Cost-utility analysis of vaccination against HPV in Israel

Vaccine. 2007 Sep 17;25(37-38):6677-91. doi: 10.1016/j.vaccine.2007.07.018. Epub 2007 Jul 30.

Abstract

Using WHO-CHOICE methodology, we calculated cost-utility ratios for various interventions (PAP smear, HPV-DNA testing, VIA and vaccination against HPV) at various frequencies to reduce the burden of cervical cancer and condyloma (in the case of the HPV vaccination) in Israel, which has a low prevalence of cervical cancer. Assuming non-waning efficacy, HPV vaccinations will become cost-effective, very cost-effective and cost saving when the cost per dose falls below $96.85, $50.42 and $27.20, respectively. Attempts should be made to raise compliancy with PAP smears from the current opportunistic 12.2-20.0% per annum either before and/or after the vaccination is introduced.

MeSH terms

  • Adolescent
  • Adult
  • Alphapapillomavirus / immunology*
  • Child
  • Cost-Benefit Analysis
  • Female
  • Humans
  • Israel
  • Mass Screening / economics
  • Middle Aged
  • Models, Biological
  • Papillomavirus Infections / economics
  • Papillomavirus Infections / immunology
  • Papillomavirus Infections / prevention & control*
  • Papillomavirus Vaccines / economics*
  • Papillomavirus Vaccines / immunology*
  • Treatment Outcome
  • Uterine Cervical Neoplasms / economics
  • Uterine Cervical Neoplasms / immunology
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaccination / economics*

Substances

  • Papillomavirus Vaccines