Evidence map›Paper›PMID 25239960›Full record

ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2015

Health care expenditures attributable to smoking in military veterans.

Paul G Barnett, Kim Hamlett-Berry, Hai-Yen Sung, Wendy Max

Open access · hybridAbstract read
In one paragraph

Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
12.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Article
  3. Associations of Sexual Orientation-Related Minority and Military Stressors With Past-Year Cigarette Use Among Lesbian, Gay, and Bisexual Veterans.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Use of electronic cigarettes in the United States service member and Veteran populations: A narrative review (2019).Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2021
    Review
  8. Observational
  9. Article
  10. Smoking Cessation among Female and Male Veterans before and after a Randomized Trial of Proactive Outreach.Women's health issues : official publication of the Jacobs Institute of Women's Health · 2019
    Article
  11. Article
  12. Review
  13. Article
  14. Tobacco Product Use Among Military Veterans - United States, 2010-2015.MMWR. Morbidity and mortality weekly report · 2018
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Paul G BarnettHealth Economics Resource Center, U.S. Department of Veterans Affairs, Menlo Park, CA; Treatment Research Center, University of California, San Francisco, CA; paul.barnett@va.gov.
Kim Hamlett-BerryPublic Health Strategic Health Care Group, U.S. Department of Veterans Affairs, Washington, DC;
Hai-Yen SungInstitute for Health and Aging, University of California, San Francisco, CA.
Wendy MaxInstitute for Health and Aging, University of California, San Francisco, CA.
Department of Veterans Affairs · AUInstitute on Aging · USUnited States Department of Veterans Affairs · USUniversity of California, San Francisco · US

Funding

TREATMENTS FOR COMPLEX PATIENTS IN NEW SETTINGSP50DA009253 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MEYERHOFF, DIETER J · 1994 to 2014
$28.2M
NIDA NIH HHS P50 DA009253
6 · The paper itself

Abstract

introductionThe health effects of cigarette smoking have been estimated to account for between 6%-8% of U.S. health care expenditures. We estimated Veterans Health Administration (VHA) health care costs attributable to cigarette smoking.

methodsVHA survey and administrative data provided the number of Veteran enrollees, current and former smoking prevalence, and the cost of 4 types of care for groups defined by age, gender, and region. Cost and smoking status could not be linked at the enrollee level, so we used smoking attributable fractions estimated in sample of U.S. residents where the linkage could be made.

resultsThe 7.7 million Veterans enrolled in VHA received $40.2 billion in VHA provided health services in 2010. We estimated that $2.7 billion in VHA costs were attributable to the health effects of smoking. This was 7.6% of the $35.3 billion spent on the types of care for which smoking-attributable fractions could be determined. The fraction of inpatient costs that was attributable to smoking (11.4%) was greater than the fraction of ambulatory care cost attributable to smoking (5.3%). More cost was attributable to current smokers ($1.7 billion) than to former smokers ($983 million).

conclusionsThe fraction of VHA costs attributable to smoking is similar to that of other health care systems. Smoking among Veterans is slowly decreasing, but prevalence remains high in Veterans with psychiatric and substance use disorders, and in younger and female Veterans. VHA has adopted a number of smoking cessation programs that have the potential for reducing future smoking-attributable costs.

Indexed as

AdolescentAdultAgedFemaleHealth Care CostsHealth ExpendituresHumansMaleMiddle AgedMilitary PersonnelPrevalenceSmokingSmoking CessationTobacco Use DisorderUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID25239960
PMCPMC5009451
OpenAlexW2068949506

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.