HOME >> MEDICINE >> NEWS
Should smokers be refused surgery?

Last year a primary care trust announced it would take smokers off waiting lists for surgery in an attempt to contain costs. In this week's BMJ, two experts go head to head over whether smokers should be refused surgery.

Denying operations is justified for specific conditions, argues Professor Matthew Peters from the Concord Repatriation General Hospital in Australia.

Professor Peters says that smoking up to the time of any surgery increases cardiac and pulmonary complications, impairs tissue healing, and is associated with more infections.

These effects increase the costs of care and also mean less opportunity to treat other patients, he writes. In healthcare systems with finite resources, preferring non-smokers over smokers for a limited number of procedures will therefore deliver greater clinical benefit to individuals and the community.

He believes that, as long as everything is done to help patients to stop smoking, it is both responsible and ethical to implement a policy that those unwilling or unable to stop should have low priority for, or be excluded from, certain elective procedures.

But Professor Leonard Glantz from Boston University School of Public Health believes it is unacceptable discrimination. "It is astounding that doctors would question whether they should treat smokers," he says.

"Doctors should certainly inform patients that they might reduce their risks of post-surgical complications if they stop smoking before the procedure. But should the price of not following the doctor's advice be the denial of beneficial surgery?"

Cost arguments are made to support the discriminatory non-treatment of smokers. But why focus our cost saving concerns on smokers? Patients are not required to visit fitness clubs, lose 25 pounds, or take drugs to lower blood pressure before surgery. And many non-smokers cost society large sums of money in health care because of activities they choose to t
'"/>

Contact: Catherine Binnie
cbinnie@bma.org.uk
44-020-738-36174
BMJ-British Medical Journal
4-Jan-2007


Page: 1 2

Related medicine news :

1. Should adult male circumcision be recommended for HIV prevention in the US?
2. Shoulder tapping -- Young males are most willing to purchase alcohol for underage youth
3. Should NICE evaluate complementary medicine?
4. Should Muslims have faith-based health services?
5. Should patients undergoing surgery get ASA?
6. Should patients have to opt out of electronic records?
7. Assisted dying: Should it be legal?
8. Should older men be screened for prostate cancer?
9. Should we screen people for depression?
10. Should we ban consumer drug ads? - Press release from PLoS Medicine
11. Should heart attack care be more like trauma care? Study suggests regional system could be feasible

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:4/5/2020)... , ... April 03, 2020 , ... United Security ... Short Term Major Medical (STMM) plan in the state of Oklahoma. Lisa ... increasingly viable option for millions of Americans in all financial situations. STMM can be ...
(Date:4/2/2020)... FALLS CHURCH, Va. (PRWEB) , ... April 02, ... ... on Clinical Decision Support Software, An FDAnews Webinar, Tuesday April 7, 2020, 1:30-3:00 ... be updated to include FDA regulation of AI used to guide clinical management ...
(Date:4/1/2020)... ... April 02, 2020 , ... AAGL Gynecologic Surgeons host a ... discuss surgical safety practices in response to the COVID-19 crisis. , AAGL ... in New Orleans and Amsterdam University Medical Center in the Netherlands will discuss ...
(Date:4/1/2020)... ... April 01, 2020 , ... Global mobile data platform ... for teams adjusting to new needs based on COVID-19. , As cases continue to ... of all types. , Zerion will extend support by offering free basic iFormBuilder accounts ...
(Date:3/28/2020)... ... March 27, 2020 , ... With social distancing, or ... by the day, people of all ages are challenged to find different ways ... interactions in the best of times—the physical distance mandated to prevent the pandemic’s ...
Breaking Medicine News(10 mins):
(Date:4/5/2020)... ... April 04, 2020 , ... ... manufacturing facility into a factory producing non-medical cloth facemasks. , On March 18th ... the use of non-medical cloth face masks if no medical-grade facemasks were available, ...
(Date:4/5/2020)... , ... April 05, 2020 , ... ... and publicized the precise aetiology and pathology of COVID-19[1], we are committed to ... COVID-19 clinical predictions. , The SARS-CoV-2-mediated post-entry suppression of ACE2 mRNA expression ...
(Date:4/2/2020)... ... April 02, 2020 , ... ... won SignatureCare Emergency Center's 2020 Spring Semester Scholarship. , The $1,000 ... medical and healthcare field, is aimed at helping the students pay tuition and ...
Breaking Medicine Technology:
Cached News: