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

E. T. Ronckers, W. Groot and A.J.H.A. Ament
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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.

Medical Decision Making, 2005, vol. 25, issue 4, 437-448

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.

Keywords: systematic review; CE analysis; smoking cessation (search for similar items in EconPapers)
Date: 2005
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Citations: View citations in EconPapers (4)

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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:25:y:2005:i:4:p:437-448

DOI: 10.1177/0272989X05278431

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