{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T13:47:18Z","timestamp":1787060838014,"version":"build-2736575974"},"reference-count":18,"publisher":"Baishideng Publishing Group Inc.","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Orthop"],"abstract":"BACKGROUND<\/jats:p>\n Tobacco use is a well-documented modifiable risk factor for perioperative complications.<\/jats:p>\n AIM<\/jats:p>\n To determine the tobacco abstinence rates of patients who made cessation efforts prior to a total joint arthroplasty (TJA) procedure.<\/jats:p>\n METHODS<\/jats:p>\n A retrospective evaluation was performed on 88 self-reported tobacco users who underwent TJA between 2014-2022 and had tobacco cessation dates within 3 mo of surgery. Eligible patients were contacted via phone survey to understand their tobacco use pattern, and patient reported outcomes. A total of 37 TJA patients participated.<\/jats:p>\n RESULTS<\/jats:p>\n Our cohort was on average 61-years-old, 60% (n = 22) women, with an average body mass index of 30 kg\/m2. The average follow-up time was 2.9 \u00b1 1.9 years. A total of 73.0% (n = 27) of patients endorsed complete abstinence from tobacco use prior to surgery. Various cessation methods were used perioperatively including prescription therapy (13.5%), over the counter nicotine replacement (18.9%), cessation programs (5.4%). At final follow up, 43.2% (n = 16) of prior tobacco smokers reported complete abstinence. Patients who were able to maintain cessation postoperatively had improved Patient-Reported Outcomes Measurement Information System (PROMIS)-10 mental health scores (49 vs 58; P = 0.01), and hip dysfunction and osteoarthritis outcome score for joint replacement (HOOS. JR) scores (63 vs 82; P = 0.02). No patients in this cohort had a prosthetic joint infection or required revision surgery.<\/jats:p>\n CONCLUSION<\/jats:p>\n We report a tobacco cessation rate of 43.2% in patients undergoing elective TJA nearly 3 years postoperatively. Patients undergoing TJA who were able to remain abstinent had improved PROMIS-10 mental health scores and HOOS. JR scores. The perioperative period provides clinicians a unique opportunity to assist active tobacco smokers with cessation efforts and improve postoperative outcomes.<\/jats:p>","DOI":"10.5312\/wjo.v15.i7.627","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T20:56:13Z","timestamp":1720731373000},"page":"627-634","source":"Crossref","is-referenced-by-count":2,"title":["Smoking cessation prior to elective total joint arthroplasty results in sustained abstinence postoperatively"],"prefix":"10.5312","volume":"15","author":[{"given":"Billy Insup","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"O'Donnell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen M","family":"Wixted","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorsten Markus","family":"Seyler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William A","family":"Jiranek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Paul","family":"Bolognesi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean Patrick","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2024,7,18]]},"reference":[{"key":"B1","unstructured":"Centers for Disease Control and Prevention. Smoking and Tobacco Use Fast Facts. Available from: https:\/\/www.cdc.gov\/tobacco\/data_statistics\/fact_sheets\/fast_facts\/index"},{"key":"B2","unstructured":"American Cancer Society. Health Risks of Smoking Tobacco. Available from: https:\/\/www.cancer.org\/healthy\/stay-away-from-tobacco\/health-risks-of-tobacco\/health-risks-of-smoking-tobacco"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200503000-00001"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.11.158"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714565792"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2020.07.014"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.09.011"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.09.089"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.08.026"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6845a2"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-18-00747"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.09.084"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002294.pub4"},{"key":"B14","unstructured":"Hall JRL, Metcalf R, Leisinger E, An Q, Bedard NA, Brown TS. Does Smoking Cessation Prior to Elective Total Joint Arthroplasty Result in Continued Abstinence? Iowa Orthop J 2021; 41: 141-144"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-20-01288"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000456"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/89.8.572"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.2147\/TCRM.S86212"}],"container-title":["World Journal of Orthopedics"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/2218-5836\/full\/v15\/i7\/627.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/2218-5836\/full\/v15\/i7\/627.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T20:56:25Z","timestamp":1720731385000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/2218-5836\/full\/v15\/i7\/627.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,18]]},"references-count":18,"journal-issue":{"issue":"7"},"URL":"https:\/\/doi.org\/10.5312\/wjo.v15.i7.627","relation":{},"ISSN":["2218-5836"],"issn-type":[{"value":"2218-5836","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7,18]]}}}