Revision & Failure Total Joint Replacements Higher Among Smokers

Two new studies examining the effects of smoking on patients undergoing total joint replacement showed that smokers have a higher revision rate than non-smokers.

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The first study compared patients undergoing total knee replacement, finding smokers had a 10-fold higher revision rate. The second study examined patients undergoing acetabulum reconstruction, with a higher rate of failure among smokers than nonsmokers when ultraporous acetabular components were used.

At the American Academy of Orthopaedic Surgeons annual meeting, physicians and specialists participated in a Smoking Cessation Forum and recommended the following:

•    Orthopedic surgeons refuse to perform surgery on patients who smoke; one surgeon reported 40 percent of his patients stopped smoking as a result of this mandate.
•    Ask the patient about whether they smoke, advise them to stop smoking and offer resources for help, such as a free Quitline.
•    Offer smoking cessation assistance to patients who smoke.

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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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Wednesday, July 29
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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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