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To the Editor.—The article by Dr Cromwell and colleagues¹ is an important contribution that addresses the cost-effectiveness of the Agency for Health Care Policy and Research (AHCPR) guidelines on smoking cessation. This meta-analysis–based estimation procedure arrives at a conclusion similar to our experience using actual costs of providing nicotine dependence treatment services at the Mayo Clinic Nicotine Dependence Center.² However, it would have been helpful for the authors to provide citations for the cessation rate used in their meta-analyses.

Our center provides master's-level counselor–delivered intervention services. The 1-year smoking cessation rate for patients who receive the basic level of intervention is 22.2%. Our report was the first cost-effectiveness analysis from a medical center with a large smoking cessation program and presented the actual institutional costs of providing such a service to the patient population and the cost-effectiveness of the service. In our cost-effectiveness analysis, we found that the estimated . . . [Full Text of this Article]

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RELATED ARTICLE

Cost-effectiveness of the Clinical Practice Recommendations in the AHCPR Guideline for Smoking Cessation
Jerry Cromwell, William J. Bartosch, Michael C. Fiore, Victor Hasselblad, and Timothy Baker
JAMA. 1997;278(21):1759-1766.
ABSTRACT