Cost-benefit analysis of a simulated institution-based preoperative smoking cessation intervention in patients undergoing total hip and knee arthroplasties in France

Chest
Gilles HejblumChristos Chouaid

Abstract

The literature on preoperative smoking cessation indicates that smoking patients are more likely to have postoperative complications. However, the economic implications of such complications are unclear. In particular, the balance between the cost of a preoperative intervention for smoking cessation (PISC) and the benefit resulting from the potential decrease in hospitalization costs is not known. Only one previous study, a randomized trial involving smokers scheduled for hip or knee replacement surgery, provides sufficient data to simulate the hospital course of patients subjected or not subjected to a PISC. We used a multistate Markov-type model and official French hospital costs for 2008 to simulate this situation. The cost-benefit analysis adopted the payer's perspective. The mean benefit, corresponding to the decrease in the cost of the hospital stay for a reference case patient having followed a PISC, was estimated at 313 euros, with a corresponding mean cost of the PISC estimated at 196 euros. Therefore, the PISC was associated with a cost saving of 117 euros per patient. The results were most sensitive to the cost of ICU care as a proxy for cost of smoking-related complications, and to the relative risk of complication ...Continue Reading

References

Oct 9, 1996·JAMA : the Journal of the American Medical Association·L B RussellM C Weinstein
Oct 9, 2002·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Fujian SongNerys Woolacott
Apr 17, 2004·BMJ : British Medical Journal·Steve Parrott, Christine Godfrey
May 14, 2004·Research in Nursing & Health·Pamela A RatnerBernice Budz
Mar 2, 2005·International Journal of Technology Assessment in Health Care·Cynthia P IglesiasUNKNOWN NEVALAT Project Group
Jul 22, 2005·The Cochrane Database of Systematic Reviews·A Møller, N Villebro
Dec 19, 2006·Journal of Clinical Anesthesia·Ann M Møller
Dec 19, 2006·Journal of Clinical Anesthesia·Sadeq A QuraishiMichael F Roizen
Jul 20, 2007·The Cochrane Database of Systematic Reviews·N A RigottiL F Stead

❮ Previous
Next ❯

Citations

May 12, 2010·International Journal of Clinical Practice·P Aveyard, B Dautzenberg
Jun 3, 2011·The Journal of Rheumatology·Jasvinder A Singh
Oct 19, 2013·La Presse médicale·Bertrand DautzenbergMarie-Dominique Dautzenberg
Feb 5, 2013·Annales Françaises D'anesthèsie Et De Rèanimation·V DerlonUNKNOWN les membres du bureau de l’Institut lorrain d’anesthésie-réanimation (Ilar)
Jun 5, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Evan ArgintarBrent Wiesel
Apr 27, 2016·The Journal of Arthroplasty·Bryan D Springer
Jun 23, 2011·Anesthesiology·Hanne Tønnesen
Jul 3, 2015·The Journal of Bone and Joint Surgery. American Volume·Kyle R DuchmanJohn J Callaghan
Feb 2, 2017·Journal of Anesthesia·UNKNOWN Safety Committee of Japanese Society of Anesthesiologists
Oct 11, 2020·The Journal of Bone and Joint Surgery. American Volume·Thompson ZhuangRobin N Kamal
Aug 28, 2021·JBJS Reviews·Kara McConaghyNicolas S Piuzzi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.