Evidence map›Paper›PMID 34949573›Full record

ArticleBMJ open respiratory research2021

Health economic analysis for the 'CURE Project' pilot: a hospital-based tobacco dependency treatment service in Greater Manchester.

Matthew Evison, Julian Cox, Freya Howle, Kathryn Groom, Ryan Moore, Hannah Clegg, Cheryl Pearse, Michael Rutherford, Alex Tempowski, Seamus Grundy and 9 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

19 authors at 10 institutions in 1 country.

Matthew EvisonThe CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK m.evison@nhs.net.ORCID 0000-0003-4066-5253
Julian CoxData Analyst Team, Greater Manchester Combined Authority, Greater Manchester, UK.
Freya HowleGreater Manchester CURE Project Team, Greater Manchester Cancer, Greater Manchester, UK.
Kathryn GroomGreater Manchester CURE Project Team, Greater Manchester Cancer, Greater Manchester, UK.
Ryan MooreGreater Manchester CURE Project Team, Greater Manchester Cancer, Greater Manchester, UK.
Hannah CleggGreater Manchester CURE Project Team, Greater Manchester Cancer, Greater Manchester, UK.
Cheryl PearseThe CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Michael RutherfordThe CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Alex TempowskiDepartment of Respiratory Medicine, Stockport NHS Foundation Trust, Stockport, UK.
Seamus GrundyDepartment of Respiratory Medicine, Salford Royal NHS Foundation Trust, Salford, UK.
Beth TurnpennyDepartment of Respiratory Medicine, Fairfield & Rochdale Hospital, Pennine Acute Trust, Greater Manchester, UK.
Hou LawDepartment of Respiratory Medicine, Royal Oldham Hospital, Pennine Acute Trust, Oldham, UK.
Ram SundarDepartment of Respiratory Medicine, Wrightington Wigan and Leigh NHS Foundation Trust, Wigan, UK.
Al-Tahoor ButtTameside General Hospital, Ashton-under-Lyne, UK.
Muntasir AbdelazizTameside General Hospital, Ashton-under-Lyne, UK.
Jane CoyneMake Smoking History Programme, Greater Manchester Health & Social Care Partnership, Greater Manchester, UK.
Andrea CrossfieldMake Smoking History Programme, Greater Manchester Health & Social Care Partnership, Greater Manchester, UK.
Claire O'RourkeGreater Manchester CURE Project Team, Greater Manchester Cancer, Greater Manchester, UK.
David ShackleySenior Leadership Team, Greater Manchester Cancer Alliance, Greater Manchester, UK.
Greater Manchester Police · GBManchester University NHS Foundation Trust · GBTameside Hospital · GBGreater Manchester Combined Authority · GBLondon Cancer · GBRochdale Infirmary · GBRoyal Oldham Hospital · GBSalford Royal NHS Foundation Trust · GBStockport NHS Foundation Trust · GBWrightington, Wigan and Leigh NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTreating tobacco dependency in patients admitted to acute care National Health Service (NHS) trusts is a key priority in the NHS 10-year plan. This paper sets out the results of a health economic analysis for 'The CURE Project' pilot; a new hospital-based tobacco dependency service.

methodsA health economic analysis to understand the costs of the intervention (both for the inpatient service and postdischarge costs), the return on investment (ROI) and the cost per quality-adjusted life year (QALY) of the CURE Project pilot in Greater Manchester. ROI and cost per QALY were calculated using the European Study on Quantifying Utility of Investment in Protection from Tobacco and Greater Manchester Cost Benefit Analysis Tools.

resultsThe total intervention costs for the inpatient service in the 6-month CURE pilot were £96 224 with a cost per patient who smokes of £40.21. The estimated average cost per patient who was discharged on pharmacotherapy was £97.40. The cost per quit (22% quit rate for smokers at 12 weeks post discharge) was £475. The gross financial ROI ratio was £2.12 return per £1 invested with a payback period of 4 years. The cashable financial ROI ratio was £1.06 return per £1 invested with a payback period of 10 years. The public value ROI ratio was £30.49 per £1 invested. The cost per QALY for this programme was £487. DISCUSSION: The CURE Project pilot has been shown to be exceptionally cost-effective with highly significant ROI in this health economic analysis. This supports the NHS priority to embed high-quality tobacco addiction treatment services in acute NHS trusts, and the CURE Project provides a blueprint and framework to achieve this.

Indexed as

AftercareHospitalsHumansPatient DischargeState MedicineTobacco Productshealth economisttobacco and the lung

Identifiers

PMID34949573
PMCPMC8718456
OpenAlexW4200125720

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.