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As the researchers of the study explain, the findings in this large registry-based analysis support the existing literature on the association between smoking and TED and provide novel insight on the potential impact of smoking cessation on lowering the risk of surgical intervention for TED at the population-level. Echoing this sentiment, they further explain that smoking is described as a modifiable risk factor for TED proportionate to the number of cigarettes smoked a day, with a higher instance of ocular involvement in Graves disease patients who also smoke

But there was little difference in levels between cigarette-only users, and those who continued using real cigarettes alongside vaping

and many more telltale signs of dysregulation and dysfunction

This matters for many reasons, and is especially important if your organization is focused on value-based care, where improving patient outcomes is critical