Cost-benefit of medical advice for quitting smoking in the Region of Murcia

  • Angel López-Nicolás /
  • Marta Trapero-Bertran /
  • Celia Muñoz
Journal ar
Atencion Primaria
  • Volumen: 49
  • Número: 7
  • Fecha: 01 August 2017
  • Páginas: 407-416
  • ISSN: 15781275 02126567
  • Source Type: Journal
  • DOI: 10.1016/j.aprim.2016.11.006
  • Document Type: Article
  • Publisher: Elsevier Doyma
© 2016 Elsevier España, S.L.U. Objective To perform a cost-benefit analysis of brief medical advice to quit smoking in the Region of Murcia. Design A cost-benefit analysis is performed on brief medical advice to quit smoking versus non-intervention. A Markov model is used to estimate the costs (¿ in 2014), under the perspective of the National Health System, and health outcomes. These are measured in quality-adjusted life years (QALY). The time horizon of the analysis is 20 years, and costs and health outcomes were discounted at 3%. A univariate and multivariate deterministic sensitivity analysis is performed. Location Region of Murcia. Participants Smokers in the Region of Murcia. Interventions Brief advice to quit smoking. Key measures Quality Adjusted Life Years (QALYs). Results With a time horizon of 5 years (2018), the incremental cost-effectiveness ratio (ICER) would be ¿172,400 per QALY gained; at 10 years (2023) the ICER was ¿30,300 per QALY gained; and, for the maximum horizon considered by the model, the ICER was ¿7,260 per QALY gained. Conclusions Brief advice intervention is more efficient in the long-term than in the short-term and, depending on the Spanish cost-benefit threshold, public funding for this intervention would be recommended.

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