Evidence map›Paper›PMID 35335077›Full record

ArticleVaccines2022

Cost-Effectiveness of Influenza Vaccination Strategies in Adults: Older Adults Aged ≥65 Years, Adults Aged 50-64 Years, and At-Risk Adults Aged 19-64 Years.

Min Joo Choi, Gyeongseon Shin, Daewon Kang, Jae-Ok Lim, Yun-Kyung Kim, Won Suk Choi, Jae-Won Yun, Ji Yun Noh, Joon Young Song, Woo Joo Kim and 2 more

Abstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
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  6. Review
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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

12 authors.

Min Joo ChoiDepartment of Internal Medicine, International St. Mary's Hospital, Catholic Kwandong University, Incheon 22711, Korea.ORCID 0000-0002-2739-0948
Gyeongseon ShinCollege of Pharmacy, Korea University, Sejong 30019, Korea.ORCID 0000-0001-8048-0670
Daewon KangCollege of Pharmacy, Korea University, Sejong 30019, Korea.
Jae-Ok LimDepartment of Data-Centric Problem Solving Research, Korea Institute of Science and Technology Information, Daejeon 34141, Korea.
Yun-Kyung KimDepartment of Pediatrics, Korea University Ansan Hospital, Korea University College of Medicine, Ansan 15355, Korea.
Won Suk ChoiDepartment of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan 15355, Korea.ORCID 0000-0001-5874-4764
Jae-Won YunDepartment of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea.ORCID 0000-0003-3336-7768
Ji Yun NohDepartment of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea.
Joon Young SongDepartment of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea.ORCID 0000-0002-0148-7194
Woo Joo KimDepartment of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea.ORCID 0000-0002-4546-3880
Sang-Eun ChoiCollege of Pharmacy, Korea University, Sejong 30019, Korea.ORCID 0000-0003-3111-1144
Hee Jin CheongDepartment of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul 08308, Korea.

Funding

Korea Disease Control and Prevention Agency 2018P241001
6 · The paper itself

Abstract

The high disease burden of influenza in elderly and chronically ill adults may be due to the suboptimal effectiveness and mismatch of the conventional trivalent influenza vaccine (TIV). This study evaluated the cost-effectiveness of quadrivalent (QIV), adjuvanted trivalent (ATIV), and high-dose quadrivalent (HD-QIV) vaccines versus TIV used under the current Korean National Immunization Program (NIP) in older adults aged ≥65 years. We also evaluated the cost-effectiveness of programs for at-risk adults aged 19-64 and adults aged 50-64. A one-year static population model was used to compare the costs and outcomes of alternative vaccination programs in each targeted group. Influenza-related parameters were derived from the National Health Insurance System claims database; other inputs were extracted from the published literature. Incremental cost-effectiveness ratios (ICERs) were assessed from a societal perspective. In the base case analysis (older adults aged ≥65 years), HD-QIV was superior, with the lowest cost and highest utility. Compared with TIV, ATIV was cost-effective (ICER $34,314/quality-adjusted life-year [QALY]), and QIV was not cost-effective (ICER $46,486/QALY). The cost-effectiveness of HD-QIV was robust for all parameters except for vaccine cost. The introduction of the influenza NIP was cost-effective or even cost-saving for the remaining targeted gr3oups, regardless of TIV or QIV.

Indexed as

adultcost-effectivenessinfluenzaolder adultsstrategyvaccine

Identifiers

PMID35335077
PMCPMC8955502

What OpenQuestion holds

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LicenceCC BY
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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.