The association between smoking cessation outpatient visits and total medical costs: a retrospective, observational analysis of Japanese employee-based public health insurance data

Suwa, Kiyotaka; Yoshikawa, Reiko; Iwasaki, Kosuke; Igarashi, Ataru

doi:10.1080/13696998.2018.1426590

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Thus, such studies typically utilize observational designs, which have the potential for confounding. For example, some studies find that quitting in ambulatory populations is actually associated with an increase in annual health care costs, which may last for several years before declining [16–19]. The most likely explanation for this seeming paradox is the “teachable moments” effect of illness and hospitalization; those patients who are more ill are more likely to quit.…”

Section: Discussionmentioning

confidence: 99%

Association between smoking cessation and post-hospitalization healthcare costs: a matched cohort analysis

Nolan

Borah

Moriarty

et al. 2019

BMC Health Serv Res

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BackgroundThe potential economic benefit in terms of reduced healthcare costs when patients quit smoking after hospital discharge has not been directly measured. The aim of this study was to compare the costs for hospital admission and six-month follow-up for a cohort of patients who self-reported abstinence from cigarettes at 6 months after hospital discharge and a matched group of patients who reported continued smoking.Materials and methodsThis was a secondary analysis of a recent population-based clinical trial cohort (ClinicalTrials.gov ID: NCT01575145), with cohort membership determined by self-reported 7 day point prevalence abstinence at 6 months after the index hospital discharge. Participants were admitted to Mayo Clinic Hospital, Rochester, MN, between May 5, 2012 and August 10, 2014 for any indication and lived in the areas covered by postal codes included in Olmsted County, MN. Propensity score matching was used to control for differences between groups other than smoking status, and any residual imbalance was adjusted through generalized linear model with gamma distribution for cost and log-link transformation.ResultsOf 600 patients enrolled in the clinical trial, 144 could be contacted and self-reported 7 day point prevalence abstinence at 6 months after hospital discharge. Of these patients, 99 were successfully matched for this analysis. The cost for the index hospitalization was significantly greater in patients who abstained compared to those that did not abstain (mean difference of $3042, higher for abstainers, 95% CI $170 to $5913, P = 0.038). However, there was no difference between mean 6-month follow-up costs, number of inpatient hospitalizations, or number of emergency room visits for abstainers versus non-abstainers.ConclusionThere was no evidence to support the hypothesis that abstinence at 6 months after hospital discharge is associated with a decrease in health care costs or utilization over the first 6 months after hospital discharge.

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Section: Discussionmentioning

confidence: 99%

Association between smoking cessation and post-hospitalization healthcare costs: a matched cohort analysis

Nolan

Borah

Moriarty

et al. 2019

BMC Health Serv Res

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“…Effectiveness of intervention [16][17][18] 5. Cost and economic analysis [19][20][21][22] 6. Health checkup [23][24][25][26] 7.…”

Section: Data Re Source Ba S I C Smentioning

confidence: 99%

Data resource profile: JMDC claims database sourced from health insurance societies

Nagai¹,

Tsuruo²,

Kodaira³

et al. 2021

J of Gen and Family Med

125

104

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Smoker’s Tongue Recognition System based on Spectral and Texture Features using Visible Near-Infrared Imaging

Fauzan

Saputro

Kiswanjaya

2018

2018 International Conference on Electrical Engineering and Informatics (ICELTICs)(44501)

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The association between smoking cessation outpatient visits and total medical costs: a retrospective, observational analysis of Japanese employee-based public health insurance data

Abstract: Medical costs declined in the short-term following the first SCOV. Attendance at a greater number of SCOVs was associated with a lower increase ratio of medical costs.

Cited by 3 publications

References 12 publications

Association between smoking cessation and post-hospitalization healthcare costs: a matched cohort analysis

Association between smoking cessation and post-hospitalization healthcare costs: a matched cohort analysis

Data resource profile: JMDC claims database sourced from health insurance societies

Smoker’s Tongue Recognition System based on Spectral and Texture Features using Visible Near-Infrared Imaging

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