{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T03:46:36Z","timestamp":1791863196884,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>In this study, we aim to evaluate trends in smoking cessation among breast cancer patients, with a particular focus on the impact of breast reconstruction surgery, and to assess if breast reconstruction surgery represents a unique opportunity for intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of active smokers with a new diagnosis of breast cancer who were treated with any surgical or non\u2010surgical intervention at our institution between 2015 and 2024. Quitting was defined as continuous cessation for at least 30 days. Patients who quit were followed for at least 6 months after cessation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred twenty\u2010seven patients were identified. Mean age was 56 years (range 35\u201387). Eighty patients (63%) underwent surgery without reconstruction, 26 patients (20%) underwent surgery with reconstruction, and 21 patients (17%) received non\u2010surgical treatment only.<\/jats:p>\n                    <jats:p>\n                      Overall, 26% (34\/127) of patients quit smoking. Among patients undergoing surgical treatment, patients undergoing reconstruction were significantly more likely to quit smoking than those without reconstruction (50% [13\/26] vs. 23% [18\/80];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007). Patients receiving reconstruction were also significantly more likely to quit preoperatively (77% [10\/13] vs. 33% [12\/18];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048).\n                    <\/jats:p>\n                    <jats:p>\n                      Median time from initial visit with surgical oncology to surgery was longer among reconstructive patients who quit pre\u2010operatively (90.5 days [IQR: 44\u2013164]) than those who quit post\u2010operatively or did not quit (45 days [IQR: 26\u201368];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.13).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients receiving breast reconstruction are significantly more likely to quit smoking than those who do not. Longer median time to surgery among patients who quit pre\u2010operatively emphasizes the need for targeted cessation interventions that allow for timely oncologic care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70284","type":"journal-article","created":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T18:58:45Z","timestamp":1779649125000},"page":"203-211","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Impact of Breast Reconstruction on Smoking Cessation Among Patients With Breast Cancer"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2227-4064","authenticated-orcid":false,"given":"Aaron N.","family":"Hendizadeh","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Wen","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1838-3445","authenticated-orcid":false,"given":"Ryan","family":"Guidi","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Ritz","sequence":"additional","affiliation":[{"name":"Rush Biostatistics and Bioinformatics Core, Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruta","family":"Rao","sequence":"additional","affiliation":[{"name":"Division of Hematology, Oncology and Cell Therapy, Department of Internal Medicine Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalinda","family":"Alvarado","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Perez","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Madrigrano","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kurlander","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deana","family":"Shenaq","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Kokosis","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Burden of Tobacco Use in the U","author":"CDCTobaccoFree","year":"2024"},{"key":"e_1_2_9_3_1","unstructured":"CDC. 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