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Feasibility of a Perioperative Text Messaging Smoking Cessation Program for Surgical Patients

Nolan, Margaret B. MD*; Warner, Matthew A. MD*; Jacobs, Megan A. MPH; Amato, Michael S. PhD; Graham, Amanda L. PhD†,‡; Warner, David O. MD*

doi: 10.1213/ANE.0000000000003715
Ambulatory Anesthesiology

Although surgical patients who smoke could benefit from perioperative abstinence, few currently receive support. This pilot study determined the feasibility and acceptability of a perioperative text messaging smoking cessation program. One hundred patients (73% of eligible patients approached) enrolled in a surgery-specific messaging service, receiving 1–3 daily messages about smoking and surgical recovery for 30 days. Only 17 patients unenrolled, the majority responded to prompting messages, and satisfaction with the program was high. Surgical patients are amenable to text message–based interventions; a future efficacy trial of text messaging smoking cessation support in surgical patients is warranted.

From the *Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota

Department of Innovations, Truth Initiative, Washington, DC

Department of Oncology, Georgetown University Medical Center/Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Washington, DC.

Published ahead of print 03 July 2018.

Accepted for publication July 3, 2018.

Funding: This study was funded internally by Mayo Clinic. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Conflicts of Interest: See Disclosures at the end of the article.

Reprints will not be available from the authors.

Address correspondence to Margaret B. Nolan, MD, Department of Anesthesiology, Mayo Clinic, 200 1st St SW, Joseph Bldg 4–184, Rochester, MN 55906. Address e-mail to

Copyright © 2019 International Anesthesia Research Society
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