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Table 3 Scenario analyses

From: Cost-effectiveness of rotavirus vaccination in the Netherlands; the results of a consensus model

Scenario

ICER in €/QALY Total vaccination cost of €50

ICER in €/QALY Total vaccination cost of €75

ICER in €/QALY Total vaccination cost of €100

Base case

7,965

46,717

85,468

Inclusion of herd protection for children up to 5 years of agea

CS

28,383

58,441

GP incidence based on Goossens et al. [7]

498

35,855

71,211

DALYs based on Mangen et al. [9]

7,645

44,841

82,037

QALY decrements in children treated at home similar to cases visiting a GP

5,823

34,156

62,489

No QALY decrements in children treated at home

15,172

88,991

162,809

No waning

4,117

37,503

70,888

Mortality rate for hospitalised cases of 0.09%

4,627

27,140

49,653

Mortality rate for hospitalised cases of 0.055%

5,854

34,334

62,813

Productivity elasticity of 25%

16,184

54,936

93,688

No productivity elasticity

4,976

43,728

82,480

Excluding indirect costs (productivity losses)

19,921

58,672

97,424

No discounting

4,846

38,419

71,992

Equal discounting at 3.5%

8,587

51,892

95,197

  1. CS = cost saving
  2. a Herd protection was assumed for those not yet (fully) protected by the vaccine (either too young to be vaccinated or those who had not yet received the complete set of doses) and non-vaccinated children (5% of a birth cohort for the Dutch situation), assuming protection would be as effective as the vaccination would be after completing all doses.