Evidence map›Paper›PMID 35325693›Full record

ArticleValue in health regional issues2022

Cost Utility of Vaccination Against COVID-19 in Brazil.

Ricardo Ribeiro Alves Fernandes, Marisa da Silva Santos, Carlos Alberto da Silva Magliano, Bernardo Rangel Tura, Luana Schroeder Damico Nascimento Macedo, Matheus Piccin Padila, Ana Cláudia Wekmuller França, Andressa Araujo Braga

Open access · bronzeAbstract read
In one paragraph

Article in Value in health regional issues, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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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 1 institution in 1 country.

Ricardo Ribeiro Alves FernandesNational Cardiology Institute, Rio de Janeiro, Brazil. Electronic address: ricardorafernandes@gmail.com.
Marisa da Silva SantosNational Cardiology Institute, Rio de Janeiro, Brazil.
Carlos Alberto da Silva MaglianoNational Cardiology Institute, Rio de Janeiro, Brazil.
Bernardo Rangel TuraNational Cardiology Institute, Rio de Janeiro, Brazil.
Luana Schroeder Damico Nascimento MacedoNational Cardiology Institute, Rio de Janeiro, Brazil.
Matheus Piccin PadilaNational Cardiology Institute, Rio de Janeiro, Brazil.
Ana Cláudia Wekmuller FrançaNational Cardiology Institute, Rio de Janeiro, Brazil.
Andressa Araujo BragaNational Cardiology Institute, Rio de Janeiro, Brazil.
Instituto Nacional do Câncer · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this study was to evaluate the cost-utility of the Oxford, CoronaVac, and Janssen COVID-19 vaccines from the perspective of the Brazilian public health system.

methodsA total of 3 microsimulation models were constructed with individual data to evaluate the 3 vaccines. The simulation contains 7 transition states that are related to the natural history of the disease. The model with a daily cycle has a time horizon of 1 year and uses data from 289 days of the pandemic. The analysis was conducted from the perspective of the Brazilian public health system considering direct medical costs. For the model inputs, outpatient and hospital databases were used with information on treated patients stratified by age. Information on mortality was also stratified based on patients' age in the mortality database (SIM). The efficacy of vaccines to reduce the likelihood of patients becoming ill was evaluated independently for each vaccine. Information on the quality of life of patients in outpatient or hospital treatment and the sequelae resulting from the disease were extracted from the literature. The main outcome of the analysis was quality-adjusted life-years (QALYs).

resultsThe vaccines showed incremental cost-utility ratios ranging from R$-23 161.3/QALY (Oxford) to R$17 757.85/QALY (CoronaVac). The older the population, the lower was the incremental cost-utility ratio. Given a willingness-to-pay threshold of R$17 586/QALY, all the vaccines were considered cost-effective in the probabilistic sensitivity analysis.

conclusionsThe results of the analysis by age group can help in the preparation of a vaccination prioritization plan.

Indexed as

COVID-19Quality of LifeBrazilCost-Benefit AnalysisCOVID-19 VaccinesHumansVaccinationCOVID-19 Vaccinescost-utility analysisCOVID-19health technology assessmentHTAvaccines

Identifiers

PMID35325693
PMCPMC8935121
OpenAlexW4220900749

What OpenQuestion holds

Textmetadata
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.