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Table 7 The effect of major input parameters on the estimated cost-effectiveness of adding vaccination to screening

From: Cost-effectiveness of adding vaccination with the AS04-adjuvanted human papillomavirus 16/18 vaccine to cervical cancer screening in Hungary

 

ΔQALY

Δcost ($)

ICER ($/QALY)

base case

0.01016

280.396

27 588

no herd immunity

0.00857

364.382

42 520

with intention-to-treat efficacy parameter

0.00982

281.534

28 662

with cross-protection

0.01102

277.560

25 190

50% waning of efficacy from 20 to 30 years after vaccination and booster dose in 80% of persons immunized at age 12 years and alive after 20 years

0.00728

332.731

45 709

discount rate 5%

0.00532

295.598

55 617

price of the vaccine 231$*

0.01016

520.210

51 184

  1. *current recommended market price of the Cervarix vaccine in Hungary.
  2. QALY: quality-adjusted life years, ICER: incremental cost-effectiveness ratio.