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Cost-effectiveness of alternative smoking cessation scenarios in Spain: results from the EQUIPTMOD
dc.contributor.author | Trapero Bertrán, Marta | |
dc.contributor.author | Muñoz, Celia | |
dc.contributor.author | Coyle, Kathryn | |
dc.contributor.author | Coyle, Doug | |
dc.contributor.author | Lester George, Adam | |
dc.contributor.author | Leidl, Reiner | |
dc.contributor.author | Németh, Bertalan | |
dc.contributor.author | Cheung, Kei-Long | |
dc.contributor.author | Pokhrel, Subhash | |
dc.contributor.author | López Nicolás, Ángel | |
dc.date.accessioned | 2019-05-03T12:23:19Z | |
dc.date.available | 2019-05-03T12:23:19Z | |
dc.date.issued | 2018-06-18 | |
dc.identifier.citation | En Addiction, 113 (Suppl. 1), 65–75 | es_ES |
dc.identifier.issn | 1360-0443 | |
dc.description.abstract | AIMS: To assess the cost-effectiveness of alternative smoking cessation scenarios from the perspective of the Spanish National Health Service (NHS). DESIGN: We used the European study on Quantifying Utility of Investment in Protection from Tobacco model (EQUIPTMOD), a Markov-based state transition economic model, to estimate the return on investment (ROI) of: (a) the current provision of smoking cessation services (brief physician advice and printed self-helped material + smoking ban and tobacco duty at current levels); and (b) four alternative scenarios to complement the current provision: coverage of proactive telephone calls; nicotine replacement therapy (mono and combo) [prescription nicotine replacement therapy (Rx NRT)]; varenicline (standard duration); or bupropion. A rate of 3% was used to discount life-time costs and benefits. SETTING: Spain. PARTICIPANTS: Adult smoking population (16+ years). MEASUREMENTS: Health-care costs associated with treatment of smoking attributable diseases (lung cancer, coronary heart disease, chronic obstructive pulmonary infection and stroke); intervention costs; quality-adjusted life years (QALYs). Costs and outcomes were summarized using various ROI estimates. FINDINGS: The cost of implementing the current provision of smoking cessation services is approximately €61 million in the current year. This translates to 18 quitters per 1000 smokers and a life-time benefit-cost ratio of 5, compared with no such provision. All alternative scenarios were dominant (cost-saving: less expensive to run and generated more QALYs) from the life-time perspective, compared with the current provision. The life-time benefit-cost ratios were: 1.87 (proactive telephone calls); 1.17 (Rx NRT); 2.40 (varenicline-standard duration); and bupropion (2.18). The results remained robust in the sensitivity analysis. CONCLUSIONS: According to the EQUIPTMOD modelling tool it would be cost-effective for the Spanish authorities to expand the reach of existing GP brief interventions for smoking cessation, provide pro-active telephone support, and reimburse smoking cessation medication to smokers trying to stop. Such policies would more than pay for themselves in the long run. | es_ES |
dc.format | application/pdf | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | John Wiley & Sons Ltd on behalf of Society for the Study of Addiction | es_ES |
dc.relation.uri | https://www.ncbi.nlm.nih.gov/pubmed/29532966 | es_ES |
dc.rights | Atribución-NoComercial-SinDerivadas 3.0 España | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | * |
dc.title | Cost-effectiveness of alternative smoking cessation scenarios in Spain: results from the EQUIPTMOD | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.subject.other | Economía Financiera y Contabilidad | es_ES |
dc.subject | Cost-effectiveness | es_ES |
dc.subject | EQUIPT | es_ES |
dc.subject | Smoking cessation interventions | es_ES |
dc.subject | Tobacco control | es_ES |
dc.identifier.uri | http://hdl.handle.net/10317/7741 | |
dc.peerreview | Si | es_ES |
dc.identifier.doi | 10.1111/add.14090 | |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es_ES |
dc.type.version | info:eu-repo/semantics/publishedVersion | es_ES |
dc.subject.unesco | 3212 Salud Publica | es_ES |
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