• Nete M Villebro, Tom Pedersen, Ann M Møller, and Hanne Tønnesen.
• Quality and Education Department, Bispebjerg Hospital, University of Copenhagen, DK-2400 Copenhagen, Denmark.
• Clin Respir J. 2008 Jul 1;2(3):175-82.

IntroductionPreoperative smoking intervention programmes reduce post-operative complications in smokers. Little is known about the long-term effect upon smoking cessation.AimTo discover long-term quit rates and the reasons behind successful cessation.Materials And Methods101 one of 120 smokers, randomised to smoking intervention or no intervention before hip and knee surgery, completed questionnaires concerning smoking after 1 year. We selected representative men and women for focus group interviews.ResultsSignificantly more patients from the intervention group abstained from smoking for 1 year post-operatively [13 in 60 patients (22%) vs 2 in 60 (3%), P < 0.01]. Sex (male), low nicotine dependency, non-smoking spouse and preoperative smoking intervention were related to smoking cessation. All patients gave the same reasons for smoking cessation: improved health and saving money. Follow-up for 5 years showed 17% of the controls and 8% in the intervention group (P = 0.42) had died.ConclusionThe intervention group had a significantly higher quit rate 1 year after a preoperative smoking cessation programme.

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