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Cost-effectiveness of smoking cessation programs for hospitalized patients: a systematic review

Author

Listed:
  • Donghoon Lee

    (University of Washington)

  • Ye-Rin Lee

    (Kyung Hee University College of Medicine)

  • In-Hwan Oh

    (Kyung Hee University College of Medicine)

Abstract

Objective This systematic review examined the characteristics of published cost-effectiveness analyses of inpatient smoking cessation programs and assessed the methodological quality of the selected studies, to provide policymakers with economic evidence for this type of program. Methods A literature search was undertaken using a relevant database by three investigators. Only full economic evaluations with results in the form of the incremental cost-effectiveness ratio (ICER) were included. Costs were adjusted to 2016 US dollars using the Gross Domestic Product deflator and purchasing power parities. The British Medical Journal checklist was utilized to appraise the methodological quality of the included studies. Results Nine articles were ultimately selected. The inpatient smoking cessation programs appeared to be a highly cost-effective intervention according to the recommended cost-effectiveness thresholds by the World Health Organization or individual studies. The highest ICERs among the selected studies were $5593 per additional quit, $10,550 per life year gained, and $5680 per quality-adjusted life year gained. Conclusions This study provides robust evidence supporting the cost-effectiveness of smoking cessation programs for hospitalized patients. In addition, the results indicated that the degree of cost-effectiveness of the inpatient smoking cessation program might not be related to either the components of the program or methodological variations in the cost-effectiveness analysis. Policymakers should provide hospitals with resources and strong incentives to promote wider implementation of the smoking cessation program.

Suggested Citation

  • Donghoon Lee & Ye-Rin Lee & In-Hwan Oh, 2019. "Cost-effectiveness of smoking cessation programs for hospitalized patients: a systematic review," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(9), pages 1409-1424, December.
    • Handle: RePEc:spr:eujhec:v:20:y:2019:i:9:d:10.1007_s10198-019-01105-7
    DOI: 10.1007/s10198-019-01105-7
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    References listed on IDEAS

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    1. Don Husereau & Michael Drummond & Stavros Petrou & Chris Carswell & David Moher & Dan Greenberg & Federico Augustovski & Andrew Briggs & Josephine Mauskopf & Elizabeth Loder, 2013. "Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(3), pages 367-372, June.
    2. Mattias Neyt & Patrice Chalon, 2013. "Search MEDLINE for Economic Evaluations: Tips to Translate an OVID Strategy into a PubMed One," PharmacoEconomics, Springer, vol. 31(12), pages 1087-1090, December.
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    Cited by:

    1. Rachael Taylor & Deborah Sullivan & Penny Reeves & Nicola Kerr & Amy Sawyer & Emma Schwartzkoff & Andrew Bailey & Christopher Williams & Alexis Hure, 2023. "A Scoping Review of Economic Evaluations to Inform the Reorientation of Preventive Health Services in Australia," IJERPH, MDPI, vol. 20(12), pages 1-47, June.
    2. Mi-Jeong Park & Young-Gyun Seo & Hye-Mi Noh & Yeol Kim & Jong Lull Yoon & Yu-Jin Paek, 2021. "Effectiveness of National Residential Smoking Cessation Program," IJERPH, MDPI, vol. 18(18), pages 1-15, September.

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    More about this item

    Keywords

    Smoking cessation; Hospitalized patients; Cost-effectiveness analysis; Systematic review;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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