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Systematic Review of Economic Evaluations of Smoking Cessation: Standardizing the Cost-Effectiveness

Author

Listed:
  • E. T. Ronckers

    (Department of Health Organisation, Policy and Economics, Maastricht University, Maastricht, the Netherlands, and the Care and Public Health Research Institute, Maastricht, the Netherlands., S.Ronckers@BEOZ.unimaas.nl)

  • W. Groot

    (Department of Health Organisation, Policy and Economics, Maastricht University, Maastricht, the Netherlands, and the Care and Public Health Research Institute, Maastricht, the Netherlands.)

  • A.J.H.A. Ament

    (Department of Health Organisation, Policy and Economics, Maastricht University, Maastricht, the Netherlands, and the Care and Public Health Research Institute, Maastricht, the Netherlands.)

Abstract

Objectives . This study was performed to render cost-effectiveness studies on smoking cessation therapies, utilized until now, more comparable and more useful for medical decision making. Methods . The cost-effectiveness ratios reported by the studies were recalculated using a societal perspective and guidelines for economic evaluation. Results . The costs of individual interventions generally increased as a result of the standardization procedure, whereas the effect size decreased. This resulted in increases in the cost-effectiveness ratios for individual studies ranging from 120% to 5600%. Conclusions . The variation between studies in the percentage increase in cost-effectiveness ratios is huge. This means that not following guidelines when calculating cost-effectiveness ratios can result in large errors. Despite the fact that the standardized cost-effectiveness ratios of smoking interventions were higher than the unstandardized cost-effectiveness ratios, interventions aimed at reducing the prevalence of smoking are cost-effective.

Suggested Citation

  • E. T. Ronckers & W. Groot & A.J.H.A. Ament, 2005. "Systematic Review of Economic Evaluations of Smoking Cessation: Standardizing the Cost-Effectiveness," Medical Decision Making, , vol. 25(4), pages 437-448, July.
    • Handle: RePEc:sae:medema:v:25:y:2005:i:4:p:437-448
    DOI: 10.1177/0272989X05278431
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    Citations

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    Cited by:

    1. Sanjib Saha & Ulf-G Gerdtham & Pia Johansson, 2010. "Economic Evaluation of Lifestyle Interventions for Preventing Diabetes and Cardiovascular Diseases," IJERPH, MDPI, vol. 7(8), pages 1-46, August.
    2. Herman, Patricia M. & Avery, Deirdre J. & Schemp, Crystal S. & Walsh, Michele E., 2009. "Are cost-inclusive evaluations worth the effort?," Evaluation and Program Planning, Elsevier, vol. 32(1), pages 55-61, February.
    3. Kristian Bolin, 2012. "Economic Evaluation of Smoking-Cessation Therapies," PharmacoEconomics, Springer, vol. 30(7), pages 551-564, July.
    4. van Baal, Pieter H.M. & Brouwer, Werner B.F. & Hoogenveen, Rudolf T. & Feenstra, Talitha L., 2007. "Increasing tobacco taxes: A cheap tool to increase public health," Health Policy, Elsevier, vol. 82(2), pages 142-152, July.

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