Keiding Hans
Department of Economics, University of Copenhagen, Studiestraede 6, DK-1455 Copenhagen K, Denmark.
Expert Rev Pharmacoecon Outcomes Res. 2009 Jun;9(3):215-21. doi: 10.1586/erp.09.19.
Smoking cessation therapies are among the most cost-effective preventive healthcare measures. Varenicline is a relatively new drug developed especially for this purpose, and it has been shown to achieve better quit rates than nicotine replacement therapies and the non-nicotine-based drug, bupropion, which has been in use for some years. The cost-effectiveness of varenicline depends on the cost of the therapy and the cost-savings achieved through reduced morbidity and mortality; several investigations, based on the situation in different countries, indicate that varenicline either finances itself fully through the cost-savings achieved or offers additional life-years at a lower price than that paid elsewhere in the healthcare sector.
戒烟疗法是最具成本效益的预防性医疗保健措施之一。伐尼克兰是一种专门为此目的开发的相对较新的药物,已证明它比尼古丁替代疗法和已使用多年的非尼古丁类药物安非他酮能实现更高的戒烟率。伐尼克兰的成本效益取决于治疗成本以及通过降低发病率和死亡率所实现的成本节约;基于不同国家情况的多项调查表明,伐尼克兰要么通过所实现的成本节约完全实现自身资金平衡,要么以低于医疗保健领域其他地方支付价格的成本提供额外的生命年数。