The effect of preoperative smoking and smoke cessation on wound healing and infection in post‐surgery subjects: A meta‐analysis

Liu, Dazhen; Zhu, Liehuang; Yang, Chang-hai

doi:10.1111/iwj.13815

Cited by 16 publications

(4 citation statements)

References 28 publications

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“…Various factors, such as smoking, nutritional status, and chronic conditions like diabetes mellitus, can influence wound healing (Brown et al; Guo and Dipietro; Liu et al). [19–21] Our findings indicate that most subjects acknowledged the negative impact of smoking, nutritional status, aromatic odors (e.g., perfumes), and obesity on wound healing. Additionally, they believed that proper handwashing, prophylactic antibiotic use, and fostering a dry environment around the wound positively affected wound healing, consistent with findings of a relevant article conducted among nurses (Woldegioris et al).…”

Section: Discussionmentioning

confidence: 81%

Knowledge, attitude and practices towards surgical wound care and healing among the public in the Jazan Region, Saudi Arabia

Mashbari,

Hamdi,

Darraj

et al. 2023

Medicine

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The purpose of this research was to evaluate how much the people in the Jazan region know about the care and healing of surgical wounds. Proper care of surgical wounds is very important to achieve the best treatment outcomes and to avoid negative consequences. However, factors like obesity, diabetes, and certain medications can impair wound healing, with surgical site infections being a major problem in the healthcare system. Therefore, this study aimed to determine public awareness and perceptions of surgical wound care to help improve education and raise awareness of the importance of proper wound care for better results. We run an observational cross-sectional study among adults above 18 years in the Jazan region. An online self-administered questionnaire was used in the collection of data. Simple random sampling was the used technique and 384 participants were calculated. The study used Statistical Package for the Social Sciences (SPSS) for data analysis and employed descriptive statistics, independent t test, Analysis of Variance (ANOVA), Pearson’s correlation, and multivariate logistic regression to identify factors associated with knowledge of surgical site infection and wound care. This study analyzed 599 participants’ knowledge, attitude, and practice about surgical site infection and wound management. While participants had a strong general understanding of surgical wounds, only 17% had a high degree of knowledge about surgical site infection and wound management. Medical students had the highest degree of knowledge, and being a medical student was the only significant predictor of having a high level of knowledge about surgical site infection (SSI) and wound care. The study emphasizes the necessity of enhanced patient education and investment in medical education quality. The participants in this study had high overall knowledge regarding surgical wounds but lacked particular knowledge concerning surgical site infection and wound management. Medical education was discovered to be a strong predictor of having a high level of knowledge about surgical site infection and wound management. Healthcare professionals should take the lead in giving accurate and reliable information regarding wound care techniques to patients, and legislators should invest in enhancing medical education quality.

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Section: Discussionmentioning

confidence: 81%

Knowledge, attitude and practices towards surgical wound care and healing among the public in the Jazan Region, Saudi Arabia

Mashbari,

Hamdi,

Darraj

et al. 2023

Medicine

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“…A recent meta-analysis was performed to study the effect of preoperative smoking and cessation on postoperative wound healing [ 10 ]. Patients who stopped smoking or non-smokers had significantly lower postoperative wound healing problems, and surgical site wound infection compared with smokers.…”

Section: Impact On Surgical Outcomesmentioning

confidence: 99%

Confronting the Negative Impact of Cigarette Smoking on Cancer Surgery

Choe

Finley

2022

Current Oncology

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Smoking is a common health risk behavior that has substantial effects on perioperative risk and postoperative surgical outcomes. Current smoking is clearly linked to an increased risk of perioperative cardiovascular, pulmonary and wound healing complications. Accumulating evidence indicates that smoking cessation can reduce the higher perioperative complication risk that is observed in current smokers. In addition, continued smoking has a negative impact on the overall prognosis of cancer patients. Smoking cessation, on the other hand, can improve long-term outcomes after surgery. Smoking cessation services should be implemented in a comprehensive programmatic manner to ensure that all patients gain access to evidence-based care. Although the benefits of abstinence increase in proportion to the length of cessation, cessation should be recommended regardless of timing prior to surgery.

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“…Once a person has been diagnosed with cancer, continued smoking can lead to significant negative health and treatment outcomes compared with non-smoking cancer patients. Adverse outcomes include poorer wound healing after surgery [ 2 ], reduced efficacy and poorer outcome after radiotherapy [ 3 ], or systematic therapy [ 4 ] and more side effects such as pain [ 5 ] and fatigue [ 6 ]. In addition, cancer patients who smoke have twice the risk of heart attack, stroke or death from cardiovascular disease compared to non-smokers [ 7 ] and their long-term survival may be reduced [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Smoking patterns and the intention to quit in German cancer patients: a cross-sectional study

Bokemeyer,

Lebherz,

Bokemeyer

et al. 2024

BMC Cancer

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Background Continued smoking after a cancer diagnosis can be associated with lower treatment tolerance, poorer outcomes, and reduced quality of life compared to non-smoking cancer patients or to those who have quit. Yet about 60% of patients continue to smoke after being diagnosed and find it difficult to quit. To address this problem, it is necessary to identify current and past smoking patterns (e.g., frequency of use, types of tobacco products) and determine whether there is motivation to quit. Similarly, factors associated with continued smoking should be identified. These data will provide the basis for the development of smoking cessation programs tailored to the needs of cancer patients. Methods A questionnaire was distributed to cancer patients older than 18 years in a German Comprehensive Cancer Center. Participating cancer patients were divided into three main groups: 1) patients who stopped smoking before being diagnosed with cancer (Ex-before); 2) patients who stopped smoking after a cancer diagnosis (Ex-after); and 3) patients who currently smoke cigarettes (CS). Sociodemographic, medical, and psychosocial data were collected, as well as smoking patterns and the motivation to quit smoking. Results About half of patients (51%) who smoked before diagnosis continue to smoke after a cancer diagnosis. Being diagnosed with a tobacco-related cancer type was associated with a decreased probability of continued smoking. Patients with tobacco-related tumors and receiving positive support in burdensome situations were more likely to have a higher cigarette dependence. Of all CS, 59.1% had intention to quit, and 22.7% reported having taken action to quit. The support by a smoking cessation program was considered important. CS were willing to spend up to €100 for support and were open to multiple sessions per week, group sessions, one-on-one sessions and/or online support. Conclusion These findings underscore the importance of educating cancer patients about the consequences of smoking and to provide them with support to quit. Identified risk factors may further help to recognize cancer patients with high risk of continued smoking after diagnosis. Trial Registration The study was registered at OSF (https://osf.io/3c9km) and published as a study protocol at “https://bmjopen.bmj.com/content/13/4/e069570”.

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The effect of preoperative smoking and smoke cessation on wound healing and infection in post‐surgery subjects: A meta‐analysis

Cited by 16 publications

References 28 publications

Knowledge, attitude and practices towards surgical wound care and healing among the public in the Jazan Region, Saudi Arabia

Knowledge, attitude and practices towards surgical wound care and healing among the public in the Jazan Region, Saudi Arabia

Confronting the Negative Impact of Cigarette Smoking on Cancer Surgery

Smoking patterns and the intention to quit in German cancer patients: a cross-sectional study

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