Evidence map›Paper›PMID 28833765›Full record

ArticleAddiction (Abingdon, England)2018

Development and application of an economic model (EQUIPTMOD) to assess the impact of smoking cessation.

Kathryn Coyle, Doug Coyle, Adam Lester-George, Robert West, Bertalan Nemeth, Mickael Hiligsmann, Marta Trapero-Bertran, Reiner Leidl, Subhash Pokhrel, EQUIPT Study Group

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Association Between Smoking Cessation Treatment and Healthcare Costs in a Single-Payer Public Healthcare System.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
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  4. A cost-utility analysis of the impact of electronic nicotine delivery systems on health care costs and outcomes in Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2022
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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

10 authors.

Kathryn CoyleHealth Economics Research Group, Institute of Environment, Health and Societies, Brunel University London, London, UK.
Doug CoyleHealth Economics Research Group, Institute of Environment, Health and Societies, Brunel University London, London, UK.
Adam Lester-GeorgeLeLan Solutions, Bristol, UK.
Robert WestDepartment of Epidemiology and Public Health, University College London, London, UK.
Bertalan NemethSyreon Research Institute, Budapest, Hungary.
Mickael HiligsmannDepartment of Health Services Research, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.
Marta Trapero-BertranCentre of Research in Economics and Health (CRES-UPF), University Pompeu Fabra, Barcelona, Spain.
Reiner LeidlInstitute of Health Economics and Health Care Management, Helmholtz Zentrum München (GmbH)-German Research Center for Environmental Health, Comprehensive Pneumology Center Munich (CPC-M), Member of the German Center for Lung Research (DZL), Neuherberg, Germany.
Subhash PokhrelHealth Economics Research Group, Institute of Environment, Health and Societies, Brunel University London, London, UK.
EQUIPT Study Group

Funding

Cancer Research UK 22962Medical Research Council MR/K023195/1
6 · The paper itself

Abstract

BACKGROUND AND

aimsAlthough clear benefits are associated with reducing smoking, there is increasing pressure on public health providers to justify investment in tobacco control measures. Decision-makers need tools to assess the Return on Investment (ROI)/cost-effectiveness of programmes. The EQUIPT project adapted an ROI tool for England to four European countries (Germany, the Netherlands, Spain and Hungary). EQUIPTMOD, the economic model at the core of the ROI tool, is designed to assess the efficiency of packages of smoking cessation interventions. The objective of this paper is to describe the methods for EQUIPTMOD and identify key outcomes associated with continued and cessation of smoking.

methodsEQUIPTMOD uses a Markov model to estimate life-time costs, quality-adjusted life years (QALYs) and life years associated with a current and former smoker. It uses population data on smoking prevalence, disease prevalence, mortality and the impact of smoking combined with associated costs and utility effects of disease. To illustrate the tool's potential, costs, QALYs and life expectancy were estimated for the average current smoker for five countries based on the assumptions that they continue and that they cease smoking over the next 12 months. Costs and effects were discounted at country-specific rates.

resultsFor illustration, over a life-time horizon, not quitting smoking within the next 12 months in England will reduce life expectancy by 0.66, reduce QALYs by 1.09 and result in £4961 higher disease-related health care costs than if the smoker ceased smoking in the next 12 months. For all age-sex categories, costs were lower and QALYs higher for those who quit smoking in the 12 months than those who continued.

conclusionsEQUIPTMOD facilitates assessment of the cost effectiveness of smoking cessation strategies. The demonstrated results indicate large potential benefits from smoking cessation at both an individual and population level.

Indexed as

Models, EconomicEuropeHumansSmokingSmoking CessationCost-effectivenessMarkov modelreturn on investmentsmoking cessationtobaccotobacco control

Identifiers

PMID28833765
PMCPMC6033161

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Registered trials

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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.