{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:24:58Z","timestamp":1777379098606,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    Smoking increases anaesthetic and surgical complications. The perioperative period provides an opportunity to give advice and initiate ongoing support to patients who smoke. Our aims were to determine perioperative smoking patterns and how well patients were supported to reduce smoking as well as compliance with the Australian and New Zealand College of Anaesthetists guidelines on smoking. We surveyed all adults having non-emergency surgery at Wollongong Hospital over an 8-week period in 2021. For those who smoked, we analysed their medical record for identification of smoking status and smoking cessation pharmacotherapy prescription. Sixteen per cent of patients (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u2009111) had smoked in the 30 days before surgery. Of that group, 83% did not think that smoking might cause a problem with their surgery or anaesthetic, and 46% did not report receiving advice to stop smoking. When advice to stop smoking was given, it was associated with an attempt to quit, especially when given by a surgeon. Attendance at the preadmission clinic was associated with the provision of smoking cessation advice but not a quit attempt. Nicotine replacement therapy was used by 11% prior to surgery, and only 7% immediately post-surgery. Our findings show low rates of perioperative smoking cessation advice and nicotine replacement therapy prescription, similar to those reported by other studies over the past two decades in Australia. It provides further evidence that the Australian and New Zealand College of Anaesthetists and other society guidelines alone have not led to major improvements in our management of perioperative smoking, and that hospital-specific routine interventions are needed.\n                  <\/jats:p>","DOI":"10.1177\/0310057x251345506","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T15:25:20Z","timestamp":1752074720000},"page":"411-417","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A perioperative audit of smoking, smoking cessation advice and pharmacological management of nicotine dependence: Are guidelines enough?"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5312-4205","authenticated-orcid":false,"given":"Boris","family":"Waldman","sequence":"first","affiliation":[{"name":"Austin Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin W","family":"Payne","sequence":"additional","affiliation":[{"name":"Joondalup Health Campus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8151-6805","authenticated-orcid":false,"given":"Tara S","family":"Lawson","sequence":"additional","affiliation":[{"name":"Illawarra Shoalhaven Local Health District"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas C","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Harefield Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8337-4352","authenticated-orcid":false,"given":"Natalie A","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, St George Hospital, Kogarah, Australia"},{"name":"Wollongong Hospital"},{"name":"University of New South Wales"},{"name":"Graduate School of Medicine, University of Wollongong, Wollongong, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182911913"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200210000-00015"},{"key":"e_1_3_4_4_2","unstructured":"Australian and New Zealand College of Anaesthetists. PG07BP: Guideline on pre-anaesthesia consultation and patient preparation. Background Paper 2024. Appendix 3 Smoking. https:\/\/www.anzca.edu.au\/safety-and-advocacy\/standards-of-practice\/professional-documents (accessed November 2024)."},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181c61cf9"},{"key":"e_1_3_4_6_2","first-page":"CD002294","article-title":"Interventions for preoperative smoking cessation","volume":"7","author":"Thomsen T","year":"2014","unstructured":"Thomsen T, Villebro N, M\u00f8ller AM. Interventions for preoperative smoking cessation. Cochrane Database Syst Rev 2014; 7: CD002294. doi:10.1002\/14651858.CD002294.pub4","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12096"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2004.04070.x"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2005.tb06557.x"},{"key":"e_1_3_4_10_2","unstructured":"Royal Australasian College of Surgeons. Position Paper \u2013 Cessation of Smoking. 2018. https:\/\/www.surgeons.org\/-\/media\/Project\/RACS\/surgeons-org\/files\/position-papers\/2015-10-27_pos_rel-gov-031_cessation_of_smoking.pdf (accessed 17 April 2025)."},{"key":"e_1_3_4_11_2","unstructured":"Centre for Epidemiology and Evidence. HealthStats NSW. Current smoking in adults. 2025. https:\/\/www.healthstats.nsw.gov.au\/#\/r\/101099 (accessed September 2024)."},{"key":"e_1_3_4_12_2","unstructured":"NSW Health. Assessing Nicotine Dependence. https:\/\/www.health.nsw.gov.au\/tobacco\/Factsheets\/tool-3-assessing-nicotine.pdf (accessed September 2024)."},{"issue":"4","key":"e_1_3_4_13_2","first-page":"S555","article-title":"Time to first cigarette in the morning as an index of ability to quit smoking: implications for nicotine dependence","volume":"9","author":"Baker TB","year":"2007","unstructured":"Baker TB, Piper ME, McCarthy DE, et\u00a0al. Time to first cigarette in the morning as an index of ability to quit smoking: implications for nicotine dependence. Nicotine Tobacco Res 2007; 9(Suppl_4): S555\u2013S570. doi:10.1080\/14622200701673480","journal-title":"Nicotine Tobacco Res"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000610"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2018.04.293"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.3109\/10884602.2011.616608"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011045"},{"key":"e_1_3_4_18_2","first-page":"CD000165","article-title":"Physician advice for smoking cessation","volume":"5","author":"Stead LF","year":"2013","unstructured":"Stead LF, Buitrago D, Preciado N, et\u00a0al. Physician advice for smoking cessation. Cochrane Database Syst Rev 2013; 5: CD000165. doi:10.1002\/14651858.CD000165.pub4","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_19_2","first-page":"CD002850","article-title":"Telephone counselling for smoking cessation","volume":"5","author":"Matkin W","year":"2019","unstructured":"Matkin W, Ord\u00f3\u00f1ez-Mena JM, Hartmann-Boyce J. Telephone counselling for smoking cessation. Cochrane Database Syst Rev 2019; 5: CD002850. doi:10.1002\/14651858.CD002850.pub4","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12519"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51453"},{"key":"e_1_3_4_22_2","unstructured":"Queensland Government. Smoking Cessation Clinical Pathway. 2024. https:\/\/clinicalexcellence.qld.gov.au\/sites\/default\/files\/docs\/clinical-pathways\/smoking-pathway.pdf (accessed November 2024)."},{"key":"e_1_3_4_23_2","unstructured":"New Zealand Ministry of Health. The New Zealand Guidelines for Helping People Stop Smoking Update. 2021. https:\/\/www.health.govt.nz\/publications\/the-new-zealand-guidelines-for-helping-people-to-stop-smoking-update (Accessed 13 April 2025)."}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X251345506","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0310057X251345506","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X251345506","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:13:12Z","timestamp":1777367592000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X251345506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,9]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/0310057X251345506"],"URL":"https:\/\/doi.org\/10.1177\/0310057x251345506","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,9]]}}}