The cost-effectiveness of a smoking cessation program for out-patients in treatment for depression.
AIMS: Smoking cessation programs are highly cost-effective. The cost-effectiveness of programs for psychiatric patients may be affected by differences in cost, efficacy, survival and quality of life. We evaluated cost-effectiveness of a program for smokers being treated for depression. DESIGN: A ran...
| Published in: | Addiction Vol. 103; no. 5; pp. 834 - 841 |
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| Main Authors: | , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
May2008
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105776179&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105776179 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: May2008 vid: 103 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105776179 2009921490 10.1111/j.1360-0443.2008.02167.x NLM18412763 105776179 ppf: 834 ppct: 7 formats: fmt: @attributes: type: P tig: atl: The cost-effectiveness of a smoking cessation program for out-patients in treatment for depression. aug: au: Barnett PG Wong W Hall S affil: Department of Psychiatry, University of California, San Francisco, CA, USA. paul.barnett@va.gov sug: subj: Cost Benefit Analysis Depression Therapy Mental Health Services Economics Smoking Cessation Programs Economics Adult Clinical Trials Comparative Studies Current Procedural Terminology Descriptive Statistics Female Funding Source Health Care Costs Health Resource Utilization Insurance, Health, Reimbursement Interviews Male Medicare Middle Age Outpatients Psychological Tests Self Report Wilcoxon Rank Sum Test Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: AIMS: Smoking cessation programs are highly cost-effective. The cost-effectiveness of programs for psychiatric patients may be affected by differences in cost, efficacy, survival and quality of life. We evaluated cost-effectiveness of a program for smokers being treated for depression. DESIGN: A randomized trial compared brief contact to a stepped smoking cessation program in 322 cigarette smoking mental health out-patients. We determined the intervention's direct cost. Because smoking cessation may affect short-term use of mental health care, we used administrative databases and self-report to find mental health-care cost. FINDINGS: The 163 individuals randomized to stepped care received an average of $346 of smoking cessation services, including $221 for computer-mediated assessments of readiness to quit, and $124 for counseling, nicotine replacement therapy and bupropion. The cessation program was used by 53 participants. Total cost of smoking cessation and mental health services was $4805 in the stepped care group and $4173 in the brief-contact care group (not significantly different). After 18 months of follow-up, the stepped care group had 5.5% greater abstinence from smoking. Smoking cessation services cost $6204 per successful quit. Cessation services and mental health care cost was $11 496 per successful quit. CONCLUSION: If smoking cessation yields 1.2 years additional life, the cessation services cost $5170 per life-year, and cessation services and mental health care cost $9580 per life-year. Even if quitting does not increase survival of depressed individuals as well as in other smokers, the stepped care intervention is likely to be regarded as cost-effective. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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