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Regarding the association with the years since quitting cigarette smoking, those with CKD tended to decrease with the years after smoking cessation (Figure 1a, right, P for trend =0.004)

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Data extraction and quality assessment For included studies, data were extracted including author, year, country, aim, study design, sample size, participants and relevant findings such as effect sizes and nature of impact on health outcomes

Furthermore, as plastic surgeons, we can elect not to operate on patients who are high risk any surgical complication will ultimately be a detriment to a patients quality of life rather than an improvement

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