Evidence map›Paper›PMID 41893764›Full record

ArticleVaccines2026

Cost-Effectiveness and Budget Impact Analysis of the Trivalent Adjuvanted Influenza Vaccine in People over 50 Years of Age for Argentina.

Leandro Javier Pastori, Constanza Silvestrini Viola, Tomas Alconada, Gonzalo Pereira, José Luis Montes, Joaquin Mould-Quevedo, Carolina Saenz, Nathalia Katz, Ariel Bardach, Natalia Espinola

Abstract read
In one paragraph

Article in Vaccines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Leandro Javier PastoriDepartment of Health Technology Assessment and Health Economics, Institute for Clinical Effectiveness and Health Policy (IECS), Ciudad Autónoma de Buenos Aires C1414CPV, Argentina.
Constanza Silvestrini ViolaDepartment of Health Technology Assessment and Health Economics, Institute for Clinical Effectiveness and Health Policy (IECS), Ciudad Autónoma de Buenos Aires C1414CPV, Argentina.
Tomas AlconadaDepartment of Health Technology Assessment and Health Economics, Institute for Clinical Effectiveness and Health Policy (IECS), Ciudad Autónoma de Buenos Aires C1414CPV, Argentina.
Gonzalo PereiraCommercial Operations, CSL Seqirus, Olivos C1636, Argentina.
José Luis MontesMedical Affairs Latin America, CSL Seqirus, Olivos C1636, Argentina.ORCID 0009-0001-8033-9324
Joaquin Mould-QuevedoGlobal Medical Affairs, CSL Seqirus USA, Summit, NJ 07901, USA.ORCID 0000-0003-4847-5956
Carolina SaenzMedical Affairs Latin America, CSL Seqirus, Olivos C1636, Argentina.
Nathalia KatzCenter for the Study of the Prevention and Control of Communicable Diseases, ISALUD University, Ciudad Autónoma de Buenos Aires C1429, Argentina.
Ariel BardachDepartment of Health Technology Assessment and Health Economics, Institute for Clinical Effectiveness and Health Policy (IECS), Ciudad Autónoma de Buenos Aires C1414CPV, Argentina.ORCID 0000-0003-4437-0073
Natalia EspinolaDepartment of Health Technology Assessment and Health Economics, Institute for Clinical Effectiveness and Health Policy (IECS), Ciudad Autónoma de Buenos Aires C1414CPV, Argentina.ORCID 0000-0001-5511-3561

Funding

CSL Seqirus 0
6 · The paper itself

Abstract

backgroundInfluenza imposes a substantial burden on Argentina, particularly among adults aged 50-64 with comorbidities and those aged ≥65. The adjuvanted trivalent influenza vaccine (aTIV) has shown superior effectiveness compared with non-adjuvanted vaccines; however, its cost-effectiveness and budget impact in the 50-64 high-risk population have not been assessed nationally. This study evaluates the cost-effectiveness and budget impact of introducing aTIV for high-risk adults aged 50-64, alongside its use in adults aged ≥65, compared with standard-dose trivalent influenza vaccine (SD-TIV) from the Argentine health care system perspective.

methodsA decision-analytic static model was used to compare aTIV with SD-TIV over a single influenza season. In addition, a 5-year budget impact analysis (BIA) was conducted under scenarios of progressive uptake. Model inputs were derived from international literature, local data, and expert opinion. Deterministic and probabilistic sensitivity analyses were performed.

resultsCompared with SD-TIV, aTIV yielded a lifetime gain of 1489 quality-adjusted life-years (QALYs) at an incremental cost of USD 8.34 million, resulting in an incremental cost-effectiveness ratio (ICER) of USD 5599 per QALY gained-well below Argentina's cost-effectiveness threshold (USD 11,059/QALY). Higher vaccine acquisition costs were largely offset by reductions in outpatient visits and hospitalizations. The BIA showed a modest average annual per-member-per-month increase of USD 0.0025, remaining below the estimated budget impact threshold (USD 0.0065).

conclusionsImplementing aTIV in adults aged ≥50 with risk factors would be cost-effective and affordable in Argentina. These findings support the consolidation and potential expansion of current vaccination strategies to reduce influenza burden.

Indexed as

adjuvanted influenza vaccinecost-effectivenesseconomic evaluationhealth care costsinfluenzamiddle-income countrypreventive vaccination strategy

Identifiers

PMID41893764
PMCPMC13030660

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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.