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Published on: September 23, 2022
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.
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.
Background:
The Japanese National Immunization Program currently includes the pediatric 13 valent pneumococcal conjugate vaccine (PCV13) to prevent pneumococcal infections. We aimed to evaluate the cost-effectiveness of 20-valent PCV (PCV20) as a pediatric vaccine versus PCV13.
Methods:
A decision-analytic Markov model was used to estimate expected costs, quality-adjusted life-years (QALYs), and prevented cases and deaths caused by invasive pneumococcal disease, pneumonia, and acute otitis media over a ten-year time horizon from the societal and healthcare payer perspectives.
Results:
PCV20 was dominant, i.e. less costly and more effective, over PCV13 (gained 294,599 QALYs and reduced Japanese yen [JPY] 352.6 billion [2.6 billion United States dollars, USD] from the societal perspective and JPY 178.9 billion [USD 1.4 billion] from the payer perspective). Sensitivity and scenario analyses validated the robustness of the base scenario results. When comparing PCV20 with PCV13, the threshold analysis revealed an incremental cost-effectiveness ratio that was within the threshold value (JPY 5 million/QALY) at a maximum acquisition cost of JPY 74,033 [USD 563] (societal perspective) and JPY 67,758 [USD 515] (payer perspective).
Conclusions:
As a pediatric vaccine, PCV20 was dominant over PCV13 regardless of the study perspective.
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