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Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester
INTRODUCTION: Treating tobacco dependency in patients admitted to acute care National Health Service (NHS) trusts is a key priority in the NHS 10-year plan. This paper sets out the results of a health economic analysis for ‘The CURE Project’ pilot; a new hospital-based tobacco dependency service. ME...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8718456/ https://www.ncbi.nlm.nih.gov/pubmed/34949573 http://dx.doi.org/10.1136/bmjresp-2021-001105 |
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author | Evison, Matthew Cox, Julian Howle, Freya Groom, Kathryn Moore, Ryan Clegg, Hannah Pearse, Cheryl Rutherford, Michael Tempowski, Alex Grundy, Seamus Turnpenny, Beth Law, Hou Sundar, Ram Butt, Al-Tahoor Abdelaziz, Muntasir Coyne, Jane Crossfield, Andrea O’Rourke, Claire Shackley, David |
author_facet | Evison, Matthew Cox, Julian Howle, Freya Groom, Kathryn Moore, Ryan Clegg, Hannah Pearse, Cheryl Rutherford, Michael Tempowski, Alex Grundy, Seamus Turnpenny, Beth Law, Hou Sundar, Ram Butt, Al-Tahoor Abdelaziz, Muntasir Coyne, Jane Crossfield, Andrea O’Rourke, Claire Shackley, David |
author_sort | Evison, Matthew |
collection | PubMed |
description | INTRODUCTION: Treating tobacco dependency in patients admitted to acute care National Health Service (NHS) trusts is a key priority in the NHS 10-year plan. This paper sets out the results of a health economic analysis for ‘The CURE Project’ pilot; a new hospital-based tobacco dependency service. METHODS: A health economic analysis to understand the costs of the intervention (both for the inpatient service and postdischarge costs), the return on investment (ROI) and the cost per quality-adjusted life year (QALY) of the CURE Project pilot in Greater Manchester. ROI and cost per QALY were calculated using the European Study on Quantifying Utility of Investment in Protection from Tobacco and Greater Manchester Cost Benefit Analysis Tools. RESULTS: The total intervention costs for the inpatient service in the 6-month CURE pilot were £96 224 with a cost per patient who smokes of £40.21. The estimated average cost per patient who was discharged on pharmacotherapy was £97.40. The cost per quit (22% quit rate for smokers at 12 weeks post discharge) was £475. The gross financial ROI ratio was £2.12 return per £1 invested with a payback period of 4 years. The cashable financial ROI ratio was £1.06 return per £1 invested with a payback period of 10 years. The public value ROI ratio was £30.49 per £1 invested. The cost per QALY for this programme was £487. DISCUSSION: The CURE Project pilot has been shown to be exceptionally cost-effective with highly significant ROI in this health economic analysis. This supports the NHS priority to embed high-quality tobacco addiction treatment services in acute NHS trusts, and the CURE Project provides a blueprint and framework to achieve this. |
format | Online Article Text |
id | pubmed-8718456 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-87184562022-01-12 Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester Evison, Matthew Cox, Julian Howle, Freya Groom, Kathryn Moore, Ryan Clegg, Hannah Pearse, Cheryl Rutherford, Michael Tempowski, Alex Grundy, Seamus Turnpenny, Beth Law, Hou Sundar, Ram Butt, Al-Tahoor Abdelaziz, Muntasir Coyne, Jane Crossfield, Andrea O’Rourke, Claire Shackley, David BMJ Open Respir Res Smoking INTRODUCTION: Treating tobacco dependency in patients admitted to acute care National Health Service (NHS) trusts is a key priority in the NHS 10-year plan. This paper sets out the results of a health economic analysis for ‘The CURE Project’ pilot; a new hospital-based tobacco dependency service. METHODS: A health economic analysis to understand the costs of the intervention (both for the inpatient service and postdischarge costs), the return on investment (ROI) and the cost per quality-adjusted life year (QALY) of the CURE Project pilot in Greater Manchester. ROI and cost per QALY were calculated using the European Study on Quantifying Utility of Investment in Protection from Tobacco and Greater Manchester Cost Benefit Analysis Tools. RESULTS: The total intervention costs for the inpatient service in the 6-month CURE pilot were £96 224 with a cost per patient who smokes of £40.21. The estimated average cost per patient who was discharged on pharmacotherapy was £97.40. The cost per quit (22% quit rate for smokers at 12 weeks post discharge) was £475. The gross financial ROI ratio was £2.12 return per £1 invested with a payback period of 4 years. The cashable financial ROI ratio was £1.06 return per £1 invested with a payback period of 10 years. The public value ROI ratio was £30.49 per £1 invested. The cost per QALY for this programme was £487. DISCUSSION: The CURE Project pilot has been shown to be exceptionally cost-effective with highly significant ROI in this health economic analysis. This supports the NHS priority to embed high-quality tobacco addiction treatment services in acute NHS trusts, and the CURE Project provides a blueprint and framework to achieve this. BMJ Publishing Group 2021-12-22 /pmc/articles/PMC8718456/ /pubmed/34949573 http://dx.doi.org/10.1136/bmjresp-2021-001105 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Smoking Evison, Matthew Cox, Julian Howle, Freya Groom, Kathryn Moore, Ryan Clegg, Hannah Pearse, Cheryl Rutherford, Michael Tempowski, Alex Grundy, Seamus Turnpenny, Beth Law, Hou Sundar, Ram Butt, Al-Tahoor Abdelaziz, Muntasir Coyne, Jane Crossfield, Andrea O’Rourke, Claire Shackley, David Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester |
title | Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester |
title_full | Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester |
title_fullStr | Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester |
title_full_unstemmed | Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester |
title_short | Health economic analysis for the ‘CURE Project’ pilot: a hospital-based tobacco dependency treatment service in Greater Manchester |
title_sort | health economic analysis for the ‘cure project’ pilot: a hospital-based tobacco dependency treatment service in greater manchester |
topic | Smoking |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8718456/ https://www.ncbi.nlm.nih.gov/pubmed/34949573 http://dx.doi.org/10.1136/bmjresp-2021-001105 |
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