Smoking Cessation in Chinese Patients Undergoing Thoracic Surgery: A Multicenter Prospective Observational Study
Introduction The multicenter CHAMPION study aimed to assess the impact of smoking cessation on post-operative complications (PCs) and smoking cessation patterns in Chinese patients undergoing lung surgery. Methods Patients undergoing elective lung surgery were prospectively enrolled from three majo...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2024-01-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/Smoking-Cessation-in-Chinese-Patients-Undergoing-Thoracic-Surgery-A-Multicenter-Prospective,175639,0,2.html |
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| Summary: | Introduction
The multicenter CHAMPION study aimed to assess the impact of
smoking cessation on post-operative complications (PCs) and smoking cessation
patterns in Chinese patients undergoing lung surgery.
Methods
Patients undergoing elective lung surgery were prospectively enrolled
from three major tertiary centers in China. Patients were categorized as smokers or
quitters before surgery. Baseline characteristics and smoking status were analyzed.
The incidence of PCs and pulmonary PCs (PPCs), smoking relapse rate, and
causes within six months post-operatively were investigated. The questionnaire
was conducted in all patients and 30 healthcare professionals (HCPs), regarding
the awareness and effectiveness of smoking cessation methods.
Results
Of the 276 enrolled patients, 213 (77.2%) were smokers and 63 (22.8%)
were quitters; 76.4% were diagnosed with primary lung cancer. PCs occurred
in 13.8% of patients, with similar proportions in smokers (14.1%) and quitters
(12.7%). PPCs occurred in 9.8% of patients with no significant differences
between smokers and quitters (9.4% vs 11.1%, p=0.70). At six months, 9.2% of
patients relapsed, with a lower rate in quitters compared to smokers (3.3% vs
11.0%, p=0.01). HCPs exhibited higher awareness of smoking cessation methods
than patients. Perceived effectiveness of smoking cessation methods from the
patients were low.
Conclusions
In patients undergoing lung surgery with a low risk of PCs, active
smoking does not significantly increase the risk of PCs or PPCs relative to quitters,
suggesting that there is likely no need to postpone lung surgery for those who
have not yet quit smoking. However, further large-scale studies are necessary to
confirm these findings. |
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| ISSN: | 1617-9625 |