Impact of parameter assumptions on the incremental cost-effectiveness ratio.
Dashed line represents the commonly cited cost-effectiveness threshold in
Norway (ie, $83 000 per quality-adjusted life-year gained), and the
shaded region represents the upper and lower bounds of commonly cited
cost-effectiveness thresholds. The base scenario assumes comprehensive
vaccine benefit to multiple human papillomavirus (HPV)–related
conditions (cervical, vaginal, vulvar, anal, penile, and oropharyngeal
cancer; genital warts; and juvenile-onset recurrent respiratory
papillomatosis), 50% coverage for catch-up vaccination (ages
18–26 years), $75 per vaccine dose, and the lower bound of
vaccine protection among women previous exposed to vaccine-targeted HPV
types.