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  1. Prescription of transdermal nicotine patches for smoking cessation in general practice : evaluation of cost-effectiveness.

    Article - En anglais

    Background The 1998 UK government White Paper Smoking Kills emphasises that normal practice should be for general practitioners (GPs), practice nurses, and others to offer advice and support to smokers in their efforts to stop.

    However, GPs are not allowed to write NHS prescriptions for nicotine-replacement therapy, even though this is the only effective pharmceutical treatment available in the UK.

    We estimated the cost-effectiveness, for the NHS, of allowing GPs to prescribe transdermal nicotine patches for up to 12 weeks.

    Methods We used data from a randomised, placebo-controlled efficacy trial of nicotine patches and a survey of associated resource use in 30 GP surgeries in 15 English counties.

    We calculated the health benefit of nicotine-patch treatment in number of life years that would be saved by stopping smoking at various ages, and used an abstinence-contingent treatment model to calculate the incremental cost per life year saved by GP counselling with nicotine-patch treatment over GP counselling alone.

    Cost effectiveness was assessed on the basis that GPs would provide repeat NHS prescriptions for up to 12 weeks if the treatment was proving successful.

    Findings If GPs were allowed to prescribe transdermal nicotine patches on the NHS, for up to 12 weeks, the incremental cost per life year saved would be :

    • £398 per person younger than 35 years ;

    • £345 for those aged 35-44 years ;

    • £432 for those aged 45-54 years ;

    • and £785 for those aged 55-65 years. (...)

    Mots-clés Pascal : Tabagisme, Arrêt, Nicotine, Voie percutanée, Patch, Médecine générale, Analyse coût efficacité, Royaume Uni, Europe, Traitement, Economie santé, Homme

    Mots-clés Pascal anglais : Tobacco smoking, Shutdown, Nicotine, Percutaneous route, Patch, Internal medicine, Cost efficiency analysis, United Kingdom, Europe, Treatment, Health economy, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0404525

    Code Inist : 002B03E. Création : 22/03/2000.