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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| Format: | Article |
| Language: | English |
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European Publishing
2024-01-01
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| Series: | Tobacco Induced Diseases |
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| 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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| author | Jianxing He Dingpei Han Kun Qian Weijie Guan Ge Zhang Weiqing Lu Hecheng Li Xiuyi Zhi |
| author_facet | Jianxing He Dingpei Han Kun Qian Weijie Guan Ge Zhang Weiqing Lu Hecheng Li Xiuyi Zhi |
| author_sort | Jianxing He |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-55feb8f9fdbd43e69a88716d503b149a |
| institution | Kabale University |
| issn | 1617-9625 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj-art-55feb8f9fdbd43e69a88716d503b149a2025-01-24T15:26:48ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January11010.18332/tid/175639175639Smoking Cessation in Chinese Patients Undergoing Thoracic Surgery: A Multicenter Prospective Observational StudyJianxing He0Dingpei Han1Kun Qian2Weijie Guan3Ge Zhang4Weiqing Lu5Hecheng Li6Xiuyi Zhi7https://orcid.org/0009-0001-1864-1450Department of Thoracic Surgery, Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, ChinaDepartment of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Xuanwu Hospital, Capital Medical University, Beijing, ChinaDepartment of Thoracic Surgery, Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, ChinaLung Cancer Initiative, Johnson & Johnson Enterprise Innovation, Shanghai, ChinaLung Cancer Initiative, Johnson & Johnson Enterprise Innovation, Shanghai, ChinaDepartment of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Xuanwu Hospital, Capital Medical University, Beijing, ChinaIntroduction 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.https://www.tobaccoinduceddiseases.org/Smoking-Cessation-in-Chinese-Patients-Undergoing-Thoracic-Surgery-A-Multicenter-Prospective,175639,0,2.htmlsmoking cessationlung surgerypost-operative complicationsmoking patternsmoking relapse |
| spellingShingle | Jianxing He Dingpei Han Kun Qian Weijie Guan Ge Zhang Weiqing Lu Hecheng Li Xiuyi Zhi Smoking Cessation in Chinese Patients Undergoing Thoracic Surgery: A Multicenter Prospective Observational Study Tobacco Induced Diseases smoking cessation lung surgery post-operative complication smoking pattern smoking relapse |
| title | Smoking Cessation in Chinese Patients Undergoing Thoracic Surgery: A Multicenter Prospective Observational Study |
| title_full | Smoking Cessation in Chinese Patients Undergoing Thoracic Surgery: A Multicenter Prospective Observational Study |
| title_fullStr | Smoking Cessation in Chinese Patients Undergoing Thoracic Surgery: A Multicenter Prospective Observational Study |
| title_full_unstemmed | Smoking Cessation in Chinese Patients Undergoing Thoracic Surgery: A Multicenter Prospective Observational Study |
| title_short | Smoking Cessation in Chinese Patients Undergoing Thoracic Surgery: A Multicenter Prospective Observational Study |
| title_sort | smoking cessation in chinese patients undergoing thoracic surgery a multicenter prospective observational study |
| topic | smoking cessation lung surgery post-operative complication smoking pattern smoking relapse |
| url | https://www.tobaccoinduceddiseases.org/Smoking-Cessation-in-Chinese-Patients-Undergoing-Thoracic-Surgery-A-Multicenter-Prospective,175639,0,2.html |
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