ArticleAmerican journal of surgery2018
The effect of smoking on 30-day outcomes in elective hernia repair.
Article in American journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled 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.
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, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- The impact of smoking on inguinal hernia repair outcomes: a meta-analysis of multivariable-adjusted studies.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- The impact of active smoking on postoperative morbidity and hernia recurrence following abdominal wall reconstruction: long-term follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Intraoperative Fascial Traction - From Concept to Comprehensive Application.Journal of abdominal wall surgery : JAWS · 2026Review
- Correlation between inguinal and ventral hernia repair outcomes and pre-existing comorbidity clusters: ACS-NSQIP study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Do smokers deserve "No"? Management and outcomes of smokers undergoing elective ventral hernia repair.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
- Active smoking increases risk of wound complications in robotic enhanced-view totally extraperitoneal (eTEP) retro-rectus ventral hernia repairs.Surgical endoscopy · 2024Article
- Consensus in ERAS protocols for ventral hernia repair: evidence-based recommendations from the ACHQC QI Committee.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Impact of the ventral hernia working group's publication: a bibliometric analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Preoperative optimization in hernia surgery: are we really helping or are we just stalling?Hernia : the journal of hernias and abdominal wall surgery · 2024Review
- High ligation with posterior wall repair for inguinal hernia repair in young adults: a nationwide cohort study.Annals of surgical treatment and research · 2024Article
- Review
- Risk factors for reoperation following inguinal hernia repair: results from a cohort of patients from an integrated healthcare system.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Assessing the effects of smoking status on outcomes of elective minimally invasive paraesophageal hernia repair.Surgical endoscopy · 2023Article
- Outcomes of biologic versus synthetic mesh in CDC class 3 and 4 open abdominal wall reconstruction.Surgical endoscopy · 2023Article
- The association between smoking status and post-operative complications in pelvic organ prolapse corrective surgeries.International urogynecology journal · 2023Article
- Postoperative outcomes using Lichtenstein open hernioplasty versus Nyhus preperitoneal hernioplasty in inguinal hernia: A comparative analysis with 1-year follow-up.Health science reports · 2023Article
- How and why tobacco use affects reconstructive surgical practice: a contemporary narrative review.Translational andrology and urology · 2023Review
- A practical guide for perioperative smoking cessation.Journal of anesthesia · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAdverse postoperative outcomes related to smoking are well established, yet current smokers continue to be offered elective surgery in the US. It is unknown whether patients undergoing low-risk, elective procedures, who actively smoke experience increased risk of complications. We sought to determine the increased burden of complications following elective hernia repair procedures in patients identified as current smokers.
methodsWe identified patients undergoing elective incisional, inguinal, umbilical, or ventral hernia repair from 2011 to 2014 using the American College of Surgeons National Surgical Quality Improvement Project (ACS NSQIP) database. Multivariable logistic regression analysis was used to examine the association between current smoking and 30-day postoperative outcomes, adjusting for demographics and comorbidities.
resultsOf 220,629 patients who underwent elective hernia repair, 40,446 (18.3%) self-identified as current smokers within the past 12 months. Current smokers experienced an increased likelihood (Odds Ratio [95% Confidence interval]) of reoperation (OR 1.23 [95% CI 1.11-1.36]), readmission (OR 1.24 [95% CI 1.16-1.32]), and death (OR 1.53 [95% CI 1.06-2.22]). Furthermore, smokers experienced an increased risk of postoperative pulmonary, infectious, and wound complications, but there was no increased risk of requiring transfusion or of postoperative cardiac or thromboembolic events.
conclusionsCurrent smokers were more likely to experience serious postoperative complications within 30 days. Given the volume of elective hernia surgery performed in the US, encouraging smoking cessation prior to offering elective repair could reduce postoperative complications, reoperation, readmission, and mortality.
Indexed as
Identifiers
What OpenQuestion holds
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.