Pinto Márcia Teixeira, Pichon-Riviere Andres, Bardach Ariel
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Instituto de Efectividad Clínica y Sanitaria, Buenos Aires, Argentina.
Cad Saude Publica. 2015 Jun;31(6):1283-97. doi: 10.1590/0102-311X00192013. Epub 2015 Jun 1.
Advances in tobacco control in Brazil can be reflected in the decrease in prevalence over the past two decades. Death statistics and the occurrence of events and direct costs attributable to tobacco-related diseases have not been frequently estimated in the country. The goal of this article is to estimate the burden of smoking in 2011 regarding mortality, morbidity and medical care costs of the main tobacco-related diseases. A probabilistic microsimulation health economic model was built. The model incorporates the natural history, costs and quality of life of all the tobacco-related adult-specific diseases. Smoking was accountable for 147,072 deaths, 2.69 million years of life lost, 157,126 acute myocardial infarctions, 75,663 strokes, and 63,753 cancer diagnoses. The direct cost for the health system was of BRL 23.37 billion. The monitoring of tobacco-related burden is an important strategy to guide decision-makers and to strenghten health public policies.
巴西烟草控制方面的进展可体现在过去二十年患病率的下降上。该国尚未经常对死亡统计数据以及与烟草相关疾病所致事件的发生率和直接成本进行估算。本文的目的是估计2011年吸烟在主要烟草相关疾病的死亡率、发病率和医疗费用方面所造成的负担。构建了一个概率微观模拟健康经济模型。该模型纳入了所有与烟草相关的成人特定疾病的自然史、成本和生活质量。吸烟导致了147,072人死亡、269万年的生命损失、157,126例急性心肌梗死、75,663例中风以及63,753例癌症诊断。卫生系统的直接成本为233.7亿巴西雷亚尔。监测与烟草相关的负担是指导决策者和加强卫生公共政策的一项重要策略。
