TY - JOUR
T1 - Completion rates in a preoperative surgical weight loss program by tobacco use status
AU - Veldheer, Susan
AU - Yingst, Jessica
AU - Rogers, Ann M.
AU - Foulds, Jonathan
N1 - Publisher Copyright:
© 2017 American Society for Bariatric Surgery
PY - 2017/5
Y1 - 2017/5
N2 - Background Weight loss surgery (WLS) is an effective treatment for obesity and its associated conditions, but given the known benefits of preoperative tobacco abstinence on reducing postoperative complications, many WLS programs require tobacco abstention before surgery. Objectives To evaluate the association between tobacco use and WLS program completion. Setting A 548-bed university hospital in Pennsylvania with a nationally accredited comprehensive WLS program. Methods A retrospective chart review was conducted to identify patients enrolled in a preoperative WLS program from January 1, 2013 to April 3, 2015. Participants were categorized as nontobacco users (NTU) or current tobacco users (CTU) based on self-report at assessment. Tobacco users were required to quit before scheduling surgery and abstinence was verified using serum cotinine (<7 ng/mL). Results A total 620 patients enrolled in the preoperative program; 16.7% were tobacco users, 89% of whom were cigarette smokers. A total of 57.4% (n = 356) completed the program overall and there was a significant difference in completion by tobacco use status (62.4% NTU completed versus 32.7% CTU, P<.001). Among those who dropped out, 54% did so after attending 2 visits. In addition to not using tobacco, female gender, white race, and no prior psychiatric treatment were significant predictors of program completion (all P values<.02). Conclusion Current tobacco users dropped out of the preoperative program at almost twice the rate of nontobacco users. Weight loss surgery programs should offer evidence-based tobacco cessation interventions to improve access to care for obesity treatment.
AB - Background Weight loss surgery (WLS) is an effective treatment for obesity and its associated conditions, but given the known benefits of preoperative tobacco abstinence on reducing postoperative complications, many WLS programs require tobacco abstention before surgery. Objectives To evaluate the association between tobacco use and WLS program completion. Setting A 548-bed university hospital in Pennsylvania with a nationally accredited comprehensive WLS program. Methods A retrospective chart review was conducted to identify patients enrolled in a preoperative WLS program from January 1, 2013 to April 3, 2015. Participants were categorized as nontobacco users (NTU) or current tobacco users (CTU) based on self-report at assessment. Tobacco users were required to quit before scheduling surgery and abstinence was verified using serum cotinine (<7 ng/mL). Results A total 620 patients enrolled in the preoperative program; 16.7% were tobacco users, 89% of whom were cigarette smokers. A total of 57.4% (n = 356) completed the program overall and there was a significant difference in completion by tobacco use status (62.4% NTU completed versus 32.7% CTU, P<.001). Among those who dropped out, 54% did so after attending 2 visits. In addition to not using tobacco, female gender, white race, and no prior psychiatric treatment were significant predictors of program completion (all P values<.02). Conclusion Current tobacco users dropped out of the preoperative program at almost twice the rate of nontobacco users. Weight loss surgery programs should offer evidence-based tobacco cessation interventions to improve access to care for obesity treatment.
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U2 - 10.1016/j.soard.2017.02.004
DO - 10.1016/j.soard.2017.02.004
M3 - Article
C2 - 28392255
AN - SCOPUS:85017128850
SN - 1550-7289
VL - 13
SP - 842
EP - 847
JO - Surgery for Obesity and Related Diseases
JF - Surgery for Obesity and Related Diseases
IS - 5
ER -