Economic evaluation of human papillomavirus vaccination in the United Kingdom
2008

Cost Effectiveness of HPV Vaccination in the UK

Sample size: 80000 publication 10 minutes Evidence: high

Author Information

Author(s): Jit Mark, Choi Yoon Hong, Edmunds W John

Primary Institution: Health Protection Agency, London

Hypothesis

To assess the cost effectiveness of routine vaccination of 12 year old schoolgirls against human papillomavirus infection in the United Kingdom.

Conclusion

Routine vaccination of 12 year old schoolgirls combined with an initial catch-up campaign up to age 18 is likely to be cost effective in the UK.

Supporting Evidence

  • Vaccinating 12 year old schoolgirls with a quadrivalent vaccine at 80% coverage is likely to be cost effective.
  • Implementing a catch-up campaign of girls up to age 18 is likely to be cost effective.
  • Vaccination of boys is unlikely to be cost effective.

Takeaway

Vaccinating 12-year-old girls against HPV is a good idea because it can save money and help prevent cancer and warts.

Methodology

A transmission dynamic model was used to predict the burden of HPV-related disease and assess the cost effectiveness of various vaccination strategies.

Potential Biases

Potential biases may arise from the assumptions made in the model regarding vaccine efficacy and population behavior.

Limitations

The model does not account for all biological uncertainties and assumes that the screening program will continue unchanged.

Participant Demographics

Schoolgirls aged 12 or older in the UK.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% range £13,800-£32,900

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1136/bmj.a769

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