All existing economic evaluations in smoking cessation lack in one or more key study attributes necessary to be fully transferable to a new context
AIMS To identify different types of models used in economic evaluations of smoking cessation , analyse the quality of the included models examining their attributes and ascertain their transferability to a new context .
Comparison of the cost-effectiveness of a high- and a low-intensity smoking cessation intervention in Sweden: a randomized trial.
OBJECTIVE To assess the relative cost-effectiveness of a high-intensity treatment ( HIT ) and a low-intensity treatment ( LIT ) for smoking cessation . METHODS The societal and health care perspective economic evaluation was based on the reported number of quitters at 12-month follow-up ( point prevalence ) from a r and omized controlled trial of 2 smoking cessation programs in Sweden . Future disease-related costs ( in Swedish kronor [ SEK ] 2004 ; SEK7.35 = USD1 ) and health effects ( in quality -adjusted life-years [ QALYs ] ) were estimated via a Markov model comprising lung cancer , chronic obstructive pulmonary disease , and cardiovascular disease including stroke with costs and QALYs discounted 3 % annually . RESULTS HIT was more effective than LIT ( 23 % vs. 16 % quitters ) , but at a considerably higher intervention cost : SEK26,100 versus 9,100 per quitter . The model-estimated societal costs avoided did not balance the higher intervention costs , so the incremental cost-effectiveness ratio ( ICER ) amounted to SEK100,000 per QALY for HIT versus LIT . All sensitivity analyses indicated an ICER below SEK300,000 and that HIT is the preferred option if the decision maker willingness-to-pay exceeds SEK50,000 per QALY . Compared with no intervention , LIT was cost saving , whereas HIT was estimated at SEK8,400 per QALY . CONCLUSIONS Compared with no smoking cessation program , it is a societal waste not to implement the LIT as it is estimated to result in lower societal costs . The incremental cost per QALY gained of SEK100,000 for HIT is considered very cost-effective in Sweden . Thus , if smoking cessation programs are judged in the same manner as other Swedish health care measures , the high-intensity program should be chosen before the low-cost program
All existing economic evaluations in smoking cessation lack in one or more key study attributes necessary to be fully transferable to a new context
AIMS To identify different types of models used in economic evaluations of smoking cessation , analyse the quality of the included models examining their attributes and ascertain their transferability to a new context .