Skip to main content
. 2014 Mar 27;2014(3):CD002294. doi: 10.1002/14651858.CD002294.pub4

Lindström 2008.

Methods Country: Sweden
 Randomized controlled trial
Participants 117 daily smokers undergoing elective surgery for primary hernia repair, laparoscopic cholecystectomy and hip or knee prosthesis.
Interventions Intervention: weekly sessions, face‐to‐face or by telephone, with a trained smoking cessation counsellor and NRT 4 weeks pre‐ and 4 weeks postoperatively.
 Control: Standard care.
Outcomes Smoking cessation from 3 weeks before to 4 weeks after surgery, and at 1 year (not validated).
Postoperative complications requiring intervention within 30 days postoperatively.
 Wound complications requiring intervention within 30 days postoperatively.
Notes Smoking cessation was validated by CO in exhaled air.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Stratified block randomization.
Allocation concealment (selection bias) Low risk Opaque sealed envelopes.
Blinding (performance bias and detection bias) 
 All outcomes High risk Outcomes assessed by study nurses who were not blinded and by the study physicians who were unaware of group allocation.
 No blinding of participants or personnel.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No losses to 30‐day follow‐up.
7/48 intervention and 3/54 controls lost to 12‐month follow‐up.
Selective reporting (reporting bias) Low risk Reports all prespecified outcomes.
Other bias Low risk