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• W2316498743 abstract "You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Evidence-based Medicine & Outcomes II1 Apr 2015MP9-08 IMPACT OF SMOKING ON PERIOPERATIVE OUTCOMES AFTER MAJOR UROLOGIC SURGERY Akshay Sood, Marianne Schmid, Logan Campbell, Victor Kapoor, Firas Abdollah, Dane Klett, Deepansh Dalela, Steven Chang, Felix Chun, Adam Kibel, Jesse Sammon, James Peabody, Mani Menon, Margit Fisch, and Quoc-Dien Trinh Akshay SoodAkshay Sood More articles by this author , Marianne SchmidMarianne Schmid More articles by this author , Logan CampbellLogan Campbell More articles by this author , Victor KapoorVictor Kapoor More articles by this author , Firas AbdollahFiras Abdollah More articles by this author , Dane KlettDane Klett More articles by this author , Deepansh DalelaDeepansh Dalela More articles by this author , Steven ChangSteven Chang More articles by this author , Felix ChunFelix Chun More articles by this author , Adam KibelAdam Kibel More articles by this author , Jesse SammonJesse Sammon More articles by this author , James PeabodyJames Peabody More articles by this author , Mani MenonMani Menon More articles by this author , Margit FischMargit Fisch More articles by this author , and Quoc-Dien TrinhQuoc-Dien Trinh More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.368AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To investigate the impact of current and prior smoking on perioperative outcomes in patients undergoing one of the 3 major urologic oncological procedures. METHODS Relying on the American College of Surgeons National Surgical Quality Improvement Program (2005–2011) database, patients undergoing one of the 3 major urologic oncologic (prostate, bladder, renal) surgeries were identified. Self-reported smoking status at the time of surgery was used to classify patients as non-smokers, former smokers or current smokers. Procedure-specific multivariable logistic regression models assessed the association between smoking status and the risk of 30-day morbidity (complications, prolonged length of stay, re-intervention and readmission) and mortality. RESULTS Overall, 9,014 patients were identified. In adjusted analyses, smoking presaged an unfavorable prognosis with current smokers having significantly higher odds of pulmonary and renal complications following prostatectomy. Further, current smokers also had increased odds for prolonged length of stay following prostatectomy. Smokers did not seem to have increased odds for complications following cystectomy or nephrectomy; however in patients undergoing cystectomy current smokers did experience increased odds for re-intervention while former smokers had increased odds for readmission. Encouragingly though, in patients undergoing prostatectomy that had stopped smoking (i.e. had not smoked for at least a year) were not at increased odds for any of the complications when compared to non smokers and were at significantly decreased odds for complications compared to current smokers. CONCLUSIONS The effect of smoking on perioperative outcomes is procedure dependent. Current as well as former smoking negatively influences outcomes. Encouragingly, however smoking cessation for even an year is associated with a significant improvement in perioperative outcomes. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e105 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Akshay Sood More articles by this author Marianne Schmid More articles by this author Logan Campbell More articles by this author Victor Kapoor More articles by this author Firas Abdollah More articles by this author Dane Klett More articles by this author Deepansh Dalela More articles by this author Steven Chang More articles by this author Felix Chun More articles by this author Adam Kibel More articles by this author Jesse Sammon More articles by this author James Peabody More articles by this author Mani Menon More articles by this author Margit Fisch More articles by this author Quoc-Dien Trinh More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ..." @default.
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• W2316498743 title "MP9-08 IMPACT OF SMOKING ON PERIOPERATIVE OUTCOMES AFTER MAJOR UROLOGIC SURGERY" @default.
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