The cost-effectiveness of HPV vaccination in addition to screening:a Dutch perspective

Addition of the HPV vaccine to available cytological screening has been proposed to increase HPV-related cancer prevention. A comprehensive review on this combined strategy implemented in the Netherlands is lacking. For this review, we therefore analyzed all relevant studies on cost-effectiveness of HPV vaccines in combination with cervical screening in the Netherlands. Most of the studies agree that vaccination in pre-sexual-activity periods of life is cost-effective. Based on published sensitivity analyses, the incremental cost-effectiveness ratio was found to be mainly driven by vaccine cos... Mehr ...

Verfasser: Setiawan, Didik
Luttjeboer, Jos
Westra, Tjalke Arend
Wilschut, Jan C.
Suwantika, Auliya A.
Daemen, Toos
Atthobari, Jarir
Wilffert, Bob
Postma, Maarten J.
Dokumenttyp: Artikel
Erscheinungsdatum: 2015
Reihe/Periodikum: Setiawan , D , Luttjeboer , J , Westra , T A , Wilschut , J C , Suwantika , A A , Daemen , T , Atthobari , J , Wilffert , B & Postma , M J 2015 , ' The cost-effectiveness of HPV vaccination in addition to screening : a Dutch perspective ' , Expert review of vaccines , vol. 14 , no. 4 , pp. 589-604 . https://doi.org/10.1586/14760584.2014.990386
Schlagwörter: cervical cancer / cervical cancer screening / cost-effectiveness / HPV vaccination / The Netherlands / HUMAN-PAPILLOMAVIRUS VACCINATION / HPV-16/18 AS04-ADJUVANTED VACCINE / PREVENT CERVICAL-CANCER / BLIND PATRICIA TRIAL / OF-STUDY ANALYSIS / ECONOMIC-EVALUATION / QUADRIVALENT VACCINE / HPV16/18 VACCINATION / CLINICAL BENEFIT / CROSS-PROTECTION
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29027881
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://hdl.handle.net/11370/5b3cb9ca-a9aa-48b3-a9d3-292f11b85589

Addition of the HPV vaccine to available cytological screening has been proposed to increase HPV-related cancer prevention. A comprehensive review on this combined strategy implemented in the Netherlands is lacking. For this review, we therefore analyzed all relevant studies on cost-effectiveness of HPV vaccines in combination with cervical screening in the Netherlands. Most of the studies agree that vaccination in pre-sexual-activity periods of life is cost-effective. Based on published sensitivity analyses, the incremental cost-effectiveness ratio was found to be mainly driven by vaccine cost and discount rates. Fewer vaccine doses, inclusion of additional benefits of these vaccines to prevent HPV-related non-cervical cancers and vaccination of males to further reduce the burden of HPV-induced cancers are three relevant options suggested to be investigated in upcoming economic evaluations.