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Cost-effectiveness analysis of the SMART quit clinic program in smokers with cardiovascular disease in Thailand
- Source :
- Tobacco Induced Diseases, Vol 21, Iss April, Pp 1-9 (2023)
- Publication Year :
- 2023
- Publisher :
- European Publishing, 2023.
-
Abstract
- Introduction The SMART Quit Clinic Program (FAHSAI Clinic) has been implemented in Thailand since 2010; however, it remains unclear whether the benefits gained from this program justify its costs. We assessed its cost-effectiveness compared to usual care in a population of Thai smokers with cardiovascular disease (CVD) from a societal perspective. Methods We conducted a cost-utility analysis using a Markov model to simulate lifetime costs and quality-adjusted life years (QALYs) of Thai smokers aged ≥35 years receiving smoking cessation services offered from FAHSAI Clinic or usual care over a horizon of 50 years. The model used a 6-month continuous abstinence rate from a multicenter prospective study of 24 FAHSAI Clinics. A series of sensitivity analyses including probabilistic sensitivity analysis were conducted to assess robustness of study findings. Cost data are presented in US$ for 2020. Results The FAHSAI Clinic was dominant as it was less costly ($9537.92 vs $10964.19) and more effective (6.06 vs 5.96 QALYs) compared with usual care over the 50-year time horizon. Changes in risks of stroke and coronary heart disease among males had the largest impact on the cost-effectiveness findings. The probability that FAHSAI Clinic was cost-effective was 99.8% at a willingness-to- pay threshold of $5120. Conclusions The FAHSAI Clinic smoking cessation program was clinically superior and cost-saving compared to usual care for Thai patients with CVD in all scenarios. A budget impact analysis is needed to estimate the financial impact of adopting this program within the Thai healthcare system.
Details
- Language :
- English
- ISSN :
- 16179625
- Volume :
- 21
- Issue :
- April
- Database :
- Directory of Open Access Journals
- Journal :
- Tobacco Induced Diseases
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.8fe8ae024c7f406b883c8950252a410d
- Document Type :
- article
- Full Text :
- https://doi.org/10.18332/tid/161024