Evidence map›Paper›PMID 30156978›Full record

ArticleHuman vaccines & immunotherapeutics2019

Modeling the sustained use of the 13-valent pneumococcal conjugate vaccine compared to switching to the 10-valent vaccine in Mexico.

Matthew Wasserman, Maria Gabriela Palacios, Ana Gabriela Grajales, F Berenice Baez/Revueltas, Michele Wilson, Cheryl McDade, Raymond Farkouh

Open access · bronzeAbstract readComparative Study
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
2.3field-weighted citation impact, top 12% 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, 24 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Matthew Wassermana Health Economics and Outcomes Research , Pfizer Inc , New York , Research Triangle Park , USA.
Maria Gabriela Palaciosb Medical and Scientific Affairs , Pfizer Inc . Mexico City , Mexico.
Ana Gabriela Grajalesb Medical and Scientific Affairs , Pfizer Inc . Mexico City , Mexico.
F Berenice Baez/Revueltasc Health Economics and Outcomes Research , Pfizer Inc . Mexico City , Mexico.
Michele Wilsond RTI Health Solutions , Research Triangle Park , NC , USA.
Cheryl McDaded RTI Health Solutions , Research Triangle Park , NC , USA.
Raymond Farkouhe Health Economics and Outcomes Research , Pfizer Inc , Collegeville PA , USA.
Pfizer (United States) · USRTI Health Solutions · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPneumococcal diseases caused by Streptococcus pneumoniae represent a significant health and economic burden. Mexico has benefited from the inclusion of the 7-valent (PCV7) and 13-valent pneumococcal conjugate vaccines (PCV13) since their inclusion in the National Immunization Program (NIP) in 2006 and 2010, respectively. The objective of this study is to estimate the impact of the existing program and predict future implications of a change in the current program.

methodsA previously published model was updated to estimate the historic impact of the PCV programs relative to pre-PCV implementation. Future disease trends were forecasted based on historical serotype behaviors for each PCV13 serotype and non-vaccine serotypes across different age groups. Costs and outcomes were estimated over a 10-year period based on continued use of PCV13 compared to a switch to PCV10.

resultsThe PCV7 and subsequent PCV13 NIP were estimated to prevent over 1.5 million cases of pneumococcal disease and 1,854 deaths, corresponding to a net savings of $34.50 Billion MXN. Continued use of PCV13 was estimated to save over 300 thousand cases of pneumococcal disease and 373 deaths compared to switching to PCV10 over a 10-year period. Despite a higher vaccine cost, maintaining PCV13 was cost-saving compared to PCV10, saving $6.71 billion MXN over 10 years.

conclusionThe PCV program in Mexico has provided a significant return on investment. Sustained PCV13 use was estimated to provide the greatest healthcare and economic impact in Mexico. Changes to the pneumococcal vaccination program could result in serotype replacement and reduction in herd effects.

Indexed as

Cost-Benefit AnalysisImmunization ProgramsChild, PreschoolHumansInfantInfant, NewbornMexicoPneumococcal InfectionsPneumococcal VaccinesProspective StudiesRetrospective StudiesSerogroupStreptococcus pneumoniaeVaccination10-valent pneumococcal conjugate vaccine13-valent pneumococcal vaccinePneumococcal Vaccinescost-effectivenessotitis mediapneumococcal conjugate vaccinepneumococcal diseasepneumoniavaccines

Identifiers

PMID30156978
PMCPMC6605727
OpenAlexW2889167116

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.