%0 Journal Article %T Estudio piloto: costos directos atribuibles al tabaquismo en dos hospitales de Santiago %A Mart¨ªnez-Guti¨¦rrez %A Mar¨ªa Soledad %A Vanegas L %A Jairo %A Reveco U %A Sandra %A Valenzuela R %A Rodrigo %A Arteaga H %A Oscar %J Revista m¨¦dica de Chile %D 2008 %I Sociedad M¨¦dica de Santiago %R 10.4067/S0034-98872008001000007 %X background: tobaceo is the fourth cause of the global burden of disease, accounting for 79.9 million loss of disability-adjusted ufe years (dalys) in 2001. in 2002, tobacco-attributable mortality in chile represented 17% of total mortality. aim: to estimate the direct cost of tobaceo in ischemic heart disease, chronic obstructive pulmonary disease and lung c¨¢ncer, explore patients' disposition to answer a health related expenses questionnaire, val¨ªdate the instruments used and determine an adequate sample size for an upcoming study. material and methods: socio-demographic and health care related variables were investigated among patients attending two publie hospitais for ischemic heart disease, chronic obstructive pulmonary disease and lung cancer, in a cross-sectional study. costs were estimated using the national publie health insurance price list and market pnces. tobacco-attributable fraction was then applied to calc¨²late the tobacco-attributable cost ofeach disease. results: the instruments used were validated. the group of lung c¨¢ncer patients was smaller due to increased mortality prior to interview. lung cancer generated the largest total and attr¨ªbutable direct costs. the costs in patients with ischemic heart disease were significantly lower conclusions: there were some difficulties in the application of the questionnaire to register medication use. the sample size needed in a larger study was calculated for each of the three diseases. we recommend that a definitive study addresses tobacco-attributable direct costs related to chronic obstructive pulmonary disease. %K coronary disease %K lung neoplasms %K pulmonary disease %K chronic obstructive %K tobaceo. %U http://www.scielo.cl/scielo.php?script=sci_abstract&pid=S0034-98872008001000007&lng=en&nrm=iso&tlng=en