ArticleTobacco control2018
Global economic cost of smoking-attributable diseases.
Article in Tobacco control, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 329 papers, 11 of them syntheses that pooled 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.
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.
Who cites it
329 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Women's experiences of discussing health behaviours within their maternity care: a systematic review and meta-synthesis.Reproductive health · 2026Pooled it
- Breaking the habit: a systematic review of the cost-effectiveness of non-pharmacological and combined interventions for smoking cessation in Europe.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Pooled it
- Economic Burden of Self-Reported Tobacco Smoking Compared with Non-Smoking: Systematic Review and Meta-Analysis of Direct Health Care Costs.Advances in therapy · 2025Pooled it
- Effectiveness of digital tools for smoking cessation in Asian countries: a systematic review.Annals of medicine · 2024Pooled it
- Impact of secondhand smoke on air quality in partially enclosed outdoor hospitality venues: a review.BMC public health · 2024Pooled it
- Prevalence of tobacco smoking and associated factors among adults in Ethiopia: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Non-compliance with smoke-free law in public places: a systematic review and meta-analysis of global studies.Frontiers in public health · 2024Pooled it
- A systematic review of digital interventions for smoking cessation in patients with serious mental illness.Psychological medicine · 2023Pooled it
- Impact of Smoking and Vaping in Films on Smoking and Vaping Uptake in Adolescents: Systematic Review and Meta-Analysis.Health education & behavior : the official publication of the Society for Public Health Education · 2022Pooled it
- Comparative clinical effectiveness and safety of tobacco cessation pharmacotherapies and electronic cigarettes: a systematic review and network meta-analysis of randomized controlled trials.Addiction (Abingdon, England) · 2022Pooled it
- A systematic review with meta-analysis of the effects of smoking cessation strategies in patients with rheumatoid arthritis.PloS one · 2022Pooled it
- Cardiopulmonary effects of combustible cigarettes and e-cigarettes in individuals with chronic obstructive pulmonary disease.Experimental and clinical psychopharmacology · 2026Trial
- Trial
- Smartband-based smoking detection and real-time brief mindfulness intervention: findings from a feasibility clinical trial.Annals of medicine · 2024Trial
- Text Message-Based Cessation Intervention for People Who Smoked or Used Smokeless Tobacco in India: A Feasibility Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Trial
- Cigarette smoking and cognitive task performance: Experimental effects of very-low nicotine-content cigarettes.Experimental and clinical psychopharmacology · 2024Trial
- Universal School-Based Substance Use Prevention Using Technology-Supported Cooperative Learning.Prevention science : the official journal of the Society for Prevention Research · 2024Trial
- Short-term effectiveness of the national German quitline for smoking cessation: results of a randomized controlled trial.BMC public health · 2024Trial
- Long-Term Effectiveness of a Clinician-Assisted Digital Cognitive Behavioral Therapy Intervention for Smoking Cessation: Secondary Outcomes From a Randomized Controlled Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Trial
- Article
269 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issuedCorrection:2018
Authors and funding
3 authors.
Funding
Abstract
backgroundThe detrimental impact of smoking on health has been widely documented since the 1960s. Numerous studies have also quantified the economic cost that smoking imposes on society. However, these studies have mostly been in high income countries, with limited documentation from developing countries. The aim of this paper is to measure the economic cost of smoking-attributable diseases in countries throughout the world, including in low- and middle-income settings.
methodsThe Cost of Illness approach is used to estimate the economic cost of smoking attributable-diseases in 2012. Under this approach, economic costs are defined as either 'direct costs' such as hospital fees or 'indirect costs' representing the productivity loss from morbidity and mortality. The same method was applied to 152 countries, which had all the necessary data, representing 97% of the world's smokers.
findingsThe amount of healthcare expenditure due to smoking-attributable diseases totalled purchasing power parity (PPP) $467 billion (US$422 billion) in 2012, or 5.7% of global health expenditure. The total economic cost of smoking (from health expenditures and productivity losses together) totalled PPP $1852 billion (US$1436 billion) in 2012, equivalent in magnitude to 1.8% of the world's annual gross domestic product (GDP). Almost 40% of this cost occurred in developing countries, highlighting the substantial burden these countries suffer.
conclusionsSmoking imposes a heavy economic burden throughout the world, particularly in Europe and North America, where the tobacco epidemic is most advanced. These findings highlight the urgent need for countries to implement stronger tobacco control measures to address these costs.
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Registered trials
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.