Evidence map›Paper›PMID 39529523›Full record

ArticleJournal of the National Cancer Institute. Monographs2024

Evaluating potential program cost savings with a single-dose HPV vaccination schedule: a modeling study.

Rose Slavkovsky, Mercy Mvundura, Frédéric Debellut, Teddy Naddumba

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute. Monographs, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Single-dose human papillomavirus vaccination: an update.Journal of the National Cancer Institute. Monographs · 2024
    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

4 authors.

Rose SlavkovskyCenter for Vaccine Innovation and Access, PATH, Seattle, WA, USA.ORCID 0000-0001-5619-2484
Mercy MvunduraMedical Devices and Health Technologies, PATH, Seattle, WA, USA.ORCID 0000-0002-7711-9558
Frédéric DebellutCenter for Vaccine Innovation and Access, PATH, Geneva, Switzerland.ORCID 0000-0002-3027-2838
Teddy NaddumbaMedical Devices and Health Technologies, PATH, Kampala, Uganda.ORCID 0009-0009-7670-9458

Funding

Gates FoundationGates Foundation INV-005053
6 · The paper itself

Abstract

backgroundThere is limited evidence on the magnitude of the potential program cost savings associated with the World Health Organization-endorsed single-dose schedule for the human papillomavirus (HPV) vaccine. The objective of this analysis was to model the delivery and vaccine procurement cost implications of the new schedule.

methodsThe analysis leveraged primary data during a study evaluating the HPV vaccine delivery costs and operational context in 5 countries (Ethiopia, Guyana, Rwanda, Sri Lanka, and Uganda) implementing a two-dose schedule. To estimate the cost for the single-dose schedule, we adjusted the two-dose schedule cost estimates to account for differences in the frequency of activities, whether activities differed by HPV vaccine dose or session, and differences in relative quantity or storage volume of HPV vaccines delivered. We estimated the cost per dose and cost per adolescent receiving the full (single-dose or two-dose) vaccination schedule in 2019 US dollars from a health system perspective.

resultsModeled results found that cost per dose would increase under a single-dose schedule, whereas cost per adolescent receiving the full schedule would decrease. The financial cost for vaccine procurement and delivery per adolescent receiving the full schedule ranged from $9.64 (Sri Lanka) to $23.43 (Guyana) under a two-dose schedule and decreased to $4.84 and $12.34, respectively, under a single-dose schedule, reflecting savings up to 50%. For economic costs, the range for a single-dose schedule was $7.86 (Rwanda) to $28.53 (Guyana).

conclusionA single-dose HPV vaccination schedule could provide cost savings to immunization programs and enhance program affordability and sustainability.

Indexed as

Cost SavingsImmunization ProgramsImmunization SchedulePapillomavirus InfectionsPapillomavirus VaccinesAdolescentCost-Benefit AnalysisFemaleHumansModels, EconomicUterine Cervical NeoplasmsVaccinationPapillomavirus Vaccines

Identifiers

PMID39529523
PMCPMC11555269

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.