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One of the most common risk factors for failure is tobacco use. However, despite decreasing rates of tobacco use in recent years, the use of nontobacco\u2010based nicotine products has become more commonplace, particularly in younger populations. The impact of these newer nicotine delivery products on orthopaedic surgery has been a topic of recent interest but minimally explored in the realm of rotator cuff surgery. It is imperative that our knowledge of risk factors for surgical complications evolves linearly with the socioeconomic and lifestyle factors that impact our public health sector.<\/jats:p>","DOI":"10.1002\/arj.70199","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T14:26:34Z","timestamp":1777904794000},"page":"1526-1528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : Tobacco or Not\u2014All Nicotine Products Negatively Impact Rotator Cuff Surgery"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2306-7745","authenticated-orcid":false,"given":"Justin J.","family":"Ernat","sequence":"first","affiliation":[{"name":"University of Utah Health  Salt Lake City Utah U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"e_1_2_3_2_1","article-title":"Nontobacco nicotine dependence is associated with perioperative complications and repeat surgery after arthroscopic rotator cuff repair","author":"Florentino SA","journal-title":"Arthroscopy"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v6.i2.211"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.12.026"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514533776"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.23.00804"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.focus.2022.100061"},{"key":"e_1_2_3_8_1","first-page":"1","article-title":"Current electronic cigarette use among adults aged 18 and over: United States, 2021","volume":"475","author":"Kramarow EA","year":"2023","journal-title":"NCHS Data Brief."},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntae131"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-24-00801"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/10711007251385994"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2025.112872"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2025.112889"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-23-01053"},{"key":"e_1_2_3_15_1","first-page":"229","article-title":"Non\u2010tobacco nicotine dependence associated with increased postoperative complications following intramedullary nailing for intertrochanteric femur fractures","volume":"7","author":"Pescatore SM","year":"2024","journal-title":"J Surg Res (Houst)."},{"key":"e_1_2_3_16_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-24-00706"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2025.08.003"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2025.101743"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00899"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2025.04.011"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001293"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/nts103"},{"key":"e_1_2_3_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2014.12.007"},{"key":"e_1_2_3_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15060"},{"key":"e_1_2_3_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/17425247.2020.1814736"},{"key":"e_1_2_3_26_1","first-page":"e145","article-title":"Tobacco companies introduce \u201ctobacco\u2010free\u201d nicotine pouches","volume":"29","author":"Robichaud MO","year":"2020","journal-title":"Tob Control."},{"key":"e_1_2_3_27_1","unstructured":"CDC. 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