Colantonio Lisandro, Gómez Jorge A, Demarteau Nadia, Standaert Baudouin, Pichón-Rivière Andrés, Augustovski Federico
Institute for Clinical Effectiveness and Health Policy, Buenos Aires, Argentina.
Vaccine. 2009 Sep 4;27(40):5519-29. doi: 10.1016/j.vaccine.2009.06.097. Epub 2009 Jul 17.
Implementation of cervical cancer (CC) vaccination in Latin America is expected to reduce the high CC burden in those countries. But the efficiency of such vaccination programs in the region still remains unknown. This study assesses the cost-effectiveness and cost-utility of introducing vaccination into the current CC disease management of five Latin American countries (Argentina, Brazil, Chile, Mexico, and Peru). The modelling results indicate that universal mass vaccination is cost-effective in the current health care setting of each country (<3x gross domestic product per capita, per country) with a substantial number of CC cases and deaths avoided in addition to an increase of quality-adjusted life years. This study will help guide the design of future clinical programmes and health-related policies. It will assist early and effective decision-making processes related to vaccine implementation in Latin America.
在拉丁美洲实施宫颈癌(CC)疫苗接种有望减轻这些国家沉重的CC负担。但该地区此类疫苗接种计划的效果仍不明确。本研究评估了将疫苗接种引入五个拉丁美洲国家(阿根廷、巴西、智利、墨西哥和秘鲁)当前CC疾病管理中的成本效益和成本效用。模型结果表明,在每个国家当前的医疗环境下,全民大规模疫苗接种具有成本效益(每个国家<3倍人均国内生产总值),除了增加质量调整生命年之外,还可避免大量CC病例和死亡。本研究将有助于指导未来临床项目和健康相关政策的设计。它将协助拉丁美洲与疫苗实施相关的早期有效决策过程。