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Perioperative Smoking Cessation and Clinical Care Pathway for Orthopaedic Surgery

Truntzer, Jeremy MD1; Comer, Garet MD1; Kendra, Matthew PhD2; Johnson, Joey MD3; Behal, Raj MD, MPH1; Kamal, Robin N. MD1,a

doi: 10.2106/JBJS.RVW.16.00122
Review Article

  • ➢ Despite efforts to curtail tobacco use, smoking continues to be the leading preventable cause of death both in the United States and internationally.
  • ➢ Tobacco use is associated with a number of systemic complications as well as orthopaedic-related complications.
  • ➢ New quality measures by the Centers for Medicare & Medicaid Service have placed greater emphasis on reducing smoking-related complications, which also directly impact physician reimbursement.
  • ➢ An orthopaedic surgeon is an important member of the care team to initiate smoking cessation with a simple discussion of a patient’s tobacco use and willingness to quit.
  • ➢ Multiple clinical pathways are available that may be implemented to coordinate care among physicians, staff, and counselors.

1Department of Orthopaedic Surgery (J.T., G.C., and R.N.K.), Stanford University School of Medicine (R.B.), Palo Alto, California

2Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center, Palo Alto, California

3Brown University, Providence, Rhode Island

aE-mail address for R.N. Kamal:

Copyright © 2017 by The Journal of Bone and Joint Surgery, Incorporated
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