ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2017
Completion rates in a preoperative surgical weight loss program by tobacco use status.
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 12 citations in OpenAlex.
- Marijuana, e-cigarette, and tobacco product use in young adults who underwent pediatric bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2023Observational
- Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery.World journal of diabetes · 2021Review
- Cigarette Use and Adolescent Metabolic and Bariatric Surgery.Obesity (Silver Spring, Md.) · 2021Observational
- Patient-reported reasons for and predictors of noncompliance with compression stockings in a randomized trial of stockings to prevent postthrombotic syndrome.Research and practice in thrombosis and haemostasis · 2020Article
- Psychopathology, disordered eating, and impulsivity as predictors of outcomes of bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2019Review
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundWeight loss surgery (WLS) is an effective treatment for obesity and its associated conditions, but given the known benefits of preoperative tobacco abstinence on reducing postoperative complications, many WLS programs require tobacco abstention before surgery.
objectivesTo evaluate the association between tobacco use and WLS program completion.
settingA 548-bed university hospital in Pennsylvania with a nationally accredited comprehensive WLS program.
methodsA retrospective chart review was conducted to identify patients enrolled in a preoperative WLS program from January 1, 2013 to April 3, 2015. Participants were categorized as nontobacco users (NTU) or current tobacco users (CTU) based on self-report at assessment. Tobacco users were required to quit before scheduling surgery and abstinence was verified using serum cotinine (<7 ng/mL).
resultsA total 620 patients enrolled in the preoperative program; 16.7% were tobacco users, 89% of whom were cigarette smokers. A total of 57.4% (n = 356) completed the program overall and there was a significant difference in completion by tobacco use status (62.4% NTU completed versus 32.7% CTU, P<.001). Among those who dropped out, 54% did so after attending 2 visits. In addition to not using tobacco, female gender, white race, and no prior psychiatric treatment were significant predictors of program completion (all P values< .02).
conclusionCurrent tobacco users dropped out of the preoperative program at almost twice the rate of nontobacco users. Weight loss surgery programs should offer evidence-based tobacco cessation interventions to improve access to care for obesity treatment.
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