在瘤诊所的保健点戒烟干预措施的成本效益
Kerri A Mullen1,2, Kelly Hurley3, Shelley Hewitson3
1University of Ottawa Heart Institute, Ottawa, ON, Canada. kmullen@ottawaheart.ca.
British journal of cancer
|August 14, 2024
概括
为癌症患者提供系统的戒烟干预措施是具有成本效益的. 标准干预和增强干预都大大减少了治疗失败率,增加了戒烟率,使它们成为癌症护理的宝贵补充.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 吸烟仍然是癌症患者的一个重要问题.
- 在这群人群中,医疗点干预对于解决戒烟问题的关键是关键.
研究的目的:
- 评估系统性戒烟干预措施对瘤患者的成本效益.
- 为了将通常的护理与太华戒烟模式 (OMSC) 和OMSC加戒烟药物 (OMSC+SSM) 进行比较.
主要方法:
- 从医疗保健支付人的角度使用决策分析模型.
- 包括加拿大新不伦瑞克州发生的癌症病例 (n=1040).
- 将常规护理与OMSC和OMSC+SSM进行了比较,评估了戒烟率和治疗失败率等结果.
主要成果:
- 标准OMSC的每次退出增加成本 (ICQ) 为C143美元,每次癌症治疗失败避免增加成本 (ICTFA) 为C1193美元.
- OMSC+SSM的ICQ为C503美元,ICTFA的ICQ为C5952美元.
- 在100%的模拟中,这两种干预措施都具有成本效益,OMSC+SSM显示戒烟治疗所需的数量较低 (4对9).
结论:
- 系统的戒烟干预措施在低增量成本下提供高临床效益.
- 这些干预措施应该作为一线癌症治疗的标准组成部分.
- 照顾点的支持有效地改善了吸烟癌症患者的治疗结果.
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