Cost-effectiveness of extended cessation treatment for older smokers
| Autor: | Barnett, Paul G., Wong, Wynnie, Jeffers, Abra, Munoz, Ricardo, Humfleet, Gary, Hall, Sharon |
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| Rok vydání: | 2014 |
| Předmět: |
Counseling
Male Comparative Effectiveness Research Cost-Benefit Analysis Clinical Trials and Supportive Activities Medical and Health Sciences Article Substance Misuse Clinical Research tobacco use cessation Behavioral and Social Science Tobacco 80 and over Secondary Prevention Humans incremental cost-effectiveness ratio cognitive behaviorial treatment Aged Cancer Aged 80 and over Cognitive Behavioral Therapy Tobacco Smoke and Health Prevention Rehabilitation Psychology and Cognitive Sciences cost-effectiveness analysis Substance Abuse Tobacco Use Disorder Middle Aged Patient Acceptance of Health Care Health Services Tobacco Use Cessation Devices Markov model extended smoking cessation Clinical trial Treatment Outcome Good Health and Well Being Cost Effectiveness Research Respiratory Smoking Cessation Female Quality-Adjusted Life Years |
| Zdroj: | Addiction (Abingdon, England), vol 109, iss 2 |
| Popis: | AimsWe examined the cost-effectiveness of extended smoking cessation treatment in older smokers.DesignParticipants who completed a 12-week smoking cessation program were factorial randomized to extended cognitive behavioral treatment and extended nicotine replacement therapy.SettingA free-standing smoking cessation clinic.ParticipantsA total of 402 smokers aged 50 years and older were recruited from the community.MeasurementsThe trial measured biochemically verified abstinence from cigarettes after 2 years and the quantity of smoking cessation services utilized. Trial findings were combined with literature on changes in smoking status and the age- and gender-adjusted effect of smoking on health-care cost, mortality and quality of life over the long term in a Markov model of cost-effectiveness over a lifetime horizon.FindingsThe addition of extended cognitive behavioral therapy added $83 in smoking cessation services cost [P = 0.012, confidence interval (CI) = $22-212]. At the end of follow-up, cigarette abstinence rates were 50.0% with extended cognitive behavioral therapy and 37.2% without this therapy (P |
| Databáze: | OpenAIRE |
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