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Journal of Public Health
Published in: Journal of Public Health 2/2009

01-04-2009 | Original Article

Cost-effectiveness of a tetravalent human papillomavirus vaccine in Germany

Authors: Peter Hillemanns, Karl Ulrich Petry, Nathalie Largeron, Ruth McAllister, Keith Tolley, Katharina Büsch

Published in: Journal of Public Health | Issue 2/2009

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Abstract

Aim

Clinical trials have demonstrated the efficacy of the tetravalent human papillomavirus (HPV) vaccination in the prevention of cervical cancer and genital warts associated with HPV types 6, 11, 16 and 18. We used an empirically calibrated Markov cohort model of the natural history of HPV to assess the cost-effectiveness of the vaccine administered to 12-year-old girls alongside existing cervical screening programmes in Germany.

Subjects and methods

The model estimated cervical cancer (CC), cervical intraepithelial neoplasia (CIN) and genital wart lifetime risks and total lifetime health care costs, life years gained and quality-adjusted life years (QALY) gained. The analysis was conducted from the perspective of the German health care payer.

Results

In the base case (considering a lifetime duration of protection and 100% efficacy) it was estimated that 2,835 cervical cancer cases and 679 deaths could be prevented among a cohort of 400,000, at an incremental cost per QALY gained of 10,530 €. A total of 120 girls needed to be vaccinated to prevent 1 case of CC. Cost-effectiveness is sensitive to a duration of protection of less than 20 years and to the discount rate for costs and benefits.

Conclusion

A policy of vaccinating adolescent girls has been recommended by the German Standing Committee on Vaccinations. This study has demonstrated that such a policy is cost-effective based on thresholds of cost-effectiveness that apply in Germany.
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Metadata
Title
Cost-effectiveness of a tetravalent human papillomavirus vaccine in Germany
Authors
Peter Hillemanns
Karl Ulrich Petry
Nathalie Largeron
Ruth McAllister
Keith Tolley
Katharina Büsch
Publication date
01-04-2009
Publisher
Springer-Verlag
Published in
Journal of Public Health / Issue 2/2009
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-008-0228-3

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