Evidence map›Paper›PMID 32272920›Full record

ArticleBMC health services research2020

Valuing the cost of improving Chilean primary vaccination: a cost minimization analysis of a hexavalent vaccine.

Ignacio Olivera, Carlos Grau, Hugo Dibarboure, Juan Pablo Torres, Gustavo Mieres, Luis Lazarov, Fabián P Alvarez, Juan Guillermo López Yescas

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. 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

8 authors at 4 institutions in 4 countries.

Ignacio OliveraCentro de Investigaciones Económicas, CINVE, Salud, Montevideo, Uruguay.
Carlos GrauCentro de Investigaciones Económicas, CINVE, Salud, Montevideo, Uruguay.
Hugo DibarboureSanofi Pasteur, Montevideo, Uruguay.
Juan Pablo TorresChile Departamento de Pediatría y Cirugía Infantil Oriente, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Gustavo MieresCentro de Investigaciones Económicas, CINVE, Salud, Montevideo, Uruguay.
Luis LazarovCentro de Investigaciones Económicas, CINVE, Salud, Montevideo, Uruguay.
Fabián P AlvarezSanofi Pasteur, Lyon, France.
Juan Guillermo López YescasSanofi, Avenida Universidad 1738, Coyoacan, 04000, Mexico City, Mexico. juang.lopezy@protonmail.com.
Institut Pasteur de Montevideo · UYSanofi (France) · FRSanofi (Mexico) · MXUniversity of Chile · CL

Funding

Sanofi Pasteur N/A
6 · The paper itself

Abstract

backgroundThe phased withdrawal of oral polio vaccine (OPV) and the introduction of inactivated poliovirus vaccine (IPV) is central to the polio 'end-game' strategy.

methodsWe analyzed the cost implications in Chile of a switch from the vaccination scheme consisting of a pentavalent vaccine with whole-cell pertussis component (wP) plus IPV/OPV vaccines to a scheme with a hexavalent vaccine with acellular pertussis component (aP) and IPV (Hexaxim®) from a societal perspective. Cost data were collected from a variety of sources including national estimates and previous vaccine studies. All costs were expressed in 2017 prices (US$ 1.00 = $Ch 666.26).

resultsThe overall costs associated with the vaccination scheme (4 doses of pentavalent vaccine plus 1 dose IPV and 3 doses OPV) from a societal perspective was estimated to be US$ 12.70 million, of which US$ 8.84 million were associated with the management of adverse events related to wP. In comparison, the cost associated with the 4-dose scheme with a hexavalent vaccine (based upon the PAHO reference price) was US$ 19.76 million. The cost of switching to the hexavalent vaccine would be an additional US$ 6.45 million. Overall, depending on the scenario, the costs of switching to the hexavalent scheme would range from an additional US$ 2.62 million to US$ 6.45 million compared with the current vaccination scheme.

conclusionsThe switch to the hexavalent vaccine schedule in Chile would lead to additional acquisition costs, which would be partially offset by improved logistics, and a reduction in adverse events associated with the current vaccines.

Indexed as

ChileCosts and Cost AnalysisDiphtheria-Tetanus-Pertussis VaccineDrug SubstitutionHaemophilus VaccinesHepatitis B VaccinesHumansImmunization ScheduleInfantPoliomyelitisPoliovirus Vaccine, InactivatedPoliovirus Vaccine, OralVaccinationVaccines, CombinedDiphtheria-Tetanus-Pertussis VaccineDTaP-IPV-HB-PRP-T vaccineHaemophilus VaccinesHepatitis B VaccinesPoliovirus Vaccine, InactivatedPoliovirus Vaccine, OralVaccines, CombinedCostPediatricPolioVaccination

Identifiers

PMID32272920
PMCPMC7147015
OpenAlexW3015887404

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.