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Cost-effectiveness ...
Cost-effectiveness of a high-intensity versus a low-intensity smoking cessation intervention in a dental setting : long-term follow-up
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- Feldman, Inna, Docent, 1951- (author)
- Uppsala universitet,Socialmedicin/CHAP
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- Helgason, Asgeir Runar (author)
- Karolinska Inst, Dept Publ Hlth Sci, Social Med, Stockholm, Sweden;Reykjavik Univ, Reykjavik, Iceland;Reykjavik Univ, Iceland Canc Soc, Reykjavik, Iceland
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- Johansson, Pia (author)
- Publ Hlth & Econ, Stockholm, Sweden
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- Tegelberg, Åke (author)
- Malmö universitet,Uppsala universitet,Centrum för klinisk forskning, Västerås,Malmo Univ, Fac Odontol, Malmo, Sweden,Odontologiska fakulteten (OD)
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- Nohlert, Eva, 1955- (author)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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(creator_code:org_t)
- 2019-08-15
- 2019
- English.
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In: BMJ Open. - : BMJ PUBLISHING GROUP. - 2044-6055. ; 9
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Abstract
Subject headings
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- Objectives: The aim of this study was to conduct a cost-effectiveness analysis (CEA) of a high-intensity and a low-intensity smoking cessation treatment programme (HIT and LIT) using long-term follow-up effectiveness data and to validate the cost-effectiveness results based on short-term follow-up.Design and outcome measures: Intervention effectiveness was estimated in a randomised controlled trial as numbers of abstinent participants after 1 and 5-8 years of follow-up. The economic evaluation was performed from a societal perspective using a Markov model by estimating future disease-related costs (in Euro (Euro) 2018) and health effects (in quality-adjusted life-years (QALYs)). Programmes were explicitly compared in an incremental analysis, and the results were presented as an incremental cost-effectiveness ratio.Setting: The study was conducted in dental clinics in Sweden.Participants: 294 smokers aged 19-71 years were included in the study.Interventions: Behaviour therapy, coaching and pharmacological advice (HIT) was compared with one counselling session introducing a conventional self-help programme (LIT).Results: The more costly HIT led to higher number of 6-month continuous abstinent participants after 1 year and higher number of sustained abstinent participants after 5-8 years, which translates into larger societal costs avoided and health gains than LIT. The incremental cost/QALY of HIT compared with LIT amounted to Euro918 and Euro3786 using short-term and long-term effectiveness, respectively, which is considered very cost-effective in Sweden.Conclusion: CEA favours the more costly HIT if decision makers are willing to spend at least Euro4000/QALY for tobacco cessation treatment.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- smoking cessation
- cost-effectivenes
- long-term sustainability
Publication and Content Type
- ref (subject category)
- art (subject category)
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