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Surgery as a Teachable Moment

Surgery as a Teachable Moment COMMENTARY Lost Opportunities to Improve Public Health NDERGOING A SUR- time. There is now good evidence perience with tobacco interven- gical procedure, no that surgery can serve as a teach- tions and are not confident in their matter how mi- able moment for smoking cessa- ability to effectively intervene. Some nor, is regarded by tion. Whereas only about 3% to 5% surgeons think that their patients are most as a signifi- of smokers will spontaneously quit too stressed to deal with their smok- cant event. In my own life, a lami- smoking per year, up to half or more ing or that they will offend their pa- nectomy for acute radiculopathy 15 of smokers undergoing major sur- tients if they discuss it. However, re- years ago motivated me to begin a gical procedures associated with cent data show that smokers who are sustained (thus far) exercise regi- smoking-related diseases (such as abstinent from cigarettes do not ex- men, something that I had always coronary artery bypass grafting) will perience increases in stress in the known I should but never quite got successfully quit after their proce- perioperative period and they in fact around to doing. This is an ex- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Surgery as a Teachable Moment

JAMA Surgery , Volume 144 (12) – Dec 1, 2009

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Publisher
American Medical Association
Copyright
Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.2009.205
pmid
20026826
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY Lost Opportunities to Improve Public Health NDERGOING A SUR- time. There is now good evidence perience with tobacco interven- gical procedure, no that surgery can serve as a teach- tions and are not confident in their matter how mi- able moment for smoking cessa- ability to effectively intervene. Some nor, is regarded by tion. Whereas only about 3% to 5% surgeons think that their patients are most as a signifi- of smokers will spontaneously quit too stressed to deal with their smok- cant event. In my own life, a lami- smoking per year, up to half or more ing or that they will offend their pa- nectomy for acute radiculopathy 15 of smokers undergoing major sur- tients if they discuss it. However, re- years ago motivated me to begin a gical procedures associated with cent data show that smokers who are sustained (thus far) exercise regi- smoking-related diseases (such as abstinent from cigarettes do not ex- men, something that I had always coronary artery bypass grafting) will perience increases in stress in the known I should but never quite got successfully quit after their proce- perioperative period and they in fact around to doing. This is an ex-

Journal

JAMA SurgeryAmerican Medical Association

Published: Dec 1, 2009

References