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Related Experiment Videos

Quitline in smoking cessation: a cost-effectiveness analysis.

Tanja Tomson1, Asgeir R Helgason, Hans Gilljam

  • 1Center for Tobacco Prevention, Stockholm Centre of Public Health, Stockholm, Sweden. tanja.tomson@smd.sl.se

International Journal of Technology Assessment in Health Care
|December 22, 2004
PubMed
Summary

The Swedish quitline, a free national smoking cessation service, is a cost-effective public health intervention. It saves life years at a cost of $311–$401 per quitter, making it valuable for public health.

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Area of Science:

  • Public Health
  • Health Economics
  • Smoking Cessation

Background:

  • Smoking remains a significant public health concern globally.
  • Effective and cost-efficient interventions are crucial for smoking cessation programs.
  • The Swedish national quitline offers a free, accessible service for smokers seeking to quit.

Purpose of the Study:

  • To assess the cost-effectiveness of the Swedish national quitline.
  • To determine the cost per quitter and cost per life year saved (LYS).
  • To compare the intervention's value against other smoking cessation methods.

Main Methods:

  • A sample of 1131 callers to the Swedish quitline were analyzed.
  • Data from February 2000 to November 2001 were used.

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  • Outcomes included cost per quitter (12-month abstinence) and cost per LYS, incorporating literature data on life expectancy and treatment costs.

    • Main Results:

    • 31% of callers (354 individuals) achieved 12-month abstinence.
    • The intervention yielded 2400 life years saved.
    • Cost per quitter ranged from $1052–$1360 USD.
    • Cost per life year saved (LYS) ranged from $311–$401 USD.
    • Sensitivity analysis showed costs increased to $482 USD at a 20% abstinence rate.
    • Discounted costs per LYS were $135 USD (3%) and $283 USD (5%).

    Conclusions:

    • The Swedish quitline is a cost-effective public health intervention.
    • It presents a favorable economic value compared to alternative smoking cessation strategies.
    • The service demonstrates significant potential for improving population health outcomes efficiently.