Summary of the cost effectiveness of face to face interventions
| Intervention/details of study | Source study | Whose results | Price year | Discount rate (%) | Follow up period (months) | Cost effectiveness | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GP advice to middle aged males, non-experimental | Williams62 | Williams62 | 1985 | 5 | N/A | £167/QALY | ||||||
| GP advice to middle aged males, non-experimental | Williams62 | Buck and Godfrey2 | 1992–3 | 5 | N/A | £285/QALY | ||||||
| GP advice to middle aged males, non-experimental: new assumptions | Williams62 | Buck and Godfrey2 | 1992–3 | 5 | N/A | £119/QALY | ||||||
| Physician advice to 35–65 year olds: baseline estimates | Cummings et al 63 | Cummings et al 63 | 1984 | 5 | 12 | $705–2058 per life year saved | ||||||
| Physician advice to 35–69 year olds: sensitivity range | Cummings et al 63 | Cummings et al 63 | 1984 | 5 | 12 | $433–5556 per life year saved | ||||||
| Physician advice to 45–49 year olds: follow up visit | Cummings et al 63 | Cummings et al 63 | 1984 | 5 | 12 | $421–9259 per life year saved | ||||||
| Nicotine gum as an adjunct to physician advice to 35–69 year olds: baseline estimates | Oster et al 58 | Oster et al 58 | 1984 | 5 | 12 | $4113–9473 per life year saved | ||||||
| Nicotine gum as an adjunct to physician advice to 35–69 year olds: baseline estimates | Oster et al 58 | Oster et al 58 | 1984 | 5 | 12 | $2042–50 666 per life year saved | ||||||
| Three marketing strategies for GP cessation kits: | Cockburn et al | Cockburn et al | Not known | N/A | N/A | |||||||
| (a) educational facilitator | (a) A$142 per GP | |||||||||||
| (b) volunteer courier | (b) A$14 per GP | |||||||||||
| (c) mail | (c) A$6 per GP | |||||||||||
| Marketing strategy for physician use of pregnancy materials from the perspective of: | McParlane et al 64 | McParlane et al 64 | Not known | N/A | N/A | (a) $16.36 per visit | ||||||
| (a) health agency; | (a) $30.55 per purchase | |||||||||||
| (b) society | (b) $50.52 per visit | |||||||||||
| (b) $94.36 per purchase | ||||||||||||
| Brief GP counselling vs. counselling plus nicotine patch | Warneret al 59 | Cepeda-Benito65 | 1995 | 5 | 12 | Combined patch and counselling intervention: | ||||||
| Men: $965–1585 | ||||||||||||
| Women: $1634–2360 | ||||||||||||
| Incremental cost effectiveness of nicotine patch as adjunct to counselling. male and female smokers aged 25–69 in primary care | Fiscella and Franks54 | Silagy et al 66 and Law and Ling Tang55 | 1995 | 3 | 12 | ICER for TNP: $4390–10 943 per QALY depending on age. | ||||||
| GP counselling and use of transdermal nicotine patches | Akehurst and Piercy50 | Tonnesen et al 67 | Not known | 6 | 18 and 24 | GP advice: £296 per quitter, £6838 per death avoided, £613 per life year gained. TNP: £1010 per quitter, £37 672 per death avoided, £3074 per life year gained | ||||||
| Sachs et al 68 | ||||||||||||
| Cost effectiveness of cessation programme after myocardial infarction | Krumholz et al 51 | Aberg et al 69 | Not known | N/A | 3 months ascertained smoking status. 5 year mortality rate | $220 per life year saved. | ||||||
QALY = quality adjusted life year; TNP = transdermal Nicorette patch.