Trial reportHernia : the journal of hernias and abdominal wall surgery2007
Strategies of smoking cessation intervention before hernia surgery--effect on perioperative smoking behavior.
Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 9 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 9 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Korean Clinical Practice Guideline of Korean Society for Research on Nicotine and Tobacco (KSRNT) and National Evidence-based Healthcare Collaborating Agency (NECA) on Treatment of Tobacco Use 2024.Journal of Korean medical science · 2025Guideline
- The impact of smoking on ventral and inguinal hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Peri-operative tobacco cessation interventions: a systematic review and meta-analysis.Anaesthesia · 2023Pooled it
- Pooled it
- The effect of preoperative smoking and smoke cessation on wound healing and infection in post-surgery subjects: A meta-analysis.International wound journal · 2022Pooled it
- The European Hernia Society Prehabilitation Project: a systematic review of patient prehabilitation prior to ventral hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Telephone counselling for smoking cessation.The Cochrane database of systematic reviews · 2019Pooled it
- Identifying and recruiting smokers for preoperative smoking cessation--a systematic review of methods reported in published studies.Systematic reviews · 2015Pooled it
- Interventions for preoperative smoking cessation.The Cochrane database of systematic reviews · 2014Pooled it
- Smoking cessation and weight loss before ventral hernia repair - can we really justify this? A single center cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Patient and clinical factors associated with postoperative follow-up duration after ventral hernia repair: a single-center retrospective study.Surgical endoscopy · 2025Article
- The impact of preoperative optimization for abdominal wall reconstruction on long-term glucose control and smoking cessation.Surgical endoscopy · 2025Article
- Elective Umbilical Hernia Repair in Adults in the 21st Century: Challenging the Status Quo.Journal of clinical medicine · 2025Article
- Article
- Midline incisional hernia guidelines: the European Hernia Society.The British journal of surgery · 2023Article
- Smoking Cessation for Preoperative Optimization.Clinics in colon and rectal surgery · 2023Review
- Implementation of a systematic tobacco treatment protocol in a surgical outpatient setting: a feasibility study.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- The effect of smoking on surgical outcomes in ventral hernia repair: a propensity score matched analysis of the National Surgical Quality Improvement Program data.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Decreasing Surgical Site Infections after Ventral Hernia Repair: A Quality-Improvement Initiative.Surgical infections · 2017Article
- Financial benefit of a smoking cessation program prior to elective colorectal surgery.The Journal of surgical research · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough it is now generally accepted that patients should be advised to quit smoking before surgery, the effect of low-intensive smoking cessation intervention, both on preoperative smoking behavior and on risk reduction, remains unclear. Our objective was to study the effect on perioperative smoking behavior and on postoperative wound infection of different types of low-intensive intervention before herniotomy.
methodsBetween October 1998 and October 2000, 180 consecutive smokers scheduled for elective herniotomy were advised to quit smoking perioperatively and subsequently allocated randomly to three low-intensive smoking cessation groups: a standard (control) group, a telephone group, which was reminded by telephone, and an out-patient group, which was reminded by means of an out-patient talk and demonstration of nicotine replacement drugs. Spontaneous perioperative smoking behavior was recorded for 64 consecutive non-advised smokers. Postoperative wound infection was evaluated by independent assessors.
resultsOf the advised patients, 19% (29/149) stopped smoking before surgery compared with 2% (1/64) in the non-advised cohort (P < 0.01). In the standard group 13% (6/48) quit smoking compared with 23% (23/101) in the pooled telephone and outpatient group (NS). In the last group 64% (65/101) reduced or stopped smoking compared with 42% (20/48) in the standard group (P < 0.05). Predictors of failed perioperative cessation of smoking were a CO breath-test at inclusion above 20 ppm (OR: 0.11; 0.02-0-57) and low motivation to quit smoking (OR: 0.25; 0.09-0.70). Wound infection occurred in 6% (13/213) and there was no difference between the groups.
conclusionLow-intensive smoking cessation intervention helps approximately one fifth of patients to stop smoking perioperatively. Patients who are reminded in addition to preoperative advice are more likely to stop or reduce smoking. Failure to stop smoking is greater if the patients are not motivated and if the CO breath test is high at the time of the preoperative advice.
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