Comparison of Outcomes Between Nonsmokers and Patients Who Discontinued Smoking 1 Month Before Primary Hip Arthroscopy: A Propensity-Matched Study With Minimum 2-Year Follow-up
Authors
Lee MS, Jimenez AE, Owens JS, Curley AJ, Paraschos OA, Maldonado DR, Lall AC, Domb BG
Journal
Orthop J Sports Med, June 2022
Background
Cigarette smoking has been shown to negatively affect outcomes after hip arthroscopy. This study investigates whether cessation of smoking before surgery can mitigate these negative effects.
Methods
- Data were collected from patients who underwent primary hip arthroscopy for femoroacetabular impingement syndrome (FAIS) between 2008 and 2017.
- The study compared former smokers who quit smoking at least one month before surgery to never-smokers.
- A propensity-matched cohort design was used to control for confounding variables.
Key Findings
- Former smokers demonstrated significant improvement in patient-reported outcomes (PROs) after at least two years.
- When compared to nonsmokers, former smokers had similar improvements in PROs and rates of achieving minimal clinically important differences (MCID).
Conclusions
Cessation of smoking one month before surgery led to similar postoperative outcomes for former smokers compared to never-smokers. The improvement in PROs was significant, with no notable difference between the two groups.
What Does This Mean For Patients
If you're a smoker planning for hip arthroscopy, quitting smoking at least a month before surgery can help achieve outcomes similar to nonsmokers.