Cost-effectiveness of a high-intensity versus a low-intensity smoking cessation intervention in a dental setting: long-term follow-up.

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Cost-effectiveness of a high-intensity versus a low-intensity smoking cessation intervention in a dental setting: long-term follow-up.

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dc.contributor.author Feldman, Inna
dc.contributor.author Helgason, Asgeir Runar
dc.contributor.author Johansson, Pia
dc.contributor.author Tegelberg, Ake
dc.contributor.author Nohlert, Eva
dc.contributor.author Tegelberg, Åke
dc.date.accessioned 2019-10-21T13:24:38Z
dc.date.available 2019-10-21T13:24:38Z
dc.date.issued 2019 en_US
dc.identifier.issn 2044-6055 en_US
dc.identifier.uri http://hdl.handle.net/2043/30264
dc.description.abstract OBJECTIVES: The aim of this study was to conduct a cost-effectiveness analysis (CEA) of a high-intensity and a low-intensity smoking cessation treatment programme (HIT and LIT) using long-term follow-up effectiveness data and to validate the cost-effectiveness results based on short-term follow-up. DESIGN AND OUTCOME MEASURES: Intervention effectiveness was estimated in a randomised controlled trial as numbers of abstinent participants after 1 and 5-8 years of follow-up. The economic evaluation was performed from a societal perspective using a Markov model by estimating future disease-related costs (in Euro (euro) 2018) and health effects (in quality-adjusted life-years (QALYs)). Programmes were explicitly compared in an incremental analysis, and the results were presented as an incremental cost-effectiveness ratio. SETTING: The study was conducted in dental clinics in Sweden. PARTICIPANTS: 294 smokers aged 19-71 years were included in the study. INTERVENTIONS: Behaviour therapy, coaching and pharmacological advice (HIT) was compared with one counselling session introducing a conventional self-help programme (LIT). RESULTS: The more costly HIT led to higher number of 6-month continuous abstinent participants after 1 year and higher number of sustained abstinent participants after 5-8 years, which translates into larger societal costs avoided and health gains than LIT. The incremental cost/QALY of HIT compared with LIT amounted to euro918 and euro3786 using short-term and long-term effectiveness, respectively, which is considered very cost-effective in Sweden. CONCLUSION: CEA favours the more costly HIT if decision makers are willing to spend at least euro4000/QALY for tobacco cessation treatment. en_US
dc.language.iso eng en_US
dc.publisher BMJ en_US
dc.subject.classification Medicine en_US
dc.title Cost-effectiveness of a high-intensity versus a low-intensity smoking cessation intervention in a dental setting: long-term follow-up. en_US
dc.type Article, peer reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Odontology
dc.identifier.doi 10.1136/bmjopen-2019-030934 en_US
dc.subject.srsc Research Subject Categories::ODONTOLOGY en_US
dc.relation.ispartofpublication BMJ Open;8
dc.relation.ispartofpublicationvolume 9 en_US
dc.description.authorversion No en_US
dc.identifier.pmid 31420398
dcterms.identifier.OAurl https://bmjopen.bmj.com/content/9/8/e030934 en_US
dc.format.artNo e030934 en_US
dc.format.sPage e030934 en_US
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