Skip to Main Navigation

Cost-effectiveness of treatment for tobacco dependence: a systematic review of the evidence (Inglês)

Good decisions on which health interventions to invest can be facilitated by high quality evaluations of the cost-effectiveness of interventions. Although there are several reviews of evaluations of the cost-effectiveness of smoking cessation programs, the reviews have had little to say about the quality of the studies. The present study tries to fill this gap by thoroughly evaluating the quality of economic evaluations of interventions to reduc e tobacco consumption. First, the general characteristics of all the studies reviewed are described, and then the quality of epidemiological characteristics and of the economic evaluation is analyzed, using a criteria list proposed by Drummond et al. (1997). The analysis finds that the quality of many aspects of many of the studies leaves much to be desired, judged against the guidelines offered by Drummond et al. However, the studies do consistently conclude that stop-smoking interventions are cost-effective, and this conclusion is robust when sensitivity analyses are performed. The cost-effectiveness ratios estimated by the studies for smoking cessation interventions are much lower than most other health care treatments. The study this concludes that the broad conclusion that treatments to reduce the number of smokers are cost-effective at least in relative terms, is likely to be true, despite the concerns expressed about the quality of the economic evaluations. The implication for policymakers is that smoking cessation interventions are worthwhile.

Detalhes

  • Autor

    Ament, Andre Ronckers, Sandy

  • Data do documento

    2003/02/01

  • TIpo de documento

    Documento de Trabalho (Série Numerada)

  • No. do relatório

    28899

  • Nº do volume

    1

  • Total Volume(s)

    1

  • País

    Mundo,

  • Região

    Regiões Mundiais,

  • Data de divulgação

    2004/06/01

  • Disclosure Status

    Disclosed

  • Nome do documento

    Cost-effectiveness of treatment for tobacco dependence: a systematic review of the evidence

  • Palavras-chave

    health care cost;quality adjusted life years;sensitivity analysis;smoking cessation intervention;effective tobacco control measures;economics of tobacco control;promotion of tobacco product;increases in tobacco use;price of tobacco products;nicotine replacement therapy;health care treatment;cost-effectiveness of interventions;reducing tobacco use;overhead cost;reducing tobacco consumption;school education program;areas of health;concept of time;average wage rate;medical care cost;health care expenditure;reductions in cost;decline in productivity;determination of costs;absence from work;health care budget;fields of health;randomized controlled trials;smoking cessation programs;tobacco tax increases;total tax revenue;measurement of cost;loss of job;global tobacco use;loss of work;deaths from tobacco;burden of disease;smoking in public;societal perspective;cost-effectiveness analysis;community health;cost analysis;cost categories;outcome measure;study including;study period;cost utility;health benefit;heavy smokers;preventive intervention;sex distribution;cost component;individual study;health authorities;educational material;productivity change;research cost;alternative intervention;health effect;medical cost;discount rate;secondary data;long-term effect;premature death;tobacco dependence;patient cost;transportation cost;young people;hospital patients;pregnant woman;incremental cost;cigarette smuggling;general practitioner;behavioral modification;relapse rate;community intervention;epidemiological characteristic;present study;quit rate;behavioral therapy;confidence interval;school program;medical advice;expert panel;health threat;Gross Salary;value use;mass media;quitting smoking;net cost;wholesale price;quality assessment;retail price;net effect;nicotine patches;range use;observational data;scientific study;knowledge gap;Electric Power;summing up;outcome data;primary concern;hospital visit;macro level;clinical data;general population;public health;hourly wage;present cost;military duty;price differential;self-help group;male participant;sex characteristics;behavioural therapy;patient population;hard copy;executive board;health interventions;study leave;cessation interventions;nicotine dependence;sick leave;input data;cost measurement;personnel cost;staff benefit;tobacco-attributable deaths;policy tool;cost-effective intervention;effectiveness evaluation;

Downloads

COMPLETAR RELATÓRIO

Versão oficial do documento (pode conter assinaturas, etc.)

  • PDF oficial
  • TXT*
  • Total Downloads** :
  • Download Stats
  • *A versão do texto é um OCR incorreto e está incluído unicamente em benefício de usuários com conectividade lenta.