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Cost-effectiveness of a tetravalent human papillomavirus vaccine in Germany
- Source :
- Journal of Public Health
- Publication Year :
- 2008
- Publisher :
- Springer Science and Business Media LLC, 2008.
-
Abstract
- Aim: Clinical trials have demonstrated the efficacy of the tetravalent human papillomavirus (HPV) vaccination in the prevention of cervical cancer and genital warts associated with HPV types 6, 11, 16 and 18. We used an empirically calibrated Markov cohort model of the natural history of HPV to assess the cost-effectiveness of the vaccine administered to 12-year-old girls alongside existing cervical screening programmes in Germany. Subjects and methods: The model estimated cervical cancer (CC), cervical intraepithelial neoplasia (CIN) and genital wart lifetime risks and total lifetime health care costs, life years gained and quality-adjusted life years (QALY) gained. The analysis was conducted from the perspective of the German health care payer. Results: In the base case (considering a lifetime duration of protection and 100% efficacy) it was estimated that 2,835 cervical cancer cases and 679 deaths could be prevented among a cohort of 400,000, at an incremental cost per QALY gained of 10,530 €. A total of 120 girls needed to be vaccinated to prevent 1 case of CC. Cost-effectiveness is sensitive to a duration of protection of less than 20 years and to the discount rate for costs and benefits. Conclusion: A policy of vaccinating adolescent girls has been recommended by the German Standing Committee on Vaccinations. This study has demonstrated that such a policy is cost-effective based on thresholds of cost-effectiveness that apply in Germany.
- Subjects :
- Pediatrics
medicine.medical_specialty
Cost effectiveness
Cervical intraepithelial neoplasia
Genital warts
Human papillomavirus (HPV) vaccine
Cost-effectiveness
Germany
Medicine
ddc:610
Medicine, Social Medicine
Social sciences, sociology, anthropology
Gynecology
Cervical cancer
Sozialwissenschaften, Soziologie
Medizin und Gesundheit
Cervical screening
business.industry
Health Policy
Public Health, Environmental and Occupational Health
medicine.disease
Medizin, Sozialmedizin
Clinical trial
Vaccination
Medicine and health
Cohort
ddc:300
Gesundheitspolitik
business
Subjects
Details
- ISSN :
- 16132238 and 09431853
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Journal of Public Health
- Accession number :
- edsair.doi.dedup.....d2f59eba44ece17ff6230ff45a876f6e
- Full Text :
- https://doi.org/10.1007/s10389-008-0228-3