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Table 9 Comparison with previously published models on the cost-effectiveness of HPV vaccination in Germany

From: Cost-effectiveness of human papillomavirus vaccination in Germany

Study

Type of model

Type of economic analysis

Economic outcome measure

Diseases included

Vaccination strategy

Perspective

Duration of protection

Results (€/QALY or BCR)

Funding source

Present study

Dynamic

CEAa; CUA

ICER (€/QALY)a

CIN, cervical cancer, and genital warts

Bivalent and quadrivalent vaccination of females and males (2 and 3 doses; 50% coverage)

Health care payer and society

20 years

13,248–34,249 (bivalent vaccination of females)b; cost-saving to 14,711 (quadrivalent vaccination of females)b; 77,607–130,449 (additional bivalent vaccination of males)b; 68,118–117,240 (additional quadrivalent vaccination of males)b

Independent

Hillemanns et al. [69]

Static

CEAa; CUA

ICER (€/QALY)a

CIN, cervical cancer, and genital warts

Quadrivalent vaccination of females (3 doses; 80% coverage)

Health care payer

Lifelong

10,530

Industry

20 years

19,445

Kotsopoulos et al. [66]

Static

CBA

BCR

CIN, cervical cancer, vaginal cancer, vulvar cancer, anal cancer, and genital warts

Quadrivalent vaccination of females and males (2 doses; 55% coverage)

Society

Not reported

3.3 (vaccination of females); 0.3 (vaccination of male); 1.8 (vaccination of males and females)

Industry

Schobert et al. [67]

Dynamic

CEAa; CUA

ICER (€/QALY)a

CIN, cervical cancer, and genital warts

Quadrivalent vaccination of females (3 doses; 45–55% coverage)

Health care payer

Lifelong

5525

Industry

20 years

About 10,000

Soergel et al. [68]

Static

CEAa; CUA

ICER (€/QALY)a

Neonatal morbidity and mortality due to conisation-associated prematurity

Bivalent vaccination of females (3 doses; 30–90% coverage)

Not reported

Lifelong

43,505–47,885c

Independent

  1. BCR benefit–cost ratio, CBA cost–benefit analysis, CEA cost-effectiveness analysis, CUA cost-utility analysis, CIN cervical intraepithelial neoplasia, ICER incremental cost-effectiveness ratio, QALY quality-adjusted life year
  2. aCEA results are not presented in the table
  3. bDepending on the perspective and the number of doses
  4. cDepending on the utility values