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Cessation programs for patients with smoking-related health problems are very cost effective.

Smoking cessation interventions are very cost-effective among hospitalized patients, for whom successful tobacco abstinence reduces medical costs in the short term and decreases the number of future hospitalizations and long-term health problems. 

A pooled analysis of 25 trials found that at one month post-discharge from an inpatient hospital stay, the likelihood of being abstinent was 37% higher among smokers who received a cessation intervention in the hospital compared to a control group. A cessation program in patients after acute myocardial infarction could also be very cost-effective. Using data from a meta-analysis of cost-effectiveness studies, a US policy analysis projected that when implemented nationwide, an intervention that included normal smoking cessation counselling in the hospital and follow-up telephone calls from a trained nurse after discharge would yield over 50 000 new quitters and save more than 7000 lives. The analysis found that the intervention cost US$540 per quitter, thus being highly cost-effective. 

Results for outpatients with chronic obstructive pulmonary disease indicate that a high-intensive smoking cessation program is more cost-effective than a medium-intensive program.

Rigotti NA, Clair C, Munafò MR, Stead LF. Interventions for smoking cessation in hospitalised patients. Cochrane Database Syst Rev. 2012;5:CD001837.

Ladapo JA, Jaffer FA, Weinstein MC, Froelicher ES. Projected cost-effectiveness of smoking cessation interventions in patients hospitalized with myocardial infarction. Arch Intern Med. 2011; 171: 39-45.

Thomsen T, Villebro N, Møller AM. Interventions for preoperative smoking cessation. Cochrane Database Syst Rev. 2014;3:CD002294.

Christenhusz LC, Prenger R, Pieterse ME, Seydel ER, van der Palen J. Cost-effectiveness of an intensive smoking cessation intervention for COPD outpatients. Nicotine Tob Res. 2012; 14: 657-63. logo
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