Evidence map›Paper›PMID 30130448›Full record

ArticleHuman vaccines & immunotherapeutics2019

Cost-effectiveness of the recombinant zoster vaccine in the German population aged ≥60 years old.

Desirée Van Oorschot, Anastassia Anastassopoulou, Barbara Poulsen Nautrup, Lijoy Varghese, Alfred von Krempelhuber, Mohamed Neine, Stéphane Lorenc, Desmond Curran

Open access · hybridAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
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

18 citing papers in PubMed, 21 citations in OpenAlex.

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  15. Varicella zoster virus vaccines: an update.ImmunoTargets and therapy · 2019
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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

8 authors at 2 institutions in 2 countries.

Desirée Van Oorschota GSK , Wavre , Belgium.
Anastassia Anastassopouloub GSK Munich , Germany.
Barbara Poulsen Nautrupc EAH Consulting , Aachen , Germany.
Lijoy Varghesed GSK , Singapore , Singapore.
Alfred von Krempelhuberb GSK Munich , Germany.
Mohamed Neinee Freelance, on behlaf of GSK , Wavre , Belgium.
Stéphane Lorence Freelance, on behlaf of GSK , Wavre , Belgium.
Desmond Currana GSK , Wavre , Belgium.
GlaxoSmithKline (Belgium) · BEGlaxoSmithKline (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Each year, around 300,000 Herpes Zoster (HZ) cases are observed in the German population, resulting in costs over €182 million to society. The objective of this study was to estimate the potential public health and economic impact of the new Adjuvanted Recombinant Zoster Vaccine (RZV, Shingrix) in the German population ≥ 60 years of age (YOA) and to identify the optimal age of vaccination. We used a static, multi-cohort Markov model that followed a hypothetical cohort of 1 million people ≥ 60 YOA life-long after vaccination using German-specific inputs. Both costs and outcomes were discounted at 3%, the incremental cost-effectiveness ratio (ICER) was calculated based on the societal perspective. The coverage of RZV was set at 40% with a second-dose compliance of 70%. Vaccinating the population aged ≥ 60 YOA would result in 45,000 HZ cases avoided, 1,713 quality-adjusted life years (QALYs) gained at a total cost of approximately €63 million compared to 38,000 cases avoided, 1,545 QALYs gained at a total cost of approximately €68 million in the population ≥ 70 YOA. This would result in an ICER of approximately €37,000 and €44,000/QALY, for the age cohort ≥ 60 and ≥ 70 YOA, respectively. Scenario analyses demonstrated that vaccinating at age 60 or 65 YOA would show greater public health impact and would result in the lowest observed ICER compared to vaccinating at 70 YOA. In conclusion, starting vaccination with RZV in the German population ≥ 60 YOA would demonstrate the best value from a public health and economic standpoint.

Indexed as

Cost-Benefit AnalysisAgedAged, 80 and overCohort StudiesGermanyHerpes ZosterHerpes Zoster VaccineHumansMarkov ChainsMiddle AgedNeuralgia, PostherpeticPublic HealthQuality-Adjusted Life YearsVaccinationVaccines, SyntheticHerpes Zoster VaccineVaccines, Syntheticcost-effectivenesseconomic analysisherpes zosterolder adultspostherpetic neuralgiapublic healthshinglesvaccination

Identifiers

PMID30130448
PMCPMC6363061
OpenAlexW2888131046

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.