Examining the Association between Abstinence from Smoking and Healthcare Costs among Patients with Cancer

Authors

• George Kypriotakis
• Seokhun Kim
• Maher Karam-Hage
• Jason D Robinson
• Jennifer A Minnix
• Janice A Blalock
• Yong Cui
• Diane Beneventi
• Bumyang Kim
• I-Wen Pan
• Ya-Chen Tina Shih
• Paul M Cinciripini

Language

English

Publication Date

5-2-2024

Journal

Cancer Prevention Research

DOI

10.1158/1940-6207.CAPR-23-0245

PMID

37940143

PMCID

PMC11097145

PubMedCentral® Posted Date

5-16-2024

PubMedCentral® Full Text Version

Author MSS

Abstract

Continuous tobacco use in cancer patients is linked to substantial healthcare costs due to increased risks and complications, whereas quitting smoking leads to improved treatment outcomes and cost reductions. Addressing the need for empirical evidence on the economic impact of smoking cessation, this study examined the association between smoking cessation and healthcare cost utilization among a sample of 930 cancer patients treated at The University of Texas MD Anderson Cancer Center’s Tobacco Research and Treatment Program (TRTP). Applying conditional quantile regression and propensity scores to address confounding, our findings revealed that abstinence achieved through the TRTP significantly reduced the median cost during a 3-month period post-quitting by $1,095 (β=−$1,095, p=0.007, 95%CI=[−$1,886, −$304]). Sensitivity analysis corroborated these conclusions, showing a pronounced cost reduction when outlier data were excluded. The long-term accrued cost savings from smoking cessation could potentially offset the cost of participation in the TRTP program, underscoring its cost-effectiveness. An important implication of this study is that by reducing smoking rates, healthcare systems can more efficiently allocate resources, enhance patient health outcomes, and lessen the overall cancer burden.

Keywords

Humans, Smoking Cessation, Male, Female, Neoplasms, Middle Aged, Health Care Costs, Adult, Aged, Cost-Benefit Analysis, Smoking

Published Open-Access

yes

Recommended Citation

Kypriotakis, George; Kim, Seokhun; Karam-Hage, Maher; et al., "Examining the Association between Abstinence from Smoking and Healthcare Costs among Patients with Cancer" (2024). Faculty, Staff and Student Publications. 4187.
https://digitalcommons.library.tmc.edu/uthmed_docs/4187