González-Enríquez J, Salvador-Llivina T, López-Nicolás A, Antón De Las Heras E, Musin A, Fernández E, García M, Schiaffino A, Pérez-Escolano I
Agencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Madrid, Spain.
Gac Sanit. 2002 Jul-Aug;16(4):308-17. doi: 10.1016/s0213-9111(02)71929-8.
We estimated the effect that a smoking cessation intervention in the Spanish population of smokers would have on smoking-related morbidity, mortality and health care costs.
We adopted the model Health and Economic Consequences of Smoking sponsored by the WHO Health Organization and developed by the The Lewin Group. The smoking cessation intervention proposed includes pharmacological treatment to 35% of smokers who are trying to quit smoking and obtains a quit rate of 7.2%. The diseases studied are: lung cancer, heart disease, stroke, chronic obstructive pulmonary disease, asthma exacerbation, and low birth weight. The smoking-related cases of disease and of averted death and the reduction in health care expenditure due to the intervention were estimated.
Without intervention, at year 1 of the model, 2,136,094 smokers would be affected by some smoking-related disease; health care expenditure would be 4,286 million e and deaths attributable to smoking would total 26,537. The proposed intervention would prevent 2,613, 9,192, 17,415 and 23,837 cases of smoking-related disease at years 2, 5, 10 and 20 of the model, respectively. The saving in accumulated health care costs would amount to 3.5 million e at year 2 and 386 million e over 20 years. The accumulated prevented deaths are 284 at year 2 and 9,205 over 20 years. The intervention would save a total of 78,173 life-years by the end of the period considered.
The availability of new effective smoking cessation interventions and the increase in accessibility to such interventions may contribute significantly to reducing morbidity, mortality and health care costs associated with smoking in Spain.
我们评估了针对西班牙吸烟人群的戒烟干预措施对吸烟相关发病率、死亡率及医疗保健成本的影响。
我们采用了由世界卫生组织赞助、莱文集团开发的“吸烟的健康与经济后果”模型。提议的戒烟干预措施包括为35%试图戒烟的吸烟者提供药物治疗，戒烟成功率为7.2%。所研究的疾病有：肺癌、心脏病、中风、慢性阻塞性肺疾病、哮喘加重以及低出生体重。我们估计了与吸烟相关的疾病病例、避免的死亡人数以及干预措施导致的医疗保健支出的减少。
在模型的第1年，若不进行干预，2136094名吸烟者将受到某种吸烟相关疾病的影响；医疗保健支出将达42.86亿欧元，吸烟导致的死亡总数将为26537人。提议的干预措施在模型的第2年、第5年、第10年和第20年将分别预防2613例、9192例、17415例和23837例吸烟相关疾病。在第2年累计节省的医疗保健成本将达350万欧元，20年累计节省3.86亿欧元。在第2年累计预防的死亡人数为284人，20年累计为9205人。到所考虑时期结束时，该干预措施总共将挽救78173个生命年。
新的有效戒烟干预措施的可得性以及此类干预措施可及性的提高，可能会显著有助于降低西班牙与吸烟相关的发病率、死亡率及医疗保健成本。
