Evidence map›Paper›PMID 33016814›Full record

ArticleHuman vaccines & immunotherapeutics2021

Cost-utility analysis of newborn hepatitis B immunization in Beijing.

Yiwei Guo, Yong Yang, Qian Bai, Zhengwei Huang, Zongwu Wang, Dongxia Cai, Shuo Li, Xiaowei Man, Xuefeng Shi

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

9 authors.

Yiwei GuoDong Fureng Economic & Social Development School, Wuhan University, Wuhan, Hubei, China.ORCID 0000-0003-3496-1662
Yong YangSchool of Management, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0002-7916-8679
Qian BaiInstitute of Chinese Medical Sciences, University of Macau, Avenida da Universidade, Taipa, China.ORCID 0000-0002-8642-4730
Zhengwei HuangSchool of Management, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0001-7973-5269
Zongwu WangGeneral Administration Department, Health News Co.,Ltd., Beijing, China.ORCID 0000-0001-9108-5537
Dongxia CaiSchool of Management, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0002-2513-1483
Shuo LiSchool of Management, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0003-0300-1298
Xiaowei ManSchool of Management, National Institute of Chinese Medicine Development and Strategy, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0002-2012-7530
Xuefeng ShiSchool of Management, National Institute of Chinese Medicine Development and Strategy, Beijing University of Chinese Medicine, Beijing, China.ORCID 0000-0001-7056-2912

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate cost-utility of universal Hepatitis B vaccination program in the Beijing city (Beijing).

methodsA decision-Markov model was constructed to determine the cost-utility of the universal immunization program for infants (universal vaccination program) by comparing with a hypothetic nonvaccination strategy in Beijing. Parameters in models were extracted from Beijing Center for Disease Control and Prevention (CDC) annual work report, Beijing health statistical yearbook, National Health Survey report, Beijing 1% population sample survey report, Beijing Health and Medical Price Monitoring Data Platform, and public literatures. The incremental cost‑utility ratio (ICUR) was used to compare alternative scenarios. One-way sensitivity analysis and probabilistic sensitivity analysis were used to assess parameter uncertainties.

resultsThe universal vaccination program had increased the utility and reduced cost among infants born in 2016 in Beijing. The ICUR was CNY -24,576.61 (US$ -3779.16) per QALY for universal vaccination program comparing with non-vaccination scenario from healthcare perspective. It was estimated that the universal vaccination would save direct medical treatment cost of CNY 2,262,869,173.50 (US$ 347,962,414.43) and prevent loss of 18322.25 QALYs within lifetime of target cohort. Discount rate accounted for the most remarkable influence on ICUR in one-way sensitivity analysis. The result of probabilistic sensitivity analysis illustrated that all of the ICURs were located in the fourth quadrant of the cost-utility incremental plot undergone 5000 times of Monte Carlo simulation.

conclusionsCurrent universal hepatitis B vaccination program in Beijing was highly cost utility. The investment was reasonable for current universal vaccination program in Beijing.

Indexed as

Hepatitis BImmunization ProgramsBeijingChild, PreschoolCost-Benefit AnalysisHumansInfantInfant, NewbornQuality-Adjusted Life YearsVaccinationBeijingcost-utilityeconomic evaluationHepatitis Bvaccination

Identifiers

PMID33016814
PMCPMC8018439

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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.