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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
Main Authors: Vo, Nam Xuan, Pham, Huong Lai, Bui, Uyen My, Ho, Han Tue, Bui, Tien Thuy
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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.
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source Publicly Available Content Database; PubMed Central; Coronavirus Research Database
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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