Table 1.
Description (units) | Mean | Lower Limit1 |
Upper Limit1 |
Distribution1 | Source |
---|---|---|---|---|---|
Costs ($U.S.) | |||||
Standard Influenza Vaccine | 16.22 | 12.16 | 20.28 | Triangular | Redbook 49 |
Influenza treatment | |||||
OTC medications | 16.08 | 12.05 | 20.10 | Triangular | Redbook 49 |
Outpatient visit given influenza | 104.77 | 78.58 | 130.96 | Triangular | CMS50 |
Productivity loss for outpatient visit | 66.00 | 60.81 | 71.15 | Triangular | U.S. Department of Labor 51 |
Hospitalization | 6260.08 | 6102.33 | 6417.74 | Gamma | www.hcup-us.ahrq.gov/reports 52 |
Death in hospital | 5150.00 | 3862.50 | 6437.50 | Triangular | Smith53 |
Treatment of vaccine side effects | |||||
OTC medications | 0.78 | 0.70 | 3.93 | Triangular | Redbook 49 |
Durations | |||||
Influenza (days) | 7 | 5.25 | 8.75 | Gamma | MMWR; Widquist; Gubareva; Hayden; Jefferson; Treanor54-59 |
Life expectancy for 64 year old patient on HD (years)2 |
4.8 | -- | -- | -- | USRDS10 |
Utilities (QALYs) | |||||
One year of life for HD patient | 0.49 | 0.45 | 0.53 | Beta | Tengs60 |
Vaccine Side effects | 0.95 | 0.71 | 1 | Triangular | Tengs60 |
Influenza with hospitalization | 0.5 | 0.38 | 0.63 | Triangular | Tengs; Sackett60-61 |
Influenza without hospitalization | 0.65 | 0.49 | 0.81 | Triangular | Tengs; Sackett 60-61 |
Probabilities | |||||
Influenza without vaccination | 0.125 | 0.05 | 0.2 | Triangular | Rivetti 62 |
Outpatient visit if develop influenza | 0.625 | 0.507 | 0.743 | Triangular | Molinari 26 |
Hospitalization if develop influenza (diabetes patient)2 | 0.012 | -- | -- | -- | Looijmans-Van den Akker 63 |
Death in hospital given influenza (diabetes patient)2 | 0.002 | -- | -- | -- | Looijmans-Van den Akker 63 |
Vaccine without adjuvant | |||||
Side effects | 0.63 | 0.47 | 0.89 | Triangular | Langley; Roman; Clark 40, 42, 64 |
Vaccine efficacy (healthy adults) | 0.8 | 0.56 | 0.91 | Triangular | Demicheli 65 |
Vaccine efficacy (adult HD patients) | 0.63 | 0.59 | 0.69 | Triangular | Scharpe21 |
Vaccine with adjuvant | |||||
Side effects | 0.48 | 0.39 | 0.59 | Triangular | Langley; Roman; Clark 40, 42, 64 |
Dashes indicate that point estimates were used for these parameters.
Variables were based on single values due to lack of available data in the literature. Sensitivity analyses were run to account for error and uncertainty.
CMS, Centers for Medicare and Medicaid Services; USRDS, US Renal Data System; OTC, over-the-counter; HD, hemodialysis; QALY, quality-adjusted life-year