Evidence map›Paper›PMID 36710199›Full record

ArticleAmerican journal of preventive medicine2023

Cost-Effectiveness of Smoking Cessation Approaches in Emergency Departments.

Ted R Miller, Mark B Johnson, James D Dziura, June Weiss, Kelly M Carpenter, Lauretta E Grau, Michael V Pantalon, Lorien Abroms, Linda M Collins, Benjamin A Toll and 1 more

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Trial
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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

11 authors at 7 institutions in 2 countries.

Ted R MillerPacific Institute for Research and Evaluation, Beltsville, Maryland, School of Public Health, Curtin University, Perth, Australia. Electronic address: miller@pire.org.
Mark B JohnsonPacific Institute for Research and Evaluation, Beltsville, Maryland, School of Public Health, Curtin University, Perth, Australia.
James D DziuraDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
June WeissDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
Kelly M CarpenterOptum Center for Wellbeing Research, Seattle, Washington.
Lauretta E GrauYale Center for Implementation Science, Yale School of Medicine, New Haven, Connecticut.
Michael V PantalonDepartment of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut.
Lorien AbromsDepartment of Prevention and Community Health, Milken Institute School of Public Health at George Washington University, Washington, District of Columbia.
Linda M CollinsSchool of Global Public Health, New York University, New Haven, Connecticut.
Benjamin A TollYale Cancer Center, New Haven, Connecticut; Medical University of South Carolina, Charleston, South Carolina.
Steven L BernsteinDartmouth Hitchcock Medical Center, Lebanon, New Hampshire; Dartmouth Geisel School of Medicine, Hanover, New Hampshire; C. Everett Koop Institute at Dartmouth, Dartmouth Geisel School of Medicine, Hanover, New Hampshire.
Yale University · USCurtin University · AUDartmouth College · USMedical University of South Carolina · USMilken Institute · USOptum (United States) · USUniversity of New Haven · US

Funding

Implementation of HIT-Enhanced Tobacco Treatment for Hospitalized SmokersR18HL108788 · NHLBI · YALE UNIVERSITY · PI BERNSTEIN, STEVEN L · 2012 to 2015
$3.0M
Treating Low-Income Smokers in the Hospital Emergency DepartmentR01CA141479 · NCI · YALE UNIVERSITY · PI BERNSTEIN, STEVEN L · 2010 to 2014
$3.0M
Yale Scholars in Implementation Science (YSIS)K12HL138037 · NHLBI · YALE UNIVERSITY · PI SHARIFI, MAHNOOSH · 2017 to 2021
$3.0M
Optimizing Tobacco Dependence Treatment in the Emergency DepartmentR01CA201873 · NCI · YALE UNIVERSITY · PI DZIURA, JAMES DAVID · 2016 to 2019
$2.7M
NCI NIH HHS R01 CA141479NCI NIH HHS R01 CA201873NHLBI NIH HHS K12 HL138037NHLBI NIH HHS R18 HL108788
6 · The paper itself

Abstract

introductionAmericans of lower SES use tobacco products at disproportionately high rates and are over-represented as patients of emergency departments. Accordingly, emergency department visits are an ideal time to initiate tobacco treatment and aftercare for this vulnerable and understudied population. This research estimates the costs per quit of emergency department smoking-cessation interventions and compares them with those of other approaches.

methodsPreviously published research described the effectiveness of 2 multicomponent smoking cessation interventions, including brief negotiated interviewing, nicotine replacement therapy, quitline referral, and follow-up communication. Study 1 (collected in 2010-2012) only analyzed the combined interventions. Study 2 (collected in 2017-2019) analyzed the intervention components independently. Costs per participant and per quit were estimated separately, under distinct intervention with dedicated staff and intervention with repurposed staff assumptions. The distinction concerns whether the intervention used dedicated staff for delivery or whether time from existing staff was repurposed for intervention if available.

resultsData were analyzed in 2021-2022. In the first study, the cost per participant was $860 (2018 dollars), and the cost per quit was $11,814 (95% CI=$7,641, $25,423) (dedicated) and $227 per participant and $3,121 per quit (95% CI=$1,910, $7,012) (repurposed). In Study 2, the combined effect of brief negotiated interviewing, nicotine replacement therapy, and quitline cost $808 per participant and $6,100 per quit (dedicated) (95% CI=$4,043, $12,274) and $221 per participant and $1,669 per quit (95% CI=$1,052, $3,531) (repurposed).

conclusionsCosts varied considerably per method used but were comparable with those of other smoking cessation interventions.

Indexed as

Smoking CessationTobacco Use DisorderCost-Benefit AnalysisEmergency Service, HospitalHumansNicotianaTobacco Use Cessation Devices

Identifiers

PMID36710199
PMCPMC10293014
OpenAlexW4318320623

What OpenQuestion holds

Textmetadata
LicenceTDM
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.