Cost-effectiveness analysis of 20-valent pneumococcal conjugate vaccine for routine pediatric vaccination programs in

Masayoshi Shinjoh1, Kanae Togo2, Tomoyuki Hayamizu2

  • 1Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan.

PubMed

Insights

The 20-valent pneumococcal conjugate vaccine (PCV20) is more cost-effective than the current 13-valent PCV13 vaccine for pediatric use in Japan. PCV20 offers greater health benefits and lower costs from both societal and healthcare payer perspectives.

Area of Science:

  • Health Economics
  • Vaccinology
  • Public Health

Background:

  • The Japanese National Immunization Program utilizes the 13-valent pneumococcal conjugate vaccine (PCV13) for pediatric immunization.
  • Pneumococcal infections pose a significant public health burden, necessitating ongoing evaluation of vaccine efficacy and cost-effectiveness.

Purpose of the Study:

  • To assess the cost-effectiveness of the 20-valent pneumococcal conjugate vaccine (PCV20) compared to PCV13 in the Japanese pediatric population.
  • To determine the economic value of PCV20 in preventing pneumococcal diseases.

Main Methods:

  • A decision-analytic Markov model was employed to simulate health outcomes and costs over a ten-year period.
  • The analysis considered societal and healthcare payer perspectives.
  • Key outcomes included quality-adjusted life-years (QALYs), prevented cases, and deaths from invasive pneumococcal disease, pneumonia, and acute otitis media.

Main Results:

  • PCV20 demonstrated dominance over PCV13, being both less costly and more effective.
  • From a societal perspective, PCV20 yielded an additional 294,599 QALYs and reduced costs by JPY 352.6 billion.
  • From a payer perspective, PCV20 resulted in JPY 178.9 billion in savings and improved QALYs.

Conclusions:

  • PCV20 is a dominant strategy compared to PCV13 for pediatric immunization in Japan, irrespective of the perspective analyzed.
  • Sensitivity and threshold analyses confirmed the robustness of these findings, indicating PCV20's favorable cost-effectiveness profile.
Abstract

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