Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/29313
ชื่อเรื่อง: Cost-effectiveness analysis of the SMART quit clinic program in smokers with cardiovascular disease in Thailand
ผู้แต่ง: Grant A.
Tan C.J.
Wattanasirichaigoon S.
Rungruanghiranya S.
Thongphiew A.
Thavorn K.
Chaiyakunapruk N.
Keywords: cardiovascular disease
cost-effectiveness analysis
smoking cessation
Thailand
วันที่เผยแพร่: 2023
สำนักพิมพ์: European Publishing
บทคัดย่อ: INTRODUCTION The SMART Quit Clinic Program (FAHSAI Clinic) has been implemented in Thailand since 2010; however, it remains unclear whether the benefits gained from this program justify its costs. We assessed its cost-effectiveness compared to usual care in a population of Thai smokers with cardiovascular disease (CVD) from a societal perspective. METHODS We conducted a cost-utility analysis using a Markov model to simulate lifetime costs and quality-adjusted life years (QALYs) of Thai smokers aged ≥35 years receiving smoking cessation services offered from FAHSAI Clinic or usual care over a horizon of 50 years. The model used a 6-month continuous abstinence rate from a multicenter prospective study of 24 FAHSAI Clinics. A series of sensitivity analyses including probabilistic sensitivity analysis were conducted to assess robustness of study findings. Cost data are presented in US$ for 2020. RESULTS The FAHSAI Clinic was dominant as it was less costly ($9537.92 vs $10964.19) and more effective (6.06 vs 5.96 QALYs) compared with usual care over the 50-year time horizon. Changes in risks of stroke and coronary heart disease among males had the largest impact on the cost-effectiveness findings. The probability that FAHSAI Clinic was cost-effective was 99.8% at a willingness-to-pay threshold of $5120. CONCLUSIONS The FAHSAI Clinic smoking cessation program was clinically superior and cost-saving compared to usual care for Thai patients with CVD in all scenarios. A budget impact analysis is needed to estimate the financial impact of adopting this program within the Thai healthcare system. © 2023 Grant A. et al.
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85159406984&doi=10.18332%2ftid%2f161024&partnerID=40&md5=2c0dacd19927814a7e6764c12304ea43
https://ir.swu.ac.th/jspui/handle/123456789/29313
Appears in Collections:Scopus 2023

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