Table 2.

Health Impact and Cost-Effectiveness of Brief Tobacco Counseling in a US Birth Cohort of 4,000,000: Supplemental Analyses

Effect	Youth and Adult Counseling vs No Counseling	Adult Counseling vs Current Delivery Rates	Youth and Adult Counseling vs Current Delivery Rates
Change in years lived as smokers, No.	−12,575,864	−4,391,547	−8,509,081
Change in adult smoking prevalence (weighted by cohort size at each age), %	−5.5	−2.0	−3.6
Change in years lived as former smokers, No.	408,378	4,903,772	−214,198
Change in smoking-attributable cancers, No.	−23,279	−7,142	−15,741
Change in smoking-attributable CVD hospitalizations, No.	−259,128	−81,087	−164,171
Change in smoking-attributable respiratory disease hospitalizations, No.	−290,432	−82,475	−193,206
Change in smoking-attributable fatalities, No.	−105,917	−33,189	−69,205
Change in QALYs saved, undiscounted, No.	1,637,648	512,225	1,105,481
Change in counseling and cessation medication costs, discounted, $ millions	1,324	91	988
Change in smoking-attributable medical costs, discounted, $ millions	−4,278	−1,444	−2,977
Change in total costs, discounted, $ millions	−2,955	−1,353	−1,989
Cost-effectiveness: discounted net costs per person, $/person	−739	−338	−497

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