Cost-effectiveness of adult vaccinations: A systematic review.
Identifieur interne : 000027 ( Main/Exploration ); précédent : 000026; suivant : 000028Cost-effectiveness of adult vaccinations: A systematic review.
Auteurs : Andrew J. Leidner [États-Unis] ; Neil Murthy [États-Unis] ; Harrell W. Chesson [États-Unis] ; Matthew Biggerstaff [États-Unis] ; Charles Stoecker [États-Unis] ; Aaron M. Harris [États-Unis] ; Anna Acosta [États-Unis] ; Kathleen Dooling [États-Unis] ; Carolyn B. Bridges [États-Unis]Source :
- Vaccine [ 1873-2518 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte, Analyse coût-bénéfice, Calendrier vaccinal, Canada, Diphtérie (), Facteurs de l'âge, Grippe humaine (), Humains, Hépatite B (), Pneumonie à pneumocoques (), Tétanos (), Vaccin diphtérie-tétanos-coqueluche (usage thérapeutique), Vaccin diphtérie-tétanos-coqueluche (économie), Vaccination (économie), Vaccins antigrippaux (usage thérapeutique), Vaccins antigrippaux (économie), Vaccins antipneumococciques (usage thérapeutique), Vaccins antipneumococciques (économie), États-Unis d'Amérique.
- MESH :
- usage thérapeutique : Vaccin diphtérie-tétanos-coqueluche, Vaccins antigrippaux, Vaccins antipneumococciques.
- économie : Vaccin diphtérie-tétanos-coqueluche, Vaccination, Vaccins antigrippaux, Vaccins antipneumococciques.
- Adulte, Analyse coût-bénéfice, Calendrier vaccinal, Canada, Diphtérie, Facteurs de l'âge, Grippe humaine, Humains, Hépatite B, Pneumonie à pneumocoques, Tétanos, États-Unis d'Amérique.
- Wicri :
- geographic : Canada, États-Unis.
English descriptors
- KwdEn :
- Adult, Age Factors, Canada, Cost-Benefit Analysis, Diphtheria (prevention & control), Diphtheria-Tetanus-Pertussis Vaccine (economics), Diphtheria-Tetanus-Pertussis Vaccine (therapeutic use), Hepatitis B (prevention & control), Humans, Immunization Schedule, Influenza Vaccines (economics), Influenza Vaccines (therapeutic use), Influenza, Human (prevention & control), Pneumococcal Vaccines (economics), Pneumococcal Vaccines (therapeutic use), Pneumonia, Pneumococcal (prevention & control), Tetanus (prevention & control), United States, Vaccination (economics).
- MESH :
- chemical , economics : Diphtheria-Tetanus-Pertussis Vaccine, Influenza Vaccines, Pneumococcal Vaccines.
- chemical , therapeutic use : Diphtheria-Tetanus-Pertussis Vaccine, Influenza Vaccines, Pneumococcal Vaccines.
- geographic : Canada, United States.
- economics : Vaccination.
- prevention & control : Diphtheria, Hepatitis B, Influenza, Human, Pneumonia, Pneumococcal, Tetanus.
- Adult, Age Factors, Cost-Benefit Analysis, Humans, Immunization Schedule.
Abstract
BACKGROUND
Coverage levels for many recommended adult vaccinations are low. The cost-effectiveness research literature on adult vaccinations has not been synthesized in recent years, which may contribute to low awareness of the value of adult vaccinations and to their under-utilization. We assessed research literature since 1980 to summarize economic evidence for adult vaccinations included on the adult immunization schedule.
METHODS
We searched PubMed, EMBASE, EconLit, and Cochrane Library from 1980 to 2016 and identified economic evaluation or cost-effectiveness analysis for vaccinations targeting persons aged ≥18 years in the U.S. or Canada. After excluding records based on title and abstract reviews, the remaining publications had a full-text review from two independent reviewers, who extracted economic values that compared vaccination to "no vaccination" scenarios.
RESULTS
The systematic searches yielded 1688 publications. After removing duplicates, off-topic publications, and publications without a "no vaccination" comparison, 78 publications were included in the final analysis (influenza = 25, pneumococcal = 18, human papillomavirus = 9, herpes zoster = 7, tetanus-diphtheria-pertussis = 9, hepatitis B = 9, and multiple vaccines = 1). Among outcomes assessing age-based vaccinations, the percent indicating cost-savings was 56% for influenza, 31% for pneumococcal, and 23% for tetanus-diphtheria-pertussis vaccinations. Among age-based vaccination outcomes reporting $/QALY, the percent of outcomes indicating a cost per QALY of ≤$100,000 was 100% for influenza, 100% for pneumococcal, 69% for human papillomavirus, 71% for herpes zoster, and 50% for tetanus-diphtheria-pertussis vaccinations.
CONCLUSIONS
The majority of published studies report favorable cost-effectiveness profiles for adult vaccinations, which supports efforts to improve the implementation of adult vaccination recommendations.
DOI: 10.1016/j.vaccine.2018.11.056
PubMed: 30527660
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Diphtheria-Tetanus-Pertussis Vaccine (economics)</term>
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<term>Vaccination (economics)</term>
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<term>Analyse coût-bénéfice</term>
<term>Calendrier vaccinal</term>
<term>Canada</term>
<term>Diphtérie ()</term>
<term>Facteurs de l'âge</term>
<term>Grippe humaine ()</term>
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<term>Vaccins antipneumococciques (économie)</term>
<term>États-Unis d'Amérique</term>
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<term>Influenza Vaccines</term>
<term>Pneumococcal Vaccines</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Diphtheria-Tetanus-Pertussis Vaccine</term>
<term>Influenza Vaccines</term>
<term>Pneumococcal Vaccines</term>
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<term>United States</term>
</keywords>
<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Vaccination</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Diphtheria</term>
<term>Hepatitis B</term>
<term>Influenza, Human</term>
<term>Pneumonia, Pneumococcal</term>
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<term>Vaccins antigrippaux</term>
<term>Vaccins antipneumococciques</term>
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<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Vaccin diphtérie-tétanos-coqueluche</term>
<term>Vaccination</term>
<term>Vaccins antigrippaux</term>
<term>Vaccins antipneumococciques</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
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<term>Humans</term>
<term>Immunization Schedule</term>
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<term>Diphtérie</term>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>Coverage levels for many recommended adult vaccinations are low. The cost-effectiveness research literature on adult vaccinations has not been synthesized in recent years, which may contribute to low awareness of the value of adult vaccinations and to their under-utilization. We assessed research literature since 1980 to summarize economic evidence for adult vaccinations included on the adult immunization schedule.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We searched PubMed, EMBASE, EconLit, and Cochrane Library from 1980 to 2016 and identified economic evaluation or cost-effectiveness analysis for vaccinations targeting persons aged ≥18 years in the U.S. or Canada. After excluding records based on title and abstract reviews, the remaining publications had a full-text review from two independent reviewers, who extracted economic values that compared vaccination to "no vaccination" scenarios.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The systematic searches yielded 1688 publications. After removing duplicates, off-topic publications, and publications without a "no vaccination" comparison, 78 publications were included in the final analysis (influenza = 25, pneumococcal = 18, human papillomavirus = 9, herpes zoster = 7, tetanus-diphtheria-pertussis = 9, hepatitis B = 9, and multiple vaccines = 1). Among outcomes assessing age-based vaccinations, the percent indicating cost-savings was 56% for influenza, 31% for pneumococcal, and 23% for tetanus-diphtheria-pertussis vaccinations. Among age-based vaccination outcomes reporting $/QALY, the percent of outcomes indicating a cost per QALY of ≤$100,000 was 100% for influenza, 100% for pneumococcal, 69% for human papillomavirus, 71% for herpes zoster, and 50% for tetanus-diphtheria-pertussis vaccinations.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>The majority of published studies report favorable cost-effectiveness profiles for adult vaccinations, which supports efforts to improve the implementation of adult vaccination recommendations.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="BACKGROUND">Coverage levels for many recommended adult vaccinations are low. The cost-effectiveness research literature on adult vaccinations has not been synthesized in recent years, which may contribute to low awareness of the value of adult vaccinations and to their under-utilization. We assessed research literature since 1980 to summarize economic evidence for adult vaccinations included on the adult immunization schedule.</AbstractText>
<AbstractText Label="METHODS">We searched PubMed, EMBASE, EconLit, and Cochrane Library from 1980 to 2016 and identified economic evaluation or cost-effectiveness analysis for vaccinations targeting persons aged ≥18 years in the U.S. or Canada. After excluding records based on title and abstract reviews, the remaining publications had a full-text review from two independent reviewers, who extracted economic values that compared vaccination to "no vaccination" scenarios.</AbstractText>
<AbstractText Label="RESULTS">The systematic searches yielded 1688 publications. After removing duplicates, off-topic publications, and publications without a "no vaccination" comparison, 78 publications were included in the final analysis (influenza = 25, pneumococcal = 18, human papillomavirus = 9, herpes zoster = 7, tetanus-diphtheria-pertussis = 9, hepatitis B = 9, and multiple vaccines = 1). Among outcomes assessing age-based vaccinations, the percent indicating cost-savings was 56% for influenza, 31% for pneumococcal, and 23% for tetanus-diphtheria-pertussis vaccinations. Among age-based vaccination outcomes reporting $/QALY, the percent of outcomes indicating a cost per QALY of ≤$100,000 was 100% for influenza, 100% for pneumococcal, 69% for human papillomavirus, 71% for herpes zoster, and 50% for tetanus-diphtheria-pertussis vaccinations.</AbstractText>
<AbstractText Label="CONCLUSIONS">The majority of published studies report favorable cost-effectiveness profiles for adult vaccinations, which supports efforts to improve the implementation of adult vaccination recommendations.</AbstractText>
<CopyrightInformation>Published by Elsevier Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Leidner</LastName>
<ForeName>Andrew J</ForeName>
<Initials>AJ</Initials>
<AffiliationInfo><Affiliation>Berry Technology Solutions, USA. Electronic address: aleidner@cdc.gov.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Murthy</LastName>
<ForeName>Neil</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>National Center for Immunization and Respiratory Diseases, CDC, USA; Epidemic Intelligence Service, CDC, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chesson</LastName>
<ForeName>Harrell W</ForeName>
<Initials>HW</Initials>
<AffiliationInfo><Affiliation>National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Biggerstaff</LastName>
<ForeName>Matthew</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>National Center for Immunization and Respiratory Diseases, CDC, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Stoecker</LastName>
<ForeName>Charles</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>School of Public Health and Tropical Medicine, Tulane University, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Harris</LastName>
<ForeName>Aaron M</ForeName>
<Initials>AM</Initials>
<AffiliationInfo><Affiliation>National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Acosta</LastName>
<ForeName>Anna</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>National Center for Immunization and Respiratory Diseases, CDC, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dooling</LastName>
<ForeName>Kathleen</ForeName>
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<affiliations><list><country><li>États-Unis</li>
</country>
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<name sortKey="Acosta, Anna" sort="Acosta, Anna" uniqKey="Acosta A" first="Anna" last="Acosta">Anna Acosta</name>
<name sortKey="Biggerstaff, Matthew" sort="Biggerstaff, Matthew" uniqKey="Biggerstaff M" first="Matthew" last="Biggerstaff">Matthew Biggerstaff</name>
<name sortKey="Bridges, Carolyn B" sort="Bridges, Carolyn B" uniqKey="Bridges C" first="Carolyn B" last="Bridges">Carolyn B. Bridges</name>
<name sortKey="Chesson, Harrell W" sort="Chesson, Harrell W" uniqKey="Chesson H" first="Harrell W" last="Chesson">Harrell W. Chesson</name>
<name sortKey="Dooling, Kathleen" sort="Dooling, Kathleen" uniqKey="Dooling K" first="Kathleen" last="Dooling">Kathleen Dooling</name>
<name sortKey="Harris, Aaron M" sort="Harris, Aaron M" uniqKey="Harris A" first="Aaron M" last="Harris">Aaron M. Harris</name>
<name sortKey="Murthy, Neil" sort="Murthy, Neil" uniqKey="Murthy N" first="Neil" last="Murthy">Neil Murthy</name>
<name sortKey="Stoecker, Charles" sort="Stoecker, Charles" uniqKey="Stoecker C" first="Charles" last="Stoecker">Charles Stoecker</name>
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