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A brief smoking cessation intervention for adults in hospital was cost effective

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Question Is an in hospital smoking cessation programme for a general population of adult patients cost effective?


Cost effectiveness analysis from the perspective of the implementing hospital, using data from a controlled trial with follow up at 12 months.


Two 200 bed hospitals managed by Kaiser Permanente Northwest health maintenance organisation in Oregon and Washington, USA.


1119 patients ≥18 years of age (mean age 44 y, 62% women)* who reported smoking regularly in the previous 3 months. Patients with a hospital stay <36 hours as well as those who were postpartum, admitted for substance abuse, or receiving hospice care were excluded.


453 patients were allocated to the intervention and were offered 20 minutes of bedside counselling with an experienced counsellor, a …

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  • * Data provided by author.


  • Source of funding: National Cancer Institute.

  • For correspondence: Dr R T Meenan, Kaiser Permanente Center for Health Research, 3800 N Kaiser Center Drive, Portland, Oregon 97227–1098, USA. Fax +1 503 335 2424.

  • * Stevens VJ, Glasgow RE, Hollis JF, et al. Med Care 1993;31:65–72.