QUADRIVALENT HPV VACCINE IN ARGENTINA- COST-EFFECTIVENESS ANALYSIS
Author(s)
Caporale J1, Alcaraz A1, Rey-Ares L2, Pichon-Riviere A1, Bardach A1, Augustovski F3, Klein K1, Tatti S4
1Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina, 2Institute for Clinical Effectiveness and Health Policy (IECS), CABA, Argentina, 3Family and Community Medicine Division, Italian Hospital of Buenos Aires, Buenos Aires, Argentina, 4Hospital de Clínicas, Buenos Aires, Argentina
OBJECTIVES: To assess the cost-effectiveness of the introduction of the quadrivalent HPV vaccine in Argentina. METHODS: Using a transmission dynamic model developed and published by Elbasha in 2008 we evaluated the routine vaccination of 11-year-old girls over a time horizon of 100 years from the perspective of the health care system RESULTS: The model showed that the introduction of the vaccine will gradually reduce the incidence of cervical cancer, CIN 1/2/3, and genital warts related to HPV 6/11/16/18. When compared with non-vaccination, a women who completed the three dose scheme will experience a reduction of cervical cancer incidence and death, CIN2/3, CIN1 and genital warts of 58,6%, 59,2%, 56,7%, 56,3% and 67,3% respectively. Considering a 5% discount rate and a 43,8% of complete scheme coverage without heard immunity, the incremental cost-effectiveness ratio (ICER) was 795 USD per quality-adjusted life-year (QALY) gained. The additional protection against HPV types 6/11 has a great influence in the cost-effectiveness, the ICER was almost doubled when not contemplated the protection against HPV 6/11. The most influential parameters on the scenario analysis were the discount rate, the cost of the vaccine and the cost of treatment. However, the vaccine was very cost-effective (less than one gross domestic product=7844 USD) in all the tested scenarios. CONCLUSIONS: The implementation of routine HPV vaccination with the quadrivalent vaccine in 11-year-old girls in Argentina could provide significant benefits to public health by reducing cervical cancer incidence and death rates and the incidence of CIN 1/2/3 and genital warts, making it a highly cost-effective intervention
Conference/Value in Health Info
2014-05, ISPOR 2014, Palais des Congres de Montreal
Value in Health, Vol. 17, No. 3 (May 2014)
Code
PIN45
Topic
Economic Evaluation
Topic Subcategory
Cost-comparison, Effectiveness, Utility, Benefit Analysis
Disease
Infectious Disease (non-vaccine)