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Cost-Effectiveness of the Pneumococcal Vaccine in the Adult Population: A Systematic Review
Pneumococcal disease (PD), caused by , is a serious global health issue, primarily for adults over 65, due to its high mortality and morbidity rates. Recently, broader-serotype vaccines have been introduced to cope with tremendous hospital costs and decreasing quality of life. Our study aims to syst...
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Published in: | Healthcare (Basel) 2024-12, Vol.12 (23), p.2490 |
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creator | Vo, Nam Xuan Pham, Huong Lai Bui, Uyen My Ho, Han Tue Bui, Tien Thuy |
description | Pneumococcal disease (PD), caused by
, is a serious global health issue, primarily for adults over 65, due to its high mortality and morbidity rates. Recently, broader-serotype vaccines have been introduced to cope with tremendous hospital costs and decreasing quality of life. Our study aims to systematically review the cost-effectiveness of current PCVs (pneumococcal conjugate vaccines) and PPVs (pneumococcal polysaccharide vaccine) from 2018 to April 2024.
Articles were identified through PubMed, Embase, and Cochrane. Key outcomes include an improved incremental cost-effectiveness ratio (ICER) and quality-adjusted life-years (QALY), with the article's quality assessed via the Consolidated Health Economic Evaluation Reporting Standards 2022 (CHEERS 2022). In total, 23 studies were included, with 22 studies of high quality and 1 of moderate quality.
These articles showed that PCV20 was the most cost-effective option compared with other vaccines, including PPV23, PCV13, PCV15, and PCV15/PPV23, for both young and older adults, regardless of risk factors. PCV20, when used alone, saved greater costs than PCV20, followed by PPV23.
For countries applying lower-valency vaccines, switching to PCV20 as a single regimen would be the most beneficial for averting pneumococcal cases and reducing costs in adults aged 18-64 and over 65. |
doi_str_mv | 10.3390/healthcare12232490 |
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, is a serious global health issue, primarily for adults over 65, due to its high mortality and morbidity rates. Recently, broader-serotype vaccines have been introduced to cope with tremendous hospital costs and decreasing quality of life. Our study aims to systematically review the cost-effectiveness of current PCVs (pneumococcal conjugate vaccines) and PPVs (pneumococcal polysaccharide vaccine) from 2018 to April 2024.
Articles were identified through PubMed, Embase, and Cochrane. Key outcomes include an improved incremental cost-effectiveness ratio (ICER) and quality-adjusted life-years (QALY), with the article's quality assessed via the Consolidated Health Economic Evaluation Reporting Standards 2022 (CHEERS 2022). In total, 23 studies were included, with 22 studies of high quality and 1 of moderate quality.
These articles showed that PCV20 was the most cost-effective option compared with other vaccines, including PPV23, PCV13, PCV15, and PCV15/PPV23, for both young and older adults, regardless of risk factors. PCV20, when used alone, saved greater costs than PCV20, followed by PPV23.
For countries applying lower-valency vaccines, switching to PCV20 as a single regimen would be the most beneficial for averting pneumococcal cases and reducing costs in adults aged 18-64 and over 65.</description><identifier>ISSN: 2227-9032</identifier><identifier>EISSN: 2227-9032</identifier><identifier>DOI: 10.3390/healthcare12232490</identifier><identifier>PMID: 39685112</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adults ; Aged ; Cost analysis ; Disease ; Economic analysis ; Economic aspects ; Evaluation ; Health aspects ; Intervention ; Medical care, Cost of ; Mortality ; Older people ; Pathogens ; Pediatrics ; Pneumococcal infections ; Pneumococcal vaccine ; Pneumonia ; Prevention ; Streptococcus infections ; Systematic Review ; Vaccines ; Willingness to pay</subject><ispartof>Healthcare (Basel), 2024-12, Vol.12 (23), p.2490</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 by the authors. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0009-0008-4154-8415 ; 0009-0004-3461-223X ; 0009-0002-0065-6803 ; 0000-0002-1406-7949</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3143921173/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3143921173?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,38516,43895,44590,53791,53793,74412,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39685112$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vo, Nam Xuan</creatorcontrib><creatorcontrib>Pham, Huong Lai</creatorcontrib><creatorcontrib>Bui, Uyen My</creatorcontrib><creatorcontrib>Ho, Han Tue</creatorcontrib><creatorcontrib>Bui, Tien Thuy</creatorcontrib><title>Cost-Effectiveness of the Pneumococcal Vaccine in the Adult Population: A Systematic Review</title><title>Healthcare (Basel)</title><addtitle>Healthcare (Basel)</addtitle><description>Pneumococcal disease (PD), caused by
, is a serious global health issue, primarily for adults over 65, due to its high mortality and morbidity rates. Recently, broader-serotype vaccines have been introduced to cope with tremendous hospital costs and decreasing quality of life. Our study aims to systematically review the cost-effectiveness of current PCVs (pneumococcal conjugate vaccines) and PPVs (pneumococcal polysaccharide vaccine) from 2018 to April 2024.
Articles were identified through PubMed, Embase, and Cochrane. Key outcomes include an improved incremental cost-effectiveness ratio (ICER) and quality-adjusted life-years (QALY), with the article's quality assessed via the Consolidated Health Economic Evaluation Reporting Standards 2022 (CHEERS 2022). In total, 23 studies were included, with 22 studies of high quality and 1 of moderate quality.
These articles showed that PCV20 was the most cost-effective option compared with other vaccines, including PPV23, PCV13, PCV15, and PCV15/PPV23, for both young and older adults, regardless of risk factors. PCV20, when used alone, saved greater costs than PCV20, followed by PPV23.
For countries applying lower-valency vaccines, switching to PCV20 as a single regimen would be the most beneficial for averting pneumococcal cases and reducing costs in adults aged 18-64 and over 65.</description><subject>Adults</subject><subject>Aged</subject><subject>Cost analysis</subject><subject>Disease</subject><subject>Economic analysis</subject><subject>Economic aspects</subject><subject>Evaluation</subject><subject>Health aspects</subject><subject>Intervention</subject><subject>Medical care, Cost of</subject><subject>Mortality</subject><subject>Older people</subject><subject>Pathogens</subject><subject>Pediatrics</subject><subject>Pneumococcal infections</subject><subject>Pneumococcal vaccine</subject><subject>Pneumonia</subject><subject>Prevention</subject><subject>Streptococcus infections</subject><subject>Systematic Review</subject><subject>Vaccines</subject><subject>Willingness to pay</subject><issn>2227-9032</issn><issn>2227-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><recordid>eNptkU1PXSEQhompUaP-gS4MSTfdHAvM-cJNc3NjPxITTb82XRDkDPdiOHB74Fzjvy-2ttVGZgEz88xL3gwhLzk7BZDszRq1z2ujJ-RCgKgl2yEHQoiukgzEi0fvfXKc0g0rR3Loodkj-yDbvuFcHJDvy5hydW4tmuy2GDAlGi3Na6RXAecxmmiM9vSbNsYFpC786i2G2Wd6FTez19nFcEYX9PNdyjiW1NBPuHV4e0R2rfYJjx_uQ_L13fmX5Yfq4vL9x-XioloBtLkaLKKxzGhshK1RWq3lILStGUJfMjDAoONoJL-WXcN7Jo2oWamXuV40cEje_tbdzNcjDgZDnrRXm8mNerpTUTv1tBPcWq3iVnHe1pw3XVF4_aAwxR8zpqxGlwx6rwPGOSngdSt528i-oK_-Q2_iPIXi754CKTjv4B-10h6VCzaWj829qFr0XMqGdaIt1OkzVIkBR2diQOtK_cnAyWOnfy3-2Sf8BEWapLM</recordid><startdate>20241209</startdate><enddate>20241209</enddate><creator>Vo, Nam Xuan</creator><creator>Pham, Huong Lai</creator><creator>Bui, Uyen My</creator><creator>Ho, Han Tue</creator><creator>Bui, Tien Thuy</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0009-0008-4154-8415</orcidid><orcidid>https://orcid.org/0009-0004-3461-223X</orcidid><orcidid>https://orcid.org/0009-0002-0065-6803</orcidid><orcidid>https://orcid.org/0000-0002-1406-7949</orcidid></search><sort><creationdate>20241209</creationdate><title>Cost-Effectiveness of the Pneumococcal Vaccine in the Adult Population: A Systematic Review</title><author>Vo, Nam Xuan ; 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Articles were identified through PubMed, Embase, and Cochrane. Key outcomes include an improved incremental cost-effectiveness ratio (ICER) and quality-adjusted life-years (QALY), with the article's quality assessed via the Consolidated Health Economic Evaluation Reporting Standards 2022 (CHEERS 2022). In total, 23 studies were included, with 22 studies of high quality and 1 of moderate quality.
These articles showed that PCV20 was the most cost-effective option compared with other vaccines, including PPV23, PCV13, PCV15, and PCV15/PPV23, for both young and older adults, regardless of risk factors. PCV20, when used alone, saved greater costs than PCV20, followed by PPV23.
For countries applying lower-valency vaccines, switching to PCV20 as a single regimen would be the most beneficial for averting pneumococcal cases and reducing costs in adults aged 18-64 and over 65.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39685112</pmid><doi>10.3390/healthcare12232490</doi><orcidid>https://orcid.org/0009-0008-4154-8415</orcidid><orcidid>https://orcid.org/0009-0004-3461-223X</orcidid><orcidid>https://orcid.org/0009-0002-0065-6803</orcidid><orcidid>https://orcid.org/0000-0002-1406-7949</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adults Aged Cost analysis Disease Economic analysis Economic aspects Evaluation Health aspects Intervention Medical care, Cost of Mortality Older people Pathogens Pediatrics Pneumococcal infections Pneumococcal vaccine Pneumonia Prevention Streptococcus infections Systematic Review Vaccines Willingness to pay |
title | Cost-Effectiveness of the Pneumococcal Vaccine in the Adult Population: A Systematic Review |
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