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Prior studies show mixed results regarding the harms and benefits of smoking cessation prior to surgery. In one study, cigarette smoking demonstrated an increased risk of peri- and postoperative complications compared with not smoking.1 A recent systematic review found that smoking cessation interventions 4–8 weeks before surgery not only promote tobacco abstinence but reduce postoperative surgical complications.2 Whether to advise a smoker to stop smoking in the immediate preoperative period is controversial because sparse data suggest that smoking cessation might increase postoperative pulmonary complications due to a temporary increase in sputum production and a decreased cough reflex.3 This systematic review examines whether quitting smoking within 8 weeks before surgery is associated with postoperative complications.
A systematic review with meta-analysis …
Competing interests Over the past 3 years, NAR has received research grants from Nabi Biopharmaceuticals and been an unpaid consultant for Pfizer and Free & Clear. CC has no competing interests.
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