures were presented in this study. It would have been interesting to know if the 'quit-pack' intervention led to any significant differences in post-operative complications or mortality. Extended follow-up of smoking prevalence rates among study participants would also have been useful to evaluate this interventions usefulness in promoting longer term smoking cessation.Improving the modifiable risk factor profile of elective surgical patients using this simple, cost-effective intervention should be encouraged and the authors should be commended for their work. However, the limitations of the 'quit-pack' as detailed should be kept in mind. Further work is clearly required to optimize strategies to reduce smoking prevalence perioperatively with the overall aim of improving surgical outcomes. References1. Webb AR, Robertson N, Sparrow M, Borland R, Leong S. Printed quitpack sent to surgical patients at time of waiting list placement improved perioperative quitting. ANZ J. Surg. 2014; 84: 660-4. 2. Office for National Statistics. Do smoking rates vary between more or less advantaged areas? [Cited 12 Mar 2014.] Available from URL:www.ons.gov.uk/ons/rel/disability-and-health-measurement/do-smoking -rates-vary-between-more-and-less-advantaged-areas-/2012/sty-smoking -rates.html 3. Bromley C, Given L. The Response to Re: Printed quit-pack sent to surgical patients at time of waiting list placement improved perioperative quittingWe thank Byrne et al. for raising important points regarding how best to help smokers quit before surgery. 1 Smoking rates among the poorest 20% of Australians are approximately three times higher than the wealthiest 20%, and rates of adequate health literacy are...

show abstract

Hospital entrance smoking is reduced by broadcasting recorded antitobacco messages from Australian primary school children over entrance public address system

Webb

Tascone

Wickham

et al. 2020

Health Prom J of Aust

Self Cite

View full text Add to dashboard Cite

Issue addressed: Smoking near hospital entrances occurs frequently despite smokefree policies, resulting in multiple issues including second-hand smoke exposure (SHS) to vulnerable populations. Primary school children were engaged through their health curriculum to produce antismoking audio recordings for broadcast over a hospital entrance loudspeaker system to determine if this reduced smoking.Method: Students produced original recordings against hospital grounds smoking during class workshops, from which a collection (n = 16) was selected. Episodes of entrance smoking and total entrance traffic were recorded using security camera infrastructure over a 5-week period. A computer-controlled entrance loudspeaker played a message which was followed by silence until a new (different) message was played. Intensity of messaging was moderate in week 3 (every 5 minutes), increasing to high in week 4 (3 minutely) and compared to no messages (weeks 1-2 preintervention) and week 5 (postintervention).Results: Smokers presented 316 times, smoking 523 cigarettes over 155 hours of observation (patients 70.6%, visitors 29.4%). SHS exposure was high given 172 others used the entrance/hour. Smoking was highest in the preintervention period (weeks 1-2), median five cigarettes/hr [IQR,3-7 (min = 0, max = 12)], falling to four cigarettes/ hr during 5-minutely broadcasts [IQR,2-5 (min = 1, max = 14)] (P = .06), but zero cigarettes/hr during 3-minutely broadcasts [IQR,0-1(min = 0, max = 7)] (P < .0001).Postintervention (no broadcasts), smoking increased from zero to 1 cigarette/hr [IQR,0-3 (min = 0, max = 5)]; (P = .052). Nonsmoker movements did not change significantly between each period. Conclusion: Intensive (3 minutely) broadcasting of short antismoking messages significantly reduced hospital entrance smoking. So what?: Health services can positively interact with the health curriculum of primary schools against tobacco use while developing low-cost strategies to effectively deter entrance smoking.

show abstract

Printed quit-pack sent to surgical patients at time of waiting list placement improved perioperative quitting

Abstract: Smoking cessation outcomes before elective surgery are significantly improved by systematic application of a printed intervention delivered at time of wait list placement that encourages and supports perioperative quitting.

Cited by 18 publications

References 20 publications

Identifying and recruiting smokers for preoperative smoking cessation—a systematic review of methods reported in published studies

Identifying and recruiting smokers for preoperative smoking cessation—a systematic review of methods reported in published studies

Re: Printed quit-pack sent to surgical patients at time of waiting list placement improved perioperative quitting

Hospital entrance smoking is reduced by broadcasting recorded antitobacco messages from Australian primary school children over entrance public address system

Contact Info

Product

Resources

About