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Cost-effectiveness of the Danish smoking cessation interventions : Subgroup analysis based on the Danish Smoking Cessation Database

Olsen, Kim Rose ; Bilde, Lone ; Juhl, Henrik Hauschildt ; Kjaer, Niels Them ; Mosbech, Holger ; Evald, Torben ; Rasmussen, Mette LU orcid and Hiladakis, Helle (2006) In European Journal of Health Economics 7(4). p.255-264
Abstract

The cost-effectiveness of smoking cessation interventions is well documented. However, most studies are based on randomized controlled trials (RCTs) and provide little information on the differences between subgroups. This study assessed the relative cost-effectiveness of smoking cessation interventions offered to various subgroups of smokers, based on real-life data. Regression analyses provided information on the factors determining abstinence and costs and led to the formation of relevant subgroups of smokers. Probabilistic Markov modeling was then used to estimate the relative cost-effectiveness of smoking cessation interventions for the entire database population and for the subgroups compared to a no-intervention case. The ICER... (More)

The cost-effectiveness of smoking cessation interventions is well documented. However, most studies are based on randomized controlled trials (RCTs) and provide little information on the differences between subgroups. This study assessed the relative cost-effectiveness of smoking cessation interventions offered to various subgroups of smokers, based on real-life data. Regression analyses provided information on the factors determining abstinence and costs and led to the formation of relevant subgroups of smokers. Probabilistic Markov modeling was then used to estimate the relative cost-effectiveness of smoking cessation interventions for the entire database population and for the subgroups compared to a no-intervention case. The ICER for the base case population was estimated at €1,358. This is consistent with results from the existing literature. Group simulations showed lower ICERs for men, hospitals, and light smokers and falling ICERs with increasing age. Despite differences in the cost-effectiveness ratios between subgroups our results do not justify any kind of subgroup differentiation in a smoking prevention policy.

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author
; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cost-effectiveness analyses, Denmark, Fagerström score, Markov modeling, Smoking cessation interventions
in
European Journal of Health Economics
volume
7
issue
4
pages
255 - 264
publisher
Springer
external identifiers
  • scopus:33847310464
  • pmid:16816946
ISSN
1618-7598
DOI
10.1007/s10198-006-0362-1
language
English
LU publication?
no
id
07203af5-211e-41be-8342-e04726f34d9a
date added to LUP
2020-05-13 09:11:34
date last changed
2024-01-02 10:42:55
@article{07203af5-211e-41be-8342-e04726f34d9a,
  abstract     = {{<p>The cost-effectiveness of smoking cessation interventions is well documented. However, most studies are based on randomized controlled trials (RCTs) and provide little information on the differences between subgroups. This study assessed the relative cost-effectiveness of smoking cessation interventions offered to various subgroups of smokers, based on real-life data. Regression analyses provided information on the factors determining abstinence and costs and led to the formation of relevant subgroups of smokers. Probabilistic Markov modeling was then used to estimate the relative cost-effectiveness of smoking cessation interventions for the entire database population and for the subgroups compared to a no-intervention case. The ICER for the base case population was estimated at €1,358. This is consistent with results from the existing literature. Group simulations showed lower ICERs for men, hospitals, and light smokers and falling ICERs with increasing age. Despite differences in the cost-effectiveness ratios between subgroups our results do not justify any kind of subgroup differentiation in a smoking prevention policy.</p>}},
  author       = {{Olsen, Kim Rose and Bilde, Lone and Juhl, Henrik Hauschildt and Kjaer, Niels Them and Mosbech, Holger and Evald, Torben and Rasmussen, Mette and Hiladakis, Helle}},
  issn         = {{1618-7598}},
  keywords     = {{Cost-effectiveness analyses; Denmark; Fagerström score; Markov modeling; Smoking cessation interventions}},
  language     = {{eng}},
  month        = {{12}},
  number       = {{4}},
  pages        = {{255--264}},
  publisher    = {{Springer}},
  series       = {{European Journal of Health Economics}},
  title        = {{Cost-effectiveness of the Danish smoking cessation interventions : Subgroup analysis based on the Danish Smoking Cessation Database}},
  url          = {{http://dx.doi.org/10.1007/s10198-006-0362-1}},
  doi          = {{10.1007/s10198-006-0362-1}},
  volume       = {{7}},
  year         = {{2006}},
}