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A Literature Review of Cost-Benefit Analyses for the Treatment of Alcohol Dependence
Social and Epidemiological Research Department, Centre for Addiction and Mental Health, 33 Russell St., Toronto, Ontario M5S 2S1, Canada
Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, Ontario M5T 3M7, Canada
Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St. West, Toronto, Ontario M5S 1V4, Canada
Eli Lilly and Company, Global Health Outcomes, Indianapolis, IN 46285, USA
Klinische Psychologie und Psychotherapie, Epidemiological Research Unit, Technische Universität, Hohe Street 53, Dresden D-01187, Germany
* Author to whom correspondence should be addressed.
Received: 7 June 2011; in revised form: 3 August 2011 / Accepted: 3 August 2011 / Published: 16 August 2011
Abstract: The purpose of this study was to conduct a literature review of cost-benefit studies on pharmacotherapy and psychotherapy treatments of alcohol dependence (AD). A literature search was performed in multiple electronic bibliographic databases. The search identified seven psychotherapy studies from the USA and two pharmacotherapy studies from Europe. In the psychotherapy studies, major benefits are typically seen within the first six months of treatment. The benefit-cost ratio ranged from 1.89 to 39.0. Treatment with acamprosate was found to accrue a net benefit of 21,301 BEF (528 €) per patient over a 24-month period in Belgium and lifetime benefit for each patient in Spain was estimated to be Pta. 3,914,680 (23,528 €). To date, only a few studies exist that have examined the cost-benefit of psychotherapy or pharmacotherapy treatment of AD. Most of the available treatment options for AD appear to produce marked economic benefits.
Keywords: alcohol dependence treatment; psychotherapy; pharmacotherapy; costs; benefits
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Popova, S.; Mohapatra, S.; Patra, J.; Duhig, A.; Rehm, J. A Literature Review of Cost-Benefit Analyses for the Treatment of Alcohol Dependence. Int. J. Environ. Res. Public Health 2011, 8, 3351-3364.
Popova S, Mohapatra S, Patra J, Duhig A, Rehm J. A Literature Review of Cost-Benefit Analyses for the Treatment of Alcohol Dependence. International Journal of Environmental Research and Public Health. 2011; 8(8):3351-3364.
Popova, Svetlana; Mohapatra, Satya; Patra, Jayadeep; Duhig, Amy; Rehm, Jürgen. 2011. "A Literature Review of Cost-Benefit Analyses for the Treatment of Alcohol Dependence." Int. J. Environ. Res. Public Health 8, no. 8: 3351-3364.