Equation | (# participants) x (% participants who receive treatment solely because of the program) x (% impact of program on smoking session) x (# QALY increase) x ($ QALY) |
Explanation | This metric estimates the impact of one year of smoking cessation on lifetime health, estimated in terms of quality-adjusted life years (QALY). Number of participants: Reported by program. Percentage of participants receiving treatment solely because of program: [1.0]. Only 0.4% of all tobacco users in the state received telephone counseling, cessation medications, or both from the state Quitline (Centers for Disease Control and Prevention, 2012). Percentage impact of program on smoking session: [0.2]. Reported twelve-month abstinence rates for persons who used smoking-cessation clinics have ranged from 20% to 40%. We apply the lowest value from this range (CDC, 1994). QALY increase: [1.2]. This is the QALY estimate for the benefit to adult’s smoking cessation for one year based on the work of the New Zealand Ministry of Health (2004). $ value per QALY: [$50,000] Benefits are then discounted to present value based on the average age of participation to life expectancy. |
References | Centers for Disease Control and Prevention. (1994). Retrieved from: https://www.cdc.gov/mmwr/preview/mmwrhtml/00017511.htm Centers for Disease Control and Prevention. (2012). Minnesota Monitor. Retrieved from: https://www.cdc.gov/tobacco/data_statistics/state_data/state_highlights/2012/pdfs/states/minnesota.pdf New Zealand Ministry of Health. (2004). An economic evaluation of the Quitline Nicotine Replacement Therapy (NRT) Service. Wellington, New Zealand: Author. Retrieved from: https://quit.org.nz/-/media/Images/Quitline/PDFs-and-Docs/Full-index-page/FINAL—NRT-economic-evaluation-Aug-04.pdf?la=en |