Evidence map›Paper›PMID 34038527›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2021

Rotavirus Vaccination Likely to Be Cost Saving to Society in the United States.

Anthony T Newall, Robert Neil Leong, Josephine F Reyes, Aaron T Curns, Jessica Rudd, Jacqueline Tate, Kristine Macartney, Umesh Parashar

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Anthony T NewallSchool of population health, Faculty of Medicine, UNSW, Sydney, Australia.ORCID 0000-0003-0836-1065
Robert Neil LeongSchool of population health, Faculty of Medicine, UNSW, Sydney, Australia.
Josephine F ReyesSchool of population health, Faculty of Medicine, UNSW, Sydney, Australia.
Aaron T CurnsDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, CDC, Atlanta, Georgia.
Jessica RuddDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, CDC, Atlanta, Georgia.
Jacqueline TateDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, CDC, Atlanta, Georgia.
Kristine MacartneyNational Centre for Immunisation Research and Surveillance and The Children's Hospital Westmead, Sydney, Australia.
Umesh ParasharDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, CDC, Atlanta, Georgia.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundFollowing the introduction of rotavirus immunization in 2006 in the United States, there were substantial declines in the domestic rotavirus disease burden. In this study, we assess the value for money achieved by the program in the decade following vaccine introduction.

methodsWe applied an age-specific, static, multicohort compartmental model to examine the impact and cost-effectiveness of the US rotavirus immunization program in children <5 years of age using healthcare utilization data from 2001 to 2015 inclusive. We calculated the incremental cost-effectiveness ratio (ICER) per quality-adjusted life year (QALY) gained from both a healthcare system and societal perspective.

resultsDeclines in healthcare use associated with the rotavirus and acute gastroenteritis occurred from 2006 and continued to grow before stabilizing from 2010 through 2011. From 2011 to 2015, an estimated annual average of approximately 118 000 hospitalizations, 86 000 emergency department presentations, and 460 000 outpatient and physician office visits were prevented. From a societal perspective during this same period, the program was estimated to be cost saving in the base case model and in >90% of probabilistic sensitivity analysis simulations and from a healthcare system perspective >98% of simulations found an ICER below $100 000 per QALY gained.

conclusionsAfter the program stabilized, we found the rotavirus immunization in the United States was likely to have been cost saving to society. The greater than expected healthcare and productivity savings reflect the success of the rotavirus immunization program in the United States.

Indexed as

RotavirusRotavirus InfectionsRotavirus VaccinesChildChild, PreschoolCost-Benefit AnalysisCost SavingsHumansImmunization ProgramsInfantUnited StatesVaccinationRotavirus Vaccinesacute gastroenteritiscostcost-effectivenessRotavirusrotavirus vaccine

Identifiers

PMID34038527
PMCPMC11369758

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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.