在美国,PCV21在65岁以上的有疫苗经验的成年人中使用的成本效益分析
Zinan Yi1, Kwame Owusu-Edusei1, Elamin Elbasha1
1Merck & Co. Inc., Rahway, NJ, USA.
American journal of preventive medicine
|February 8, 2026
概括
肺炎球菌合疫苗21 (PCV21) 是65岁以上的成年人之前接种过疫苗的经济有效选择. 这种疫苗预计可以预防许多肺炎球菌病例和死亡.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 美国建议像PCV21这样的高价值肺炎球菌合疫苗 (PCV) 用于65岁以上的成年人,他们之前已经接种了疫苗.
- 这项研究评估了PCV21与现有选择 (PPSV23,PCV15,PCV20) 在经验丰富的老年人中.
研究的目的:
- 评估PCV21在65岁以上的成年人中具有不同肺炎球菌疫苗接种史的成本效益.
- 将PCV21与23肺炎球菌多糖体疫苗 (PPSV23),PCV15和PCV20进行比较.
主要方法:
- 使用状态过渡马尔科夫模型从社会角度估计终身临床和经济结果.
- 分析了经质量调整的寿命年 (QALY) 和成本,并进行了敏感性和场景分析以评估有影响力的变量.
主要成果:
- 与PPSV23和PCV15相比,PCV21在特定的先前接种疫苗的群体中表现出了成本效益.
- 在所有接种过疫苗的成年人群中,PCV21与PCV20相比节省了成本.
- 疫苗的有效性和折扣率显著影响了模型的结果.
结论:
- PCV21为美国老年人预防肺炎球菌疾病提供了一个潜在的成本效益高的策略.
- 疫苗在先前接种疫苗的人的各种输入参数和场景中在经济上是合理的.
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