Abstract
Background: We assessed the cost-effectiveness of adding a quadrivalent (6/11/16/18) human papillomavirus (HPV) vaccine to the current screening programme in the UK compared to screening alone. Methods: A Markov model of the natural history of HPV infection incorporating screening and vaccination was developed. A vaccine that prevents 98% of HPV 6, 11, 16 and 18-associated disease, with a lifetime duration and 85% coverage, in conjunction with current screening was considered. Results: Vaccination with screening, compared to screening alone, was associated with an incremental cost-effectiveness ratio of £21,059 per quality adjusted life year (QALY) and £34,687 per life year saved (LYS). More than 400 cases of cervical cancer, 6700 cases of cervical intraepithelial neoplasia and 4750 cases of genital warts could be avoided per 100,000 vaccinated girls. Results were sensitive to assumptions about the need for a booster, the duration of vaccine efficacy and discount rate. Conclusion: These analyses suggest that adding a quadrivalent HPV vaccine to current screening in the UK could be a cost-effective method for further reducing the burden of cervical cancer.
| Original language | English (US) |
|---|---|
| Article number | 4 |
| Journal | Cost Effectiveness and Resource Allocation |
| Volume | 6 |
| DOIs | |
| State | Published - Feb 15 2008 |
Bibliographical note
Funding Information:For this project, Dr. Kulasingam and Dr Myers have been supported by a grant from SP-MSD. Dr. Kulasingam and Dr Myers have been supported by grants from Merck and CSL-Australia. Dr. Kulasingam has been a consultant for SP-MSD and CSL-New Zealand. Nathalie Largeron is an employee of SP-MSD. Steve Bernard is a former employee of SP-MSD. Dr. Ruanne Barnabas has been a consultant for SP-MSD.
