Preoperative Smoking Cessation in Patients Undergoing Surgery (PORTICO)
Smoking Cessation, Smoking Reduction, Surgery--Complications
About this trial
This is an interventional prevention trial for Smoking Cessation focused on measuring preoperative smoking cessation, intensive smoking cessation, intermediate-risk surgery, high-risk surgery, nicotine replacement therapy, varenicline, bupropion, clavien dindo classification, comprehensive complication index, epic, electronic health record
Eligibility Criteria
Inclusion Criteria:
- Patient listed for intermediate or high-risk surgery (Appendix 2) [20] at the Kantonsspital of Lucerne
- Patient undergoing surgery in one of the following departments: Abdominal surgery, thoracic surgery, urology, gynaecology, vascular surgery or head and neck surgery
- Date of surgery >4 weeks after date of listing for surgery or discussion by tumor board
- Current smokers, defined as daily smoking of at least one cigarette, cigar or pipe
- Age over 18 years
- Able to give signed written informed consent
Exclusion Criteria:
- Plastic surgery
- Consumption of illegal drugs
- Alcohol dependency defined as preexisting alcohol related disorders (eg. alcoholic psychosis, Alcohol abuse, Alcohol polyneuropathy, degeneration of nervous system due to alcohol, Alcoholic myopathy, Alcoholic liver disease)
- Inability to follow the procedures of the study, e.g., due to language problems, psychological disorders, dementia
Sites / Locations
- LUKSRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention group
Control group
The study intervention consists of a smoking cessation counselling meeting by a Tabacco Treatment Specialist (TSS) 4 weeks before surgery. The goal of this first intervention meeting is to implement an individual treatment plan for preoperative smoking cessation.
Patients randomised to the control arm will get advice only. Their preoperative course will be as if they were not participating in this study, meaning they will receive inconsistent perioperative smoking cessation advice from nurses, surgeons, or anaesthesiologists but no further study-specific smoking cessation intervention. Importantly, participants in the control group will not be discouraged from using perioperative smoking cessation aids and can still obtain help on one's own initiative.