Evidence map›Paper›PMID 28688645›Full record

ArticleThe Journal of surgical research2017

Financial benefit of a smoking cessation program prior to elective colorectal surgery.

Cameron E Gaskill, Catherine E Kling, Thomas K Varghese, David L Veenstra, Richard C Thirlby, David R Flum, Rafael Alfonso-Cristancho

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06339671 (Complicanze Post-operatorie e Abitudine Tabagica in Chirurgia Colorettale), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06339671 unknown statusnot on this mapstarted 2024, after this paper: background citation

Complicanze Post-operatorie e Abitudine Tabagica in Chirurgia Colorettale (Studio PASSAGE). Uno Studio Multicentrico Osservazionale Prospettico e Retrospettivo in Italia

Typeobservational_patient_registrySponsorIRCCS Ospedale San RaffaeleRan2024 to 2025Enrolled1,527ConditionsColorectal Disorders
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Cameron E GaskillDepartment of Surgery, University of Washington, Seattle, Washington; Surgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington. Electronic address: cgaskill@uw.edu.
Catherine E KlingDepartment of Surgery, University of Washington, Seattle, Washington; Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Thomas K VargheseDepartment of Cardiothoracic Surgery, University of Utah, Salt Lake City, Utah.
David L VeenstraDepartment of Surgery, University of Washington, Seattle, Washington; Surgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington.
Richard C ThirlbyDepartment of Surgery, Virginia Mason Medical Center, Seattle, Washington.
David R FlumDepartment of Surgery, University of Washington, Seattle, Washington; Surgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington.
Rafael Alfonso-CristanchoDepartment of Surgery, University of Washington, Seattle, Washington; Surgical Outcomes Research Center, Department of Surgery, University of Washington, Seattle, Washington.
University of Washington · USUniversity of Utah · USVirginia Mason Medical Center · US

Funding

Surgical Care and Outcomes Assessment Program Comparative Effectiveness ResearchR01HS020025 · AHRQ · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2010 to 2010
$10.8M
The CERTAIN Hub: A Platform for Improved Patient Data Collection and StakeholderR01HS022959 · AHRQ · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2013 to 2013
$736k
AHRQ HHS R01 HS020025AHRQ HHS R01 HS022959
6 · The paper itself

Abstract

backgroundCigarette smoking increases the risk of postoperative complications nearly 2-fold. Preoperative smoking cessation programs may reduce complications as well as overall postoperative costs. We aim to create an economic evaluation framework to estimate the potential value of preoperative smoking cessation programs for patients undergoing elective colorectal surgery.

methodsA decision-analytic model from the payer perspective was developed to integrate the costs and incidence of 90-day postoperative complications and readmissions for a cohort of patients undergoing elective colorectal surgery after a smoking cessation program versus usual care. Complication, readmission, and cost data were derived from a cohort of 534 current smokers and recent quitters undergoing elective colorectal resections in Washington State's Surgical Care and Outcomes Assessment Program linked to Washington State's Comprehensive Hospital Abstract Reporting System. Smoking cessation program efficacy was obtained from the literature. Sensitivity analyses were performed to account for uncertainty.

resultsFor a cohort of patients, the base case estimates imply that the total direct medical costs for patients who underwent a preoperative smoking cessation program were on average $304 (95% CI: $40-$571) lower per patient than those under usual care during the first 90 days after surgery. The model was most sensitive to the odds of recent quitters developing complications or requiring readmission, and smoking program efficacy.

conclusionsA preoperative smoking cessation program is predicted to be cost-saving over the global postoperative period if the cost of the intervention is below $304 per patient. This framework allows the value of smoking cessation programs of variable cost and effectiveness to be determined.

Indexed as

Cost-Benefit AnalysisElective Surgical ProceduresAdultAgedColonCost SavingsDecision Support TechniquesFemaleHospital CostsHumansLinear ModelsMaleMiddle AgedModels, EconomicPatient ReadmissionPostoperative ComplicationsColorectalCostSmoking cessation programSurgeryTobacco

Identifiers

PMID28688645
PMCPMC5526103
OpenAlexW2605109064

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.