Evidence map›Paper›PMID 36070504›Full record

ArticleHuman vaccines & immunotherapeutics2022

Cost-utility and cost-benefit analysis of pediatric PCV programs in Egypt.

J P Sevilla, Daria Burnes, Rehab Zakaria El Saie, Hammam Haridy, Matt Wasserman, Sarah Pugh, Johnna Perdrizet, David Bloom

Open access · goldAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 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
0.6field-weighted citation impact, top 32% 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, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
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 2 institutions in 1 country.

J P SevillaLife Sciences Group, Data for Decisions LLC, Waltham, MA, USA.
Daria BurnesLife Sciences Group, Data for Decisions LLC, Waltham, MA, USA.ORCID 0000-0002-8624-1344
Rehab Zakaria El SaieMedical Department, Pfizer, Cairo, Egypt.
Hammam HaridyMedical & Scientific Affairs EM-AfME, Pfizer Gulf, Dubai, United Arab Emirates.
Matt WassermanHealth Economics and Outcomes Research, Pfizer Inc, New York City, NY, USA.
Sarah PughMedical and Scientific Affairs, Pfizer Inc, Collegeville, PA, USA.
Johnna PerdrizetHealth Economics and Outcomes Research, Pfizer Inc, New York City, NY, USA.
David BloomLife Sciences Group, Data for Decisions LLC, Waltham, MA, USA.
Pfizer (United States) · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

New vaccine introductions (NVIs) raise issues of value for money (VfM) for self-financing middle-income countries like Egypt. We evaluate a pediatric pneumococcal conjugate vaccine (PCV) NVI in Egypt from health payer and societal perspectives, using cost-utility and cost-benefit analysis (CUA, CBA). We evaluate vaccinating 100 successive birth cohorts with the 13-valent PCV ("PCV13") and the 10-valent PCV ("PCV10") relative to no vaccination and each other. We quantify health effects with a disease incidence projection model and a multiple-cohort static disease model. Our CBA uses a health-augmented lifecycle model to generate willingness-to-pay for health gains from which we calculate rates of return (RoR). We obtain parameters from the published literature. We perform deterministic and probabilistic sensitivity analysis. Our base-case CUA finds incremental cost-effectiveness ratios (ICERs) for PCV13 and PCV10 relative to no program of $926 (95% confidence interval $512-$1,735) and $1,984 ($1,186-$3,805) per quality-adjusted life year (QALY), respectively; and for PCV13 relative to PCV10 of $174 ($88-$331) per QALY. Our base-case CBA finds RoRs to PCV13 and PCV10 relative to no program of 488% (188-993%) and 164% (33-336%), respectively, and to PCV13 relative to PCV10 of 3109% (1410-6602%). Both CUA and CBA find PCV13 to be good VfM relative to PCV10.

Indexed as

Pneumococcal InfectionsChildCost-Benefit AnalysisHumansImmunization ProgramsInfantPneumococcal VaccinesVaccinationVaccines, ConjugatePneumococcal VaccinesVaccines, Conjugatecost-benefit analysiseconomic evaluationEgyptinvasive pneumococcal diseaseotitis mediaPneumococcal conjugate vaccinepneumococcal diseasepneumoniarate of returnvaccines

Identifiers

PMID36070504
PMCPMC9746463
OpenAlexW4294891642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.