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

Donghoon Lee (), Ye-Rin Lee () and In-Hwan Oh ()
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Donghoon Lee: University of Washington
Ye-Rin Lee: Kyung Hee University College of Medicine
In-Hwan Oh: Kyung Hee University College of Medicine

The European Journal of Health Economics, 2019, vol. 20, issue 9, No 10, 1409-1424

Abstract: 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.

Keywords: Smoking cessation; Hospitalized patients; Cost-effectiveness analysis; Systematic review (search for similar items in EconPapers)
JEL-codes: I18 (search for similar items in EconPapers)
Date: 2019
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Citations: View citations in EconPapers (2)

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DOI: 10.1007/s10198-019-01105-7

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