were encourage the adoption of to smoking at long term performed the up [OR 1.52, 95% CI 1.15 to most effective RPIs, as 2.01]. incentives that focused on pharmacotherapy’s were also the importance of sustaining effective as RPIs after their quit attempts beyond the successful use as cessation currently monitored 4-week treatments: bupropion at long targets. term follow-up (pooled OR 1.49, 95% CI 1.10 to 2.01); NRT at medium- (pooled OR 1.56, 95% CI 1.16 to 2.11) and long-term follow-ups (pooled OR 1.33, 95% CI 1.08 to 1.63) and one of varenicline also indicated effectiveness. Thomsen et al, Systematic Smoking at is evidence that 8 trials, 1156 people met the + Include 2010 review the time of preoperative smoking inclusion criteria.. surgery, 12 interventions including NRT 2 face to face intensive; 6 brief Interventions months increase short-term smoking intervention. NRT offered or for cessation and may reduce recommended to some or all preoperative and post postoperative morbidity. The participants in 7 trials. smoking operative optimal preoperative 5 trials detected significantly cessation complications intervention intensity increased smoking cessation at remains unknown. Based on the time of surgery, and one Working age indirect comparisons and approached significance. adults evidence from two small Subgroup analyses showed that trials, interventions that both intensive and begin four to eight weeks intervention significantly before surgery, include increased smoking cessation at weekly counselling, and use the time of surgery; pooled RR NRT are more likely to have 10.76 (95% confidence interval an impact on complications (CI) 4.55 to 25.46, two trials)
were performed encourage the adoption of the most effective RPIs, as incentives that focused on the importance of sustaining quit attempts beyond the currently monitored 4-week targets. to smoking at long term [OR 1.52, 95% CI 1.15 to 2.01]. pharmacotherapy’s were also effective as RPIs after their successful use as cessation treatments: bupropion at long term follow-up (pooled OR 1.49, 95% CI 1.10 to 2.01); NRT at medium- (pooled OR 1.56, 95% CI 1.16 to 2.11) and long-term follow-ups (pooled OR 1.33, 95% CI 1.08 to 1.63) and one of varenicline also indicated effectiveness. Thomsen et al, 2010 Interventions for preoperative smoking cessation Working age adults Systematic review Smoking at the time of surgery, 12 months and post operative complications is evidence that preoperative smoking interventions including NRT increase short-term smoking cessation and may reduce postoperative morbidity. The optimal preoperative intervention intensity remains unknown. Based on indirect comparisons and evidence from two small trials, interventions that begin four to eight weeks before surgery, include weekly counselling, and use NRT are more likely to have an impact on complications 8 trials, 1156 people met the inclusion criteria.. 2 face to face intensive; 6 brief intervention. NRT offered or recommended to some or all participants in 7 trials. 5 trials detected significantly increased smoking cessation at the time of surgery, and one approached significance. Subgroup analyses showed that both intensive and intervention significantly increased smoking cessation at the time of surgery; pooled RR 10.76 (95% confidence interval (CI) 4.55 to 25.46, two trials) + Include up
Initiative%20Evidence%20Assessment%20Report%20Stop%20Smoking%20Wales%20Final.docx