Evidence map›Paper›PMID 30586576›Full record

ArticleThe Annals of thoracic surgery2019

Thoracic Surgeons' Beliefs and Practices on Smoking Cessation Before Lung Resection.

Angelica S Marrufo, Benjamin D Kozower, Daniel J Tancredi, Miriam Nuño, David T Cooke, Brad H Pollock, Patrick S Romano, Lisa M Brown

Registry-linked trialAbstract read
In one paragraph

Article in The Annals of thoracic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07322796 (Smoking Cessation Before Intervention in Patients With Pulmonary Nodules Requiring Further Diagnosis), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07322796 recruitingnot on this mapstarted 2026, after this paper: background citation

Smoking Cessation Before Intervention in Patients With Pulmonary Nodules Requiring Further Diagnosis

Typeobservational_patient_registrySponsorRWTH Aachen UniversityRan2026 to 2027Enrolled25ConditionsPulmonary Nodule, Solitary, Smoking Behaviors
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. The impact of smoking on lung cancer patients.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
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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

8 authors.

Angelica S MarrufoUniversity of California Davis School of Medicine, Sacramento, California.
Benjamin D KozowerDivision of Cardiothoracic Surgery, Washington University in St. Louis, St. Louis, Missouri.
Daniel J TancrediCenter for Healthcare Policy and Research, University of California Davis Health, Sacramento, California.
Miriam NuñoDepartment of Public Health Sciences, University of California Davis School of Medicine, Sacramento, California.
David T CookeSection of General Thoracic Surgery, University of California Davis Health, Sacramento, California.
Brad H PollockDepartment of Public Health Sciences, University of California Davis School of Medicine, Sacramento, California.
Patrick S RomanoCenter for Healthcare Policy and Research, University of California Davis Health, Sacramento, California; Department of Internal Medicine, University of California Davis Health, Sacramento, California.
Lisa M BrownSection of General Thoracic Surgery, University of California Davis Health, Sacramento, California. Electronic address: lmbrown@ucdavis.edu.

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
Institutional Career Development Core (KL2)KL2TR001859 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HOLMES, JAMES F. · 2016 to 2025
$10.1M
NCATS NIH HHS KL2 TR001859NCATS NIH HHS UL1 TR001860
6 · The paper itself

Abstract

backgroundSmoking is a risk factor for complications after lung resection. Our primary aim was to ascertain thoracic surgeons' beliefs and practices on smoking cessation before lung resection.

methodsAn anonymous survey was emailed to 846 thoracic surgeons who participate in The Society of Thoracic Surgeons General Thoracic Surgery Database.

resultsThe response rate was 23.6% (n = 200). Surgeons were divided when asked whether it is ethical to require that patients quit smoking (yes, n = 96 [48%]) and whether it is fair to have their outcomes affected by patients who do not quit (yes, n = 87 [43.5%]). Most do not require smoking cessation (n = 120 [60%]). Of those who require it, the most common required period of cessation is 2 weeks or more. Most believe that patient factors are the main barrier to quitting (n = 160 [80%]). Risk of disease progression (39% vs 17.5%, p = 0.02) and alienating patients (17.5% vs 8.8%, p = 0.04) were very important considerations of those who do not require smoking cessation versus those who do. Only 19 (9.5%) always refer to a smoking cessation program and prescribe nicotine replacement therapy and even fewer, 9 (4.5%), always refer to a program and prescribe medical therapy.

conclusionsThoracic surgeons are divided on their beliefs and practices regarding smoking cessation before lung resection. Most believe patient factors are the main barrier to quitting and have concerns about disease progression while awaiting cessation. Very few surgeons refer to a smoking cessation program and prescribe nicotine replacement therapy or medical therapy.

Indexed as

Attitude of Health PersonnelPneumonectomyPractice Patterns, Physicians'Smoking CessationThoracic SurgeryAdultAgedFemaleHumansMaleMiddle AgedPreoperative PeriodSmoking Cessation AgentsSurveys and QuestionnairesSmoking Cessation Agents

Identifiers

PMID30586576
PMCPMC11292109

What OpenQuestion holds

Textmetadata
LicenceTDM
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.