scholarly journals Economic Evaluation of Five Tobacco Control Policies Across Seven European Countries

2019 ◽  
Vol 22 (7) ◽  
pp. 1202-1209
Author(s):  
Teresa Leão ◽  
Julian Perelman ◽  
Luke Clancy ◽  
Martin Mlinarić ◽  
Jaana M Kinnunen ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Tobacco Control ◽  
Large Scale ◽  
Cost Effective ◽  
World Health ◽  
Economic Evaluations ◽  
Short Term ◽  
Healthy Life ◽  
Control Policies ◽  
Tobacco Control Policies

Abstract Introduction Economic evaluations of tobacco control policies targeting adolescents are scarce. Few take into account real-world, large-scale implementation costs; few compare cost-effectiveness of different policies across different countries. We assessed the cost-effectiveness of five tobacco control policies (nonschool bans, including bans on sales to minors, bans on smoking in public places, bans on advertising at points-of-sale, school smoke-free bans, and school education programs), implemented in 2016 in Finland, Ireland, the Netherlands, Belgium, Germany, Italy, and Portugal. Methods Cost-effectiveness estimates were calculated per country and per policy, from the State perspective. Costs were collected by combining quantitative questionnaires with semi-structured interviews on how policies were implemented in each setting, in real practice. Short-term effectiveness was based on the literature, and long-term effectiveness was modeled using the DYNAMO-HIA tool. Discount rates of 3.5% were used for costs and effectiveness. Sensitivity analyses considered 1%–50% short-term effectiveness estimates, highest cost estimates, and undiscounted effectiveness. Findings Nonschool bans cost up to €253.23 per healthy life year, school smoking bans up to €91.87 per healthy life year, and school education programs up to €481.35 per healthy life year. Cost-effectiveness depended on the costs of implementation, short-term effectiveness, initial smoking rates, dimension of the target population, and weight of smoking in overall mortality and morbidity. Conclusions All five policies were highly cost-effective in all countries according to the World Health Organization thresholds for public health interventions. Cost-effectiveness was preserved even when using the highest costs and most conservative effectiveness estimates. Implications Economic evaluations using real-world data on tobacco control policies implemented at a large scale are scarce, especially considering nonschool bans targeting adolescents. We assessed the cost-effectiveness of five tobacco control policies implemented in 2016 in Finland, Ireland, the Netherlands, Belgium, Germany, Italy, and Portugal. This study shows that all five policies were highly cost-effective considering the World Health Organization threshold, even when considering the highest costs and most conservative effectiveness estimates.

Tobacco Control Policies Specified According to Socioeconomic Status: Health Disparities and Cost-Effectiveness

2014 ◽  
Vol 16 (6) ◽  
pp. 725-732 ◽  
Author(s):  
Eelco A. B. Over ◽  
Talitha L. Feenstra ◽  
Rudolf T. Hoogenveen ◽  
Mariël Droomers ◽  
Ellen Uiters ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Health Disparities ◽  
Cost Effectiveness ◽  
Tobacco Control ◽  
Control Policies ◽  
Tobacco Control Policies

Economic evaluation of laparoscopic surgery for colorectal cancer

2007 ◽  
Vol 23 (4) ◽  
pp. 464-472 ◽  
Author(s):  
Robyn M. de Verteuil ◽  
Rodolfo A. Hernández ◽  
Luke Vale ◽  
Keyword(s):  
Colorectal Cancer ◽  
Systematic Review ◽  
Laparoscopic Surgery ◽  
Cost Effectiveness ◽  
Incremental Cost ◽  
Open Surgery ◽  
Disease Free Survival ◽  
Cost Effective ◽  
Economic Evaluations ◽  
Short Term

Objectives: The aim of this study was to assess the cost-effectiveness of laparoscopic surgery compared with open surgery for the treatment of colorectal cancer.Methods: A Markov model was developed to model cost-effectiveness over 25 years. Data on the clinical effectiveness of laparoscopic and open surgery for colorectal cancer were obtained from a systematic review of the literature. Data on costs came from a systematic review of economic evaluations and from published sources. The outcomes of the model were presented as the incremental cost per life-year gained and using cost-effectiveness acceptability curves to illustrate the likelihood that a treatment was cost-effective at various threshold values for society's willingness to pay for an additional life-year.Results: Laparoscopic surgery was on average £300 more costly and slightly less effective than open surgery and had a 30 percent chance of being cost-effective if society is willing to pay £30,000 for a life-year. One interpretation of the available data suggests equal survival and disease-free survival. Making this assumption, laparoscopic surgery had a greater chance of being considered cost-effective. Presenting the results as incremental cost per quality-adjusted life-year (QALY) made no difference to the results, as utility data were poor. Evidence suggests short-term benefits after laparoscopic repair. This benefit would have to be at least 0.01 of a QALY for laparoscopic surgery to be considered cost-effective.Conclusions: Laparoscopic surgery is likely to be associated with short-term quality of life benefits, similar long-term outcomes, and an additional £300 per patient. A judgment is required as to whether the short-term benefits are worth this extra cost.

Cost Effectiveness of Tobacco Control Policies in Vietnam

2011 ◽  
Vol 9 (3) ◽  
pp. 183-196 ◽  
Author(s):  
Hideki Higashi ◽  
Khoa D. Truong ◽  
Jan J. Barendregt ◽  
Phuong K. Nguyen ◽  
Mai L. Vuong ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Tobacco Control ◽  
Control Policies ◽  
Tobacco Control Policies

scholarly journals Tribunales superiores en Latinoamérica y su respaldo a las medidas de control de tabaco como forma de proteger el derecho humano a la salud Latin American high courts and their support for tobacco control policies as a way to protect the human right to he

2018 ◽  
pp. 95-112
Author(s):  
Juan Carballo ◽  
Gianella Severini ◽  
Luciana Severini
Keyword(s):  
Tobacco Control ◽  
Latin American ◽  
World Health ◽  
Human Right ◽  
Health States ◽  
Control Policies ◽  
High Courts ◽  
Tobacco Control Policies ◽  
Health Organization ◽  
The Right

Frente al fuerte impacto del tabaquismo en la salud pública, la obligación de los Estados de proteger el derecho humano a la salud exige la implementación de ciertas medidas de control de tabaco. En el último tiempo, altos tribunales de la región ratificaron la necesidad de avanzar en estas medidas, marcando la fuerte conexión entre los derechos humanos y las políticas de control de tabaco como mecanismo de protección de la salud y reconociendo el importante rol del Convenio Marco para el Control de Tabaco de la Organización Mundial de la Salud.   Taking into account tobacco epidemic’s impact on public health, States’ obligations to protect the right to health call for the implementation of certain tobacco control policies. In recent times, high courts from Latin America ratified the need to advance on these policies, highlighting the strong link between human rights and tobacco control policies as mechanisms for the protection of health and stressing the key role of the World Health Organization Framework Convention on Tobacco Control.

OP118 Cost-Effectiveness Analysis Of Molecular Profile Selection For Advanced Head And Neck Cancer

2017 ◽  
Vol 33 (S1) ◽  
pp. 53-54
Author(s):  
Carla Rognoni ◽  
Paolo Bossi ◽  
Lisa Licitra ◽  
Silvana Quaglini
Keyword(s):  
Cost Effectiveness ◽  
Adverse Events ◽  
Head And Neck ◽  
Cost Effective ◽  
World Health ◽  
Molecular Profile ◽  
Economic Evaluations ◽  
Predictive Test ◽  
Life Years ◽  
Platinum Based Chemotherapy

INTRODUCTION:Relapsed/metastatic head and neck squamous cell cancer patients are offered a combination of platinum-based chemotherapy (PF, cisplatin-fluorouracil) plus cetuximab regimen (PF+C) according to results of the EXTREME trial (1). However, two economic evaluations showed that addition of cetuximab was not cost-effective.This study aimed to evaluate the cost-effectiveness of a putative predictive molecular test (MT) to identify and treat only patients potentially responsive to cetuximab when added to PF.METHODS:A Markov model was developed to compare both health and economic outcomes of PF+C regimen administered to all patients (PF+C ALL) versus the regimen administered only to MT-positive patients (PF+C POS).The model considered the following health states: partial/complete response with/out mild/severe adverse events (AEs), progression and death. Rates of progression and survival, response rates to systemic treatment and adverse events were retrieved from the EXTREME trial (1). According to Mesía et al. (2), we assumed that addition of cetuximab to PF would not negatively affect life quality compared to PF alone, and the baseline utility coefficients for disease control and progression were assumed as .67 and .52, respectively.Only direct costs estimated from the Italian Health Service perspective were included (tariffs and Diagnosis Related Group - DRG - reimbursements).The model was evaluated according to a cut-off of sensitivity at 85 percent and specificity at 70 percent. A 3 years horizon was chosen. Life expectancy, quality-adjusted life years (QALYs) and costs were discounted at 3.5 percent annually.RESULTS:Applying the World Health Organization (WHO) cost-effectiveness threshold of 3 times the gross domestic product for Italy (EUR66,402), PF+C POS resulted a cost-effective choice in comparison to PF+C ALL for a MT cost lower than EUR5,750.CONCLUSIONS:Adding cetuximab to PF only to patients positive to a predictive test may be cost-effective. Efforts should be spent to build such a test upon existing evidences in order to save resources for the health systems and spare unnecessary toxicities to patients.

scholarly journals The effects of tobacco control policies on global smoking prevalence

2021 ◽  
Vol 27 (2) ◽  
pp. 239-243
Author(s):  
Luisa S. Flor ◽  
Marissa B. Reitsma ◽  
Vinay Gupta ◽  
Marie Ng ◽  
Emmanuela Gakidou
Keyword(s):  
Tobacco Control ◽  
Smoking Prevalence ◽  
World Health ◽  
Smoking Bans ◽  
Health Warnings ◽  
Control Policies ◽  
Positive Effects ◽  
Tobacco Control Policies ◽  
The World ◽  
Tobacco Epidemic

AbstractSubstantial global effort has been devoted to curtailing the tobacco epidemic over the past two decades, especially after the adoption of the Framework Convention on Tobacco Control1 by the World Health Organization in 2003. In 2015, in recognition of the burden resulting from tobacco use, strengthened tobacco control was included as a global development target in the 2030 Agenda for Sustainable Development2. Here we show that comprehensive tobacco control policies—including smoking bans, health warnings, advertising bans and tobacco taxes—are effective in reducing smoking prevalence; amplified positive effects are seen when these policies are implemented simultaneously within a given country. We find that if all 155 countries included in our counterfactual analysis had adopted smoking bans, health warnings and advertising bans at the strictest level and raised cigarette prices to at least 7.73 international dollars in 2009, there would have been about 100 million fewer smokers in the world in 2017. These findings highlight the urgent need for countries to move toward an accelerated implementation of a set of strong tobacco control practices, thus curbing the burden of smoking-attributable diseases and deaths.

scholarly journals Exploration of Policy Makers’ Views on the Implementation of the Framework Convention on Tobacco Control in the Gambia: A Qualitative Study

2019 ◽  
Vol 21 (12) ◽  
pp. 1652-1659 ◽  
Author(s):  
Isatou K Jallow ◽  
John Britton ◽  
Tessa Langley
Keyword(s):  
Qualitative Study ◽  
Tobacco Control ◽  
Public Awareness ◽  
Policy Formulation ◽  
The Gambia ◽  
World Health ◽  
African Countries ◽  
Control Policies ◽  
Policy Makers ◽  
Tobacco Control Policies

Abstract Background The World Health Organization’s Framework Convention on Tobacco Control (FCTC) is the first international health treaty and has now been ratified by 181 countries. However, there are concerns that in many countries, particularly in sub-Saharan African countries, FCTC legislations and implementation are weak. In this study, we report a qualitative study undertaken to assess policy makers’ awareness of the FCTC and national tobacco control policies, and assessed the achievements and challenges to the implementation of the FCTC in the Gambia. Methods The study involved semi-structured one-to-one interviews with 28 members of the National Tobacco Control Committee in the Gambia, which is responsible for formulating tobacco control policies and making recommendations for tobacco control. We used the Framework method and NVivo11 software for data analysis. Results Our findings demonstrate that the Gambia has made modest progress in tobacco control before and since ratification of the FCTC, particularly in the areas of policy formulation, bans on tobacco advertising and promotion, smoke-free laws, and tobacco taxation. Although several pieces of tobacco control legislation exist, enforcement and implementation remain a major challenge. We found that policy makers’ awareness of polices covered in the FCTC was limited. Conclusion Our findings highlight several challenges to the FCTC implementation and the need to step up efforts that will help to accomplish the obligations of the FCTC. To achieve the obligations of the FCTC, the Gambia should develop specific public awareness interventions, establish cessation services, mobilize adequate resources for tobacco control and strengthen tobacco surveillance and research.

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