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Retrospective studies in the 1990s found deleterious effects of active smoking on surgical outcomes, including poorer symptom scores 34 , worse patient-reported outcomes 35 , and an observation that revision sinus surgery cases had a higher proportion of smokers than primary sinus surgery cases (27% versus 10%) 36

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The linked data that were used contained details of admissions in participants from the year 2000 up to the point of recruitment, including the primary reason for admission using the International Classification of Diseases 10 th revision Australian Modification (ICD-10-AM) [14] and up to 54 additional clinical diagnoses

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