This study provides robust evidence supporting the cost-effectiveness of smoking cessation programs for hospitalized patients .
In addition , the results indicated that the degree of cost-effectiveness of the inpatient smoking cessation program might not be related to either the components of the program or method ological variations in the cost-effectiveness analysis .
This systematic review examined the characteristics of published cost-effectiveness analyses of  inpatient smoking cessation programs  and assessed the method ological quality of the selected studies , to provide policymakers with economic evidence for this type of program .
Economic evaluation of a telephone- and face-to-face-delivered counseling intervention for smoking cessation in patients with coronary heart disease
Objective This study examined the cost-effectiveness and cost-utility of two smoking cessation counseling interventions differing in their modality for patients diagnosed with coronary heart disease from a societal perspective . Methods In a r and omized controlled trial conducted in Dutch hospital wards , cardiac patients who smoked prior to admission were allocated to  usual care ( n = 245 ) ,  telephone counseling ( n = 223 ) or face-to-face counseling ( n = 157 ) . The counseling interventions lasted for 3 months and were complemented by nicotine patches . Baseline histories were obtained , and interviews took place 6 months after hospitalization to assess self-reported smoking status and quality adjusted life years ( QALYs ) . Incremental cost-effectiveness ratios per quitter and cost-utility ratios per QALY were calculated and presented in acceptability curves . Uncertainty was accounted for by sensitivity analysis . Results Using continued abstinence as the outcome measure showed that telephone counseling had the highest probability of being cost-effective . Face-to-to-face counseling was also more cost-effective than usual care . No significant improvements and differences in QALYs between the three conditions were found . Varying costs and effect estimations revealed that the results of the primary analyses were robust . Conclusions Assuming a willingness-to-pay of € 20,000 per abstinent patient , telephone counseling would be a highly cost-effective smoking cessation intervention assisting cardiac patients to quit . However , the lack of consensus concerning the willingness-to-pay per quitter impedes drawing firm conclusions . Moreover , studies with extended follow-up periods are needed to capture late relapses and possible differences in QALYs
This study provides robust evidence supporting the cost-effectiveness of smoking cessation programs for hospitalized patients .
In addition , the results indicated that the degree of cost-effectiveness of the inpatient smoking cessation program might not be related to either the components of the program or method ological variations in the cost-effectiveness analysis .
This systematic review examined the characteristics of published cost-effectiveness analyses of  inpatient smoking cessation programs  and assessed the method ological quality of the selected studies , to provide policymakers with economic evidence for this type of program .