Details:

Alternative Title:
Vaccine
Publisher's site:
http://dx.doi.org/10.1016/j.vaccine.2013.03.047
Personal Author:
Kulpeng, Wantanee ; Leelahavarong, Pattara ; Rattanavipapong, Waranya ; Sornsrivichai, Vorasith ; Baggett, Henry C. ; ... More +
Kulpeng, Wantanee ; Leelahavarong, Pattara ; Rattanavipapong, Waranya ; Sornsrivichai, Vorasith ; Baggett, Henry C. ; Meeyai, Aronrag ; Punpanich, Warunee ; Teerawattananon, Yot Less -
Description:
Objective

This study aims to evaluate the costs and outcomes of offering the 10-valent pneumococcal conjugate vaccine (PCV10) and 13-valent pneumococcal conjugate vaccine (PCV13) in Thailand compared to the current situation of no PCV vaccination.

Methods

Two vaccination schedules were considered: two-dose primary series plus a booster dose (2 + 1) and three-dose primary series plus a booster dose (3 + 1). A cost-utility analysis was conducted using a societal perspective. A Markov simulation model was used to estimate the relevant costs and health outcomes for a lifetime horizon. Costs were collected and values were calculated for the year 2010. The results were reported as incremental cost-effectiveness ratios (ICERs) in Thai Baht (THB) per quality adjusted life year (QALY) gained, with future costs and outcomes being discounted at 3% per annum. One-way sensitivity analysis and probabilistic sensitivity analysis using a Monte Carlo simulation were performed to assess parameter uncertainty.

Results

Under the base case-scenario of 2 + 1 dose schedule and a five-year protection, without indirect vaccine effects, the ICER for PCV10 and PCV13 were THB 1,368,072 and THB 1,490,305 per QALY gained, respectively. With indirect vaccine effects, the ICER of PCV10 was THB 519,399, and for PCV13 was THB 527,378. The model was sensitive to discount rate, the change in duration of vaccine protection and the incidence of pneumonia for all age groups.

Conclusions

At current prices, PCV10 and PCV13 are not cost-effective in Thailand. Inclusion of indirect vaccine effects substantially reduced the ICERs for both vaccines, but did not result in cost effectiveness.


Subject:
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Adult
Cost-Benefit Analysis
Humans
Immunization Schedule
Incidence
Male
Monte Carlo Method
Pneumococcal Infections
Pneumococcal Vaccines
Pneumonia, Pneumococcal
Quality-Adjusted Life Years
Vaccination
Vaccines, Conjugate

Source:
Vaccine. 31(26):2839-2847.
Pubmed ID:
23588084
Pubmed Central ID:
PMC4667720
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
Thailand
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:80813297f02ad6618916512d0f15bcbfe592f566e7306596566299037cf9df82
File Type:

Supporting Files

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  	NIHMS739881-supplement-Supplementary_Tables_-_Cost-utility_analysis_of_10-_and_13-valent_pneumococcal_conjugate_vaccines_-_protection_at_what_price_in_the_Thai_context.docx	docx
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