Inputs | Value (range) | Â | Source |
---|---|---|---|
Population data | |||
 11-years old women cohort | 264,489 | - | [4] |
Transition probabilities | |||
 HPV onc regression | 0.50 (0.23; 0.77) | Uniform (0.23; 0.77) | |
 HPV onc to CIN1 progression | 0.05 (0.03; 0.07) | Normal (0.03; 0.07) | |
 CIN1 onc regression | 0.36 (0.22; 0.78) | Normal (0.22; 0.78) | |
 CIN1 onc to CIN2/3 progression | 0.14 (0.08; 0.16) | Normal (0.08; 0.16) | |
 CIN2/3 regression to no HPV | 0.25 (0.23; 0.32) | Normal (0.23; 0.32) | |
 CIN2/3 progression to cancer | 0.14 (0.10; 0.15) | Normal (0.10; 0.15) | |
 HPV low-risk CIN1 | 0.04 (0.03; 0.05) | Normal (0.03; 0.05) | |
 Genital wart resistance | 0.35 (0.28; 0.42) | Uniform (0.28; 0.42) | [65] |
 Proportion CIN1 onc detected and treated | 0.30 (0.24; 0.36) | Uniform (0.24; 0.36) | Exp. Op |
 CIN1 treatment success | 0.94 (0.75; 1.00) | Uniform (0.75; 1.00) | [35] |
 Proportion CIN2/3 detected and treated | 0.90 (0.72; 1.00) | Uniform (0.72; 1.00) | Exp. Op |
 CIN2/3 treatment success | 0.88 (0.70; 1.00) | Uniform (0.70; 1.00) | [35] |
Utility weights | |||
 No HPV | 1.000 | - | [18] |
 HPV | 1.000 | - | [18] |
 Genital Wart | 0.02 (0.02; 0.02) | Uniform (0.02; 0.02) | [18] |
 CIN1 | 1.000 | - | [18] |
 CIN1 detected | 0.01 (0.01; 0.02) | Uniform (0.01; 0.02) | [18] |
 CIN2/3 | 1.000 | - | [18] |
 CIN2/3 detected | 0.01 (0.01; 0.01) | Uniform (0.01; 0.01) | [18] |
 Cancer | 0.27 (0.22; 0.33) | Uniform (0.22; 0.33) | [18] |
 Cancer cured | 0.06 (0.05; 0.07) | Uniform (0.05; 0.07) | [18] |
 Death | 0.000 | - | [18] |
Screening Characteristics | |||
 Regular screening coverage | 35% | - | [21] |
 Interval between regular screening | 3 years (& scenario of 5y) | - | [37] |
 Irregular screening coverage | 25% | - | Exp. Op |
 Population without screening | 40% | - | Exp. Op |
 Age of initiation of screening | 25 years | - | [21] |
 Sensitivity to detect CIN1 | 0.58 (0.38; 0.56) | Normal (0.38; 0.56) | [22] |
 Sensitivity to detect CIN2 and CIN3 | 0.61 (0.69; 0.87) | Normal (0.69; 0.87) | [22] |
 Estimated positive Pap smear | 0.05 (0.05; 0.06) | Uniform (0.04; 0.06) | Exp. Op |
Parameters to estimate vaccine effectiveness | |||
 Prevalence of HPV types 16 and 18 in cervical cancer | 0.80 (0.64; 0.96) | Uniform (0.64; 0.96) | [15] |
 Prevalence of other oncogenic HPV in cervical cancer | 0.16 (0.13; 0.19) | Uniform (0.13; 0.19) | [15] |
 Prevalence of HPV types 16 and 18 in CIN2/3 | 0.55 (0.44; 0.66) | Uniform (0.44; 0.66) | [14] |
 Prevalence of other oncogenic HPV in CIN2/3 | 0.34 (0.27; 0.41) | Uniform (0.27; 0.41) | [14] |
 Prevalence of HPV types 16 and 18 in CIN1 | 0.27 (0.21; 0.32) | Uniform (0.21; 0.32) | [14] |
 Prevalence of other oncogenic HPV in CIN1 | 0.28 (0.22; 0.33) | Uniform (0.22; 0.33) | [14] |
 Prevalence of HPV types 6 and 11 in CIN1 | 0.14 (0.11; 0.17) | Uniform (0.11; 0.17) | [14] |
 Prevalence of HPV types 6 and 11 in GW | 0.95 (0.76; 1.00) | Uniform (0.76; 1.00) | [33] |
 Vaccine efficacy to HPV types 16 and 18 CC (Bivalent) | 0.98 (0.94; 1.00) | Normal (0.94; 1.00) | |
 Vaccine efficacy to HPV types 16 and 18 CC (Quadrivalent) | 0.98 (0.94; 1.00) | Normal (0.94; 1.00) | [45] |
 Vaccine efficacy to HPV types 16 and 18 CIN2/3 (Bivalent) | 0.98 (0.97; 0.99) | Normal (0.97; 0.99) | |
 Vaccine efficacy to HPV types 16 and 18 CIN2/3 (Quadrivalent) | 0.98 (0.97; 0.99) | Normal (0.97; 0.99) | [45] |
 Vaccine efficacy to HPV types16 and 18 CIN1 (Bivalent) | 0.98 (0.97; 0.99) | Normal (0.97; 0.99) | |
 Vaccine efficacy to HPV types16 and 18 CIN1 (Quadrivalent) | 0.98 (0.97; 0.99) | Normal (0.97; 0.99) | [45] |
 Vaccine efficacy to other oncogenic HPV CC (Bivalent) | 0.68 (0.68; 0.68) | Normal (0.68; 0.68) | |
 Vaccine efficacy to other oncogenic HPV CC (Quadrivalent) | 0.33 (0.33; 0.33) | Normal (0.33; 0.33) | [46] |
 Vaccine efficacy to other oncogenic HPV CIN2/3 (Bivalent) | 0.68 (0.68; 0.68) | Normal (0.68; 0.68) | |
 Vaccine efficacy to other oncogenic HPV CIN2/3 (Quadrivalent) | 0.33 (0.33; 0.33) | Normal (0.33; 0.33) | [46] |
 Vaccine efficacy to other oncogenic HPV CIN1 (Bivalent) | 0.48 (0.48; 0.48) | Normal (0.48; 0.48) | |
 Vaccine efficacy to other oncogenic HPV CIN1 (Quadrivalent) | 0.23 (0.23; 0.23) | Normal (0.23; 0.23) | [46] |
 Vaccine efficacy to HPV types 6 and 11 (Quadrivalent) | 0.98 (0.94; 1.00) | Normal (0.94; 1.00) | |
 GW incidence (10-79 years) | 0.17% (0.089; 0.245) | Truncated Normal (Mean; range) | [31] |
Costs | |||
 Regular screening (Bs.F) | $2,943 (2,207; 3,678) | Uniform (2,207; 3,678) | see costs section |
 CIN1Onc newly detected (Bs.F) | $20,749 (15,562; 25,936) | Uniform (15,562; 25,936) | |
 CIN2/3 newly detected (Bs.F) | $22,230 (16,672; 27,787) | Uniform (16,672; 27,787) | |
 CIN1Onc det (Bs.F) | $15,284 (11,463; 19,105) | Uniform (11,463; 19,105) | |
 CIN2/3 det (Bs.F) | $28,355 (21,266; 35,444) | Uniform (21,266; 35,444) | |
 Cancer (Bs.F) | $273,788 (205,341; 342,234) | Uniform (205,341; 342,234) | |
 Genital Wart (Bs.F) | $9,568 (7,176; 11,960) | Uniform (7,176; 11,960) | |
 Vaccine bivalent (per dose) (USD) | $ 8.5 | - | |
 Vaccine quadrivalent (per dose) USD; Scenarios 1-4 | $ 8.5 | - | |
 Vaccine quadrivalent (per dose) USD; Scenerios 5-8 | $ 13.8 | - |