Evidence map›Paper›PMID 40916138›Full record

ArticleInfluenza and other respiratory viruses2025

Cost-Effectiveness Analysis of a Maternal Vaccination Program Against Respiratory Syncytial Virus in Norway.

Susanne Gerda Værnø, Francisco Oteiza, Maren Gillebo, Lise Beier Havdal, David Ngaruiya Mwaura, Øyvind Husby, Oddvar Solli, Kristian Lie, Christoffer Bugge

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

9 authors.

Susanne Gerda VærnøOslo Economics, Oslo, Norway.ORCID https://orcid.org/0009-0005-5468-5265
Francisco OteizaOslo Economics, Oslo, Norway.ORCID https://orcid.org/0000-0002-3747-9786
Maren GilleboOslo Economics, Oslo, Norway.ORCID https://orcid.org/0009-0001-2415-7390
Lise Beier HavdalDepartment of Pediatric and Adolescent Medicine, Akershus University Hospital, Nordbyhagen, Norway.ORCID https://orcid.org/0000-0001-7429-8119
David Ngaruiya MwauraPfizer AS, Oslo, Norway.
Øyvind HusbyPfizer AS, Oslo, Norway.
Oddvar SolliPfizer AS, Oslo, Norway.
Kristian LiePfizer AS, Oslo, Norway.
Christoffer BuggeOslo Economics, Oslo, Norway.ORCID https://orcid.org/0000-0002-0766-2870

Funding

Pfizer AS
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) is recognized as the primary cause of hospitalizations among children with lower respiratory tract infections in developed countries, placing a significant burden on both patients and healthcare systems. The efficacy, safety, and immunogenicity of maternal vaccination with the novel RSVpreF vaccine have been evaluated in a Phase III clinical trial, showing a decreased risk of severe infection in infants. Our study assesses the cost-effectiveness of the RSVpreF vaccine and seasonal variation of costs in a Norwegian setting.

methodsA Markov model was used to estimate the clinical outcomes, costs, and quality-adjusted life years of a hypothetical cohort of Norwegian infants born during a single RSV season. A seasonal vaccination program with RSVpreF vaccine was compared to no intervention by means of an incremental cost-effectiveness ratio (ICER) from extended healthcare and societal perspectives.

resultsA seasonal maternal vaccination program with RSVpreF in Norway is cost-effective from both a healthcare and societal perspective, given the Norwegian willingness-to-pay threshold range. The program could prevent 27% of the yearly RSV-associated hospital admissions, as well as 14% and 24% of the yearly RSV-associated primary care and outpatient visits. A 10% increase/decrease in hospitalization costs during the winter/summer months leads to a 26% reduction in the ICER from a healthcare perspective and turns the intervention into a dominant strategy from a societal one.

conclusionsBased on the RSVpreF vaccine's list price in Norway, the seasonal vaccination program is cost-effective from both the healthcare and societal perspectives, considering a willingness-to-pay threshold of 500,000 NOK.

Indexed as

Cost-Benefit AnalysisImmunization ProgramsRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRespiratory Syncytial Virus VaccinesVaccinationCost-Effectiveness AnalysisFemaleHospitalizationHumansInfantMarkov ChainsNorwayPregnancyQuality-Adjusted Life YearsRespiratory Syncytial Virus Vaccinescost‐effectivenessmaternal immunizationmaternal vaccination respiratory syncytial virus (RSV)NorwayRSVpreF vaccine

Identifiers

PMID40916138
PMCPMC12414795

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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.