Cost and Cost-effectiveness of the COMBINE Study in Alcohol-Dependent Patients

Abstract
Alcohol use is the third leading preventable cause of death,1 and alcohol abuse and dependence impose substantial costs on society. In 1998, the estimated societal cost of alcohol abuse in the United States was $184 billion.2 The sizable economic and societal costs of alcohol abuse and dependence have prompted considerable interest in developing interventions to ameliorate these costs and to improve patient functioning. Several behavioral interventions3 and 2 pharmacotherapies—naltrexone and acamprosate4,5—have been shown to be efficacious.