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. 2025 Aug 18;42(10):5134–5147. doi: 10.1007/s12325-025-03318-0

Table 3.

Mean annual health care costs in smokers vs. non-smokers, 2025 US dollars

Smokers Non-smokers
Author/year Sample analyzed Mean annual
medical costs
(SD),
in 2025
US dollars
Sample analyzed Mean annual medical costs (SD),
in 2025
US dollars
Tiihonen et al. 2012 [12] 493

10,368

(21,909)

1,483

7,040

(20,318)

Izumi et al. 2001 [13] 21,098

6,211

(3,687)

22,310

5,284

(3,189)

Isaranuwatchai et al. 2018 [14]a 3,606

5,470

(6,936)

14,911

4,547

(6,519)

Alefan et al. 2019 [15] 187

3,726

(5,594)

469

4,184

(14,696)

Vynckier et al. 2025 [16] 1,131 3,520 4,171 3,332
Cowan et al. 2011[17] 15,397

4,885

(12,186)

5,355

4,060

(11,154)

Swedler et al. 2019 [18] 19,716,719

5,969

(1,338,485)

206,862,703

5,781

(2,651,830)

Sari et al. 2016 [19] 180

2,323

(1,920)

178

1,176

(865)

Suárez-Bonel et al. 2015 [20] 250

1,297.1

(730.3)

250

724.41

(496.6)

Wacker et al. 2013 [21] 468

3,052

(1,322)

1,278

3,279.6

(1,069.7)

aMean monthly costs