DSI Danish Institute for Health Services Research, Copenhagen, Denmark.
Scand J Public Health. 2013 Feb;41(1):4-10. doi: 10.1177/1403494812465675. Epub 2012 Nov 16.
To assess the cost-effectiveness of the Danish smoking cessation telephone service "quitline".
The study was based on the number of quitline callers in 2005. The outcome was measured as costs per life year saved (LYS) based on the assessment in 2001 of continued abstinence over a 12-month period (19.0%) and point prevalence of abstinence at 12 months of follow up (29.7%), respectively. The costs per LYS are estimated as the annual running costs of reactive telephone counselling service divided by the total number of LYS, which has been estimated as the difference between current smokers' and ex-smokers' life expectancies according to age group and gender based on Danish smoking proportions, relative risks of smoking-related mortality of all causes, and standard life tables.
A total of 511 ex-smokers have been estimated to gain 2172 life years based on continued abstinence over 12 months. Using the point prevalence abstinence at 12 months, 799 ex-smokers are estimated to gain 3394 life years. Discounting LYS at 3% p.a., the costs per LYS are €213 for ex-smokers with continued abstinence and €137 for ex-smokers with point prevalence abstinence. The sensitivity analysis for a worst-case scenario indicates that the costs per LYS are €1199. For comparison the average costs per LYS of smoking cessation interventions in other Danish settings are €1592 (95% CI €1547-1636).
The Danish reactive telephone counselling to aid smoking cessation appears to be cost-effective in comparison with other Danish smoking cessation interventions.
评估丹麦戒烟电话服务“戒烟热线”的成本效益。
本研究基于 2005 年戒烟热线来电者的数量。结果以每节省 1 个生命年的成本（LYS）来衡量，这是基于 2001 年对 12 个月持续戒烟（19.0%）和 12 个月随访时的点戒烟率（29.7%）的评估。每 LYS 的成本估计为反应性电话咨询服务的年运行成本除以 LYS 的总数，这是根据丹麦吸烟比例、所有原因导致的与吸烟相关的死亡率的相对风险以及标准生命表，根据年龄组和性别，从当前吸烟者和前吸烟者的预期寿命中估算出来的。
据估计，共有 511 名前吸烟者通过 12 个月的持续戒烟获得了 2172 个生命年。使用 12 个月时的点戒烟率，估计有 799 名前吸烟者获得了 3394 个生命年。贴现 LYS 每年 3%，持续戒烟的前吸烟者每 LYS 的成本为 213 欧元，点戒烟的前吸烟者每 LYS 的成本为 137 欧元。最坏情况下的敏感性分析表明，每 LYS 的成本为 1199 欧元。相比之下，丹麦其他戒烟环境中每 LYS 的平均戒烟干预成本为 1592 欧元（95%CI 1547-1636）。
与丹麦其他戒烟干预措施相比，丹麦的反应性电话咨询戒烟服务具有成本效益。
