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Review

A systematic review of the health economic consequences of quadrivalent influenza vaccination

, , , , , , , & ORCID Icon show all
Pages 249-265 | Received 03 Mar 2017, Accepted 13 Jun 2017, Published online: 28 Jun 2017

Figures & data

Figure 1. Flowchart of the study selection process.

Figure 1. Flowchart of the study selection process.

Table 1. Main characteristics and study design of the included studies.

Table 2. Characteristics of the vaccination programs and its vaccines.

Figure 2. The incremental vaccine price of quadrivalent influenza vaccine (QIV) as compared with trivalent influenza vaccine (TIV) used across included studies. Prices are converted to 2015 US$. * These studies assumed price parity between QIV and TIV. † For these studies incremental vaccine prices of inactivated vaccines were shown only. For live-attenuated influenza vaccines (LAIV), price parity was assumed between LAIV and quadrivalent LAIV. ‡ The study of Uhart et al. [Citation32] did not include vaccination costs, which reflects price parity.

Figure 2. The incremental vaccine price of quadrivalent influenza vaccine (QIV) as compared with trivalent influenza vaccine (TIV) used across included studies. Prices are converted to 2015 US$. * These studies assumed price parity between QIV and TIV. † For these studies incremental vaccine prices of inactivated vaccines were shown only. For live-attenuated influenza vaccines (LAIV), price parity was assumed between LAIV and quadrivalent LAIV. ‡ The study of Uhart et al. [Citation32] did not include vaccination costs, which reflects price parity.

Table 3. Influenza-related input parameters of the included studies.

Table 4. Effectiveness and cost-effectiveness of QIV as compared with TIV and key parameters towards cost-effectiveness results.

Figure 3. Incremental cost-effectiveness ratios (ICER) in US$/quality-adjusted life year (QALY) gained of quadrivalent influenza vaccine as compared with trivalent influenza vaccine. ICERs are converted to 2015 US$. Static models are presented in black and dynamic models in grey. Results are presented from a payer’s perspective (Figure 3A) and the societal perspective (Figure 3B). CS: Cost-saving. *:The ICERs of Chit et al [Citation20] . and You et al. [Citation34] (highest) are not presented due to graphical issues. Chit et al. [Citation20] found an ICER of US $145,700 per QALY from the healthcare payer’s perspective and US $139,200/QALY from the societal perspective. You et al. [Citation34] (highest) found an ICER of US $254,200/QALY from the societal perspective. †UK1: Vaccine uptake rate of 52.5% in children aged 2-17 years. UK2: Vaccine uptake rate of 70% in children aged 2-17 years.

Figure 3. Incremental cost-effectiveness ratios (ICER) in US$/quality-adjusted life year (QALY) gained of quadrivalent influenza vaccine as compared with trivalent influenza vaccine. ICERs are converted to 2015 US$. Static models are presented in black and dynamic models in grey. Results are presented from a payer’s perspective (Figure 3A) and the societal perspective (Figure 3B). CS: Cost-saving. *:The ICERs of Chit et al [Citation20] . and You et al. [Citation34] (highest) are not presented due to graphical issues. Chit et al. [Citation20] found an ICER of US $145,700 per QALY from the healthcare payer’s perspective and US $139,200/QALY from the societal perspective. You et al. [Citation34] (highest) found an ICER of US $254,200/QALY from the societal perspective. †UK1: Vaccine uptake rate of 52.5% in children aged 2-17 years. UK2: Vaccine uptake rate of 70% in children aged 2-17 years.
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