Table 1.

Health Impact and Cost-Effectiveness of Brief Tobacco Counseling in a US Birth Cohort of 4,000,000: Clinical Preventive Service Priorities Estimates

Effect	Youth Counseling vs No Youth Counseling	Adult Counseling vs No Adult Counseling
Change in years lived as smokers, No.	−4,971,393	−8,458,331
Change in adult smoking prevalence (weighted by cohort size at each age), %	−2.0	−3.8
Change in years lived as former smokers, No.	−8,140,126	9,502,722
Change in smoking-attributable cancers, No.	−9,925	−14,679
Change in smoking-attributable CVD hospitalizations, No.	−99,138	−176,045
Change in smoking-attributable respiratory disease hospitalizations, No.	−126,270	−179,701
Change in smoking-attributable fatalities, No.	−42,686	−69,901
Clinical preventable burden: change in QALYs saved, undiscounted, No.	756,601	1,044,392
Change in counseling and cessation medication costs, discounted, $ millions	914	427
Change in smoking-attributable medical costs, discounted, $ millions	−1,814	−2,746
Change in total costs, discounted, $ millions	−900	−2,319
Cost-effectiveness: discounted net costs per person, $/person	−225	−580

CVD = cardiovascular disease; QALYs = quality-adjusted life years.