Electronic Decision-Making Tool for Smoking Cessation (Pare de Fumar Conosco) Versus Standard of Care: A Cost-Effectiveness Analysis

Roberta S Teixeira; Arise G S Galil; Ana Paula Cupertino; Francisco Cartujano-Barrera; Fernando A B Colugnati

doi:10.1016/j.vhri.2024.01.002

Electronic Decision-Making Tool for Smoking Cessation (Pare de Fumar Conosco) Versus Standard of Care: A Cost-Effectiveness Analysis

Value Health Reg Issues. 2024 Apr 26:42:100980. doi: 10.1016/j.vhri.2024.01.002. Online ahead of print.

Authors

Roberta S Teixeira¹, Arise G S Galil², Ana Paula Cupertino³, Francisco Cartujano-Barrera³, Fernando A B Colugnati⁴

Affiliations

¹ Technical Support Division, National Institute of Cardiology, Rio de Janeiro, Rio de Janeiro, Brazil.
² Faculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
³ James P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
⁴ Faculty of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil. Electronic address: fernando.colugnati@medicina.ufjf.br.

PMID: 38677062
DOI: 10.1016/j.vhri.2024.01.002

Abstract

Objectives: The study aimed to evaluate the cost-effectiveness of the Pare de Fumar Conosco software compared with the standard of care adopted in Brazil for the treatment of smoking cessation.

Methods: In the cohort of smokers with multiple chronic conditions, we developed an decision tree model for the benefit measures of smoking cessation. We adopted the perspectives of the Brazilian Unified Health System and the service provider. Resources and costs were measured by primary and secondary sources and effectiveness by a randomized clinical trial. The incremental cost-effectiveness ratio (ICER) was calculated, followed by deterministic and probabilistic sensitivity analyses and deterministic and probabilistic sensitivity analyses. No willingness to pay threshold was adopted.

Results: The software had a lower cost and greater effectiveness than its comparator. The ICER was dominant in all of the benefits examined (-R$2 585 178.29 to -R$325 001.20). The cost of the standard of care followed by that of the electronic tool affected the ICER of the benefit measures. In all probabilistic analyses, the software was superior to the standard of care (53.6%-82.5%).

Conclusion: The Pare de Fumar Conosco software is a technology that results in cost savings in treating smoking cessation.

Keywords: biomedical; cost-benefit analysis; decision making; technology assessment; tobacco use cessation; tobacco use disorder.