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. |
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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 |