SciELO - Scientific Electronic Library Online

 
vol.90Perspectiva futura de la farmacoepidemiología en la era del "Big data" y la expansión de las fuentes de informaciónPrevalencia de la enfermedad pulmonar obstuctiva crónica en una zona rural de Guadalajara índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google

Compartilhar


Revista Española de Salud Pública

versão On-line ISSN 2173-9110versão impressa ISSN 1135-5727

Resumo

LORENTE ANTONANZAS, Reyes; VARONA MALUMBRES, Juan Luis; ANTONANZAS VILLAR, Fernando  e  REJAS GUTIERREZ, Javier. A Dynamic Model to Estimate the Budget Impact of a Pneumococcal Vaccination Program in a 65 Year-old immunocompetent Spanish Cohort with 13-Valent Pneumococcal Conjugate Vaccine. Rev. Esp. Salud Publica [online]. 2016, vol.90, e40001.  Epub 18-Jan-2016. ISSN 2173-9110.

Background:

Infections caused by Streptococcus pneumonie in adults have important health consequences. To estimate the 5-year clinical and economic impact of a pneumococcal vaccination program on immunocompetent population aged 65-year-old in Spain.

Methods:

A 5 year dynamic model based on differential equations was built for the conceptualization of the burden of pneumococcal disease (PD) on a 65 year-old cohort. A 36.5% of the cohort was vaccinated with an expected efficacy rate of 52.5% as observed in the CAPITA study. The serotype vaccination coverage used was 63.4% (CAPA study), the incidence of pneumococcal disease was 162.2 per 100,000 cases per year (CMBD 2010-2013) and a rate of vaccinated subjects previously from the start of the model of 0.99%. The study used the perspective of The National Health System, and included the costs associated to PD and the conjugate vaccine laboratory selling price.

Results:

In a 5 years-period, the vaccination with 13-valent pneumococcal conjugate vaccine is expected to avoid 10,360 cases of pneumococcal disease (7,411 in-patient pneumonias) and 699 deaths (14,736 Life Years Gained) in the 65 year old cohort. Vaccination costs of 36.5 million euros would be completely offset by medical cost reduction of 41.5 million euros, yielding to a net saving of 3.8 million constant euros (4.9 million undiscounted).

Conclusion:

PCV13 vaccination targeting the cohort of 65 year-old immunocompetent Spanish adults is expected to result in net savings for the National Health System, while decreasing disease burden and averting a substantial number of related deaths.

Palavras-chave : Pneumococcal vaccines; Conjugate vaccine; Health expenditure; Burden of illness; Adults; Spain.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )