Evidence map›Paper›PMID 33639939›Full record

ArticleBMC health services research2021

The impact of smoking on annual healthcare cost: an econometric model analysis in China, 2015.

Shiyao Huang, Han Wei, Tingting Yao, Zhengzhong Mao, Qun Sun, Lian Yang

Abstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

6 authors.

Shiyao HuangSchool of Management, Chengdu University of Traditional Chinese Medicine, Chengdu, People's Republic of China.
Han WeiSchool of Management, Chengdu University of Traditional Chinese Medicine, Chengdu, People's Republic of China.
Tingting YaoInstitute for Health and Aging, University of California, San Francisco, California, USA.
Zhengzhong MaoHuaxi School of Public Health, Sichuan University, Chengdu, People's Republic of China.
Qun SunSchool of Management, Chengdu University of Traditional Chinese Medicine, Chengdu, People's Republic of China.
Lian YangSchool of Public Health, Chengdu University of Traditional Chinese Medicine, No.1166, Liu Cheng Da Dao, Wenjiang District, Chengdu, People's Republic of China. yyanglian@163.com.ORCID http://orcid.org/0000-0003-0457-9323

Funding

National Natural Science Foundation of China 71603032
6 · The paper itself

Abstract

backgroundSmoking exerts substantial medical burdens on society. Precise estimation of the smoking-attributable medical expenditures (SAME) helps to inform tobacco control policy makers. Based on the epidemiological approach, prior studies in China only focused on a few smoking-related diseases to estimate SAME. In contrast, this study used the econometric approach, which is capable of capturing all of the potential costs.

methodsThree waves of panel data from the 2011-2015 national China Health and Retirement Longitudinal Study (CHARLS) were used. A total of 34,503 observations aged 45 and above were identified. Estimates from econometric models were combined to predict the smoking-attributable fraction (SAF) and medical expenditures attributable to smoking by sex, registered residency and healthcare service categories. All monetary amounts were adjusted to 2015 dollars.

resultsIn 2015, the overall smoking-attributable fraction (SAF) of China was 10.97%, ranging from 5.77% for self-medication to 16.87% for inpatient visits. The smoking-attributable medical expenditure (SAME) was about $45.28 billion, accounting for 7.24% of the total health expenditure. The SAME was $226.77 per smoker aged 45 and above. The regression results suggest that being a former smoker has the greatest impact, which decreases over time after quitting however, on the value of medical expenditures.

conclusionsSmoking-attributable medical expenditures was substantial and placed a heavy burden on Chinese society. Comprehensive tobacco control policies and regulations are still needed to promote progress toward curbing the tobacco related losses.

Indexed as

Health Care CostsSmokingChinaHealth ExpendituresHumansLongitudinal StudiesMiddle AgedModels, EconometricChinaEconometric approachMedical expendituresSmoking

Identifiers

PMID33639939
PMCPMC7916274

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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.