Evidence map›Paper›PMID 28605285›Full record

ArticleHuman vaccines & immunotherapeutics2017

Analysis of real-world health care costs among immunocompetent patients aged 50 years or older with herpes zoster in the United States.

Juliana L Meyers, Shweta Madhwani, Debora Rausch, Sean D Candrilli, Girishanthy Krishnarajah, Songkai Yan

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Herpes Zoster in Aging Patients: Risk Factors and Prevention Strategies.International journal of general medicine · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
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  11. Article
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  15. Article
  16. Article
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  18. Patient and economic burdens of postherpetic neuralgia in China.ClinicoEconomics and outcomes research : CEOR · 2019
    Article
  19. The Economic Impact of Herpes Zoster Vaccine Disparities in Elderly United States Blacks.International journal of environmental research and public health · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Juliana L Meyersa RTI Health Solutions , Research Triangle Park , NC , USA.
Shweta Madhwania RTI Health Solutions , Research Triangle Park , NC , USA.
Debora Rauschb GSK , Philadelphia , PA , USA.
Sean D Candrillia RTI Health Solutions , Research Triangle Park , NC , USA.
Girishanthy Krishnarajahb GSK , Philadelphia , PA , USA.
Songkai Yanb GSK , Philadelphia , PA , USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few peer-reviewed publications present real-world United States (US) data describing resource utilization and costs associated with herpes zoster (HZ) and postherpetic neuralgia (PHN). The primary objective of this analysis (GSK study identifier: HO-14-14270) was to assess direct costs associated with HZ and PHN in the US using a retrospective managed care insurance claims database. Patients ≥ 50 y at HZ diagnosis were selected. Patients were excluded if they were immunocompromised before diagnosis or received an HZ vaccine at any time. A subsample of patients with PHN was identified. Each patient with HZ was matched to ≤ 4 controls without HZ based on age, sex, and health plan enrollment. Incremental differences in mean HZ-related costs ("incremental costs") were assessed overall and stratified by age. Multivariable regression models controlled for the effect of demographic characteristics, prediagnosis costs, and comorbidity burden on costs using a recycled predictions approach. Overall, 142,519 patients with HZ (9,470 patients [6.6%] had PHN) and 357,907 matched controls without HZ were identified. Resource utilization was greater among patients with HZ than controls. After adjusting for demographic and clinical characteristics, annual incremental health care costs for HZ patients vs. controls were $1,210 for patients aged 50-59 years, $1,629 for those 60-64 years, $1,876 for those 65-69 years, $2,643 for those 70-79 years, and $3,804 for those 80+ years; adjusted annual incremental costs among PHN patients vs. controls were $4,670 for patients 50-59 years, $6,133 for those 60-64 years, $6,451 for those 65-69 years, $8,548 for those 70-79 years, and $11,147 for those 80+ years. HZ is associated with a significant cost burden, which increases with advancing patient age. Vaccination may reduce costs associated with HZ through case avoidance.

Indexed as

Health Care CostsAgedAged, 80 and overCost-Benefit AnalysisDatabases, FactualFemaleHealth ResourcesHerpes ZosterHerpes Zoster VaccineHumansImmunocompetenceMaleManaged Care ProgramsMiddle AgedNeuralgia, PostherpeticRetrospective StudiesHerpes Zoster Vaccinecostsherpes zostermanaged carepostherpetic neuralgiaretrospective claims analysis

Identifiers

PMID28605285
PMCPMC5557235

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.