Table 4.
Incremental cost-effectiveness ($/LY saved)* |
Incremental cost-effectiveness ($/QALY saved)* |
|||
---|---|---|---|---|
Parameter varied | SC | RP | SC | RP |
Baseline | D† | 851 | D | 628 |
Effectiveness of MI for SC (baseline 7/110) | ||||
10/110 | 19,500 | ‡ | 14,400 | ‡ |
9/110 | 117,100 | ‡ | 86,300 | ‡ |
8/110 | D | ‡ | D | ‡ |
5/110 | D | ‡ | D | ‡ |
1/110 | D | ‡ | D | ‡ |
Effectiveness of MI for RP (baseline 9/21) | ||||
12/21 | D | 540 | D | 400 |
10/21 | D | 720 | D | 530 |
8/21 | D | 1,050 | D | 780 |
6/21 | D | 2,000 | D | 1,500 |
5/21 | D | 3,600 | D | 2,600 |
3/21 | D | D | D | D |
Discounted LYs and QALYs saved (baseline 1.43 and 1.94, respectively) | ||||
2 | D | 610 | D | 610 |
1 | D | 1,200 | D | 1,200 |
0.5 | D | 2,400 | D | 2,400 |
0.1 | D | 12,200 | D | 12,200 |
0.05 | D | 24,400 | D | 24,400 |
0.025 | D | 48,700 | D | 48,700 |
Cost of the MI program (baseline $309) | ||||
$250 | D | 690 | D | 510 |
$500 | D | 1,400 | D | 1,020 |
$1,000 | D | 2,800 | D | 2,100 |
$2,000 | D | 5,600 | D | 4,100 |
Maternal medical care cost savings (baseline $0) | ||||
$6,000 | D | CS | D | CS |
$12,000 | D | CS | D | CS |
Cost savings for health care of newborn at birth and during first year of life (baseline $0)‡ | ||||
$1,000 | D | CS | D | CS |
$5,000 | D | CS | D | CS |
As compared to UC, assuming UC effectiveness for SC of 8/100 and for RP of 5/28 and direct UC program costs of $4.85 per participant.
D, MI is dominated by UC (MI is more costly and less effective than UC).
For infants of women who quit or remained abstinent—estimates are per participant in the target population.
LY, life-year; MI, motivational intervention; QALY, quality-adjusted life-year; RP, relapse prevention; SC, smoking cessation; UC, usual care; CS, cost saving.