This review describes the importance of economic evaluations and real-world evidence (RWE) for the assessment of enhanced influenza vaccines for older adults in Europe. Individuals ≥65 years of age are at increased risk of severe influenza outcomes and many countries in Europe recommend enhanced vaccines for this population to mitigate immunosenescence. Some National Immunization Technical Advisory Groups (NITAGs) may preferentially recommend a specific enhanced vaccine, necessitating comparative economic evaluation and estimation of relative vaccine effectiveness between enhanced vaccine options in the absence of direct head-to-head efficacy data. Distinct approaches to economic modeling and cost-effectiveness analysis (CEA) guide national vaccination policies in Europe, including how underlying data, such as RWE, are used in these models. RWE is an important evidence source for input into CEA models based on disease factors (e.g., antigenic shift and seasonal variation) and practical factors (e.g., limitations of performing multiple randomized clinical trials to capture seasonal variation; the need to obtain relevant patient-oriented, real-world endpoints, such as hospitalizations). CEA is considered crucial to vaccine assessment among certain countries in Europe, but further harmonization of economic evaluations, including the use of RWE, across NITAGs in Europe may be of benefit, alongside standardized approaches for vaccine appraisal. In the future, more countries may use RWE as an input in CEA models to support NITAG recommendations for enhanced influenza vaccines in older populations, especially considering the value of RWE for the assessment of influenza epidemiology and vaccine effectiveness as stated by the World Health Organization, and the availability of a broad RWE base for certain enhanced vaccines.

Contributions of cost-effectiveness analyses (CEA) to influenza vaccination policy for older adults in Europe / Chicoye, Annie; Crépey, Pascal; Nguyen, Van Hung; Márquez-Peláez, Sergio; Postma, Maarten; Pugliese, Andrea; Ruiz-Aragón, Jesús; Mould-Quevedo, Joaquin. - In: VACCINE. - ISSN 0264-410X. - 41:38(2023), pp. 5518-5524. [10.1016/j.vaccine.2023.07.073]

Contributions of cost-effectiveness analyses (CEA) to influenza vaccination policy for older adults in Europe

Pugliese, Andrea;
2023-01-01

Abstract

This review describes the importance of economic evaluations and real-world evidence (RWE) for the assessment of enhanced influenza vaccines for older adults in Europe. Individuals ≥65 years of age are at increased risk of severe influenza outcomes and many countries in Europe recommend enhanced vaccines for this population to mitigate immunosenescence. Some National Immunization Technical Advisory Groups (NITAGs) may preferentially recommend a specific enhanced vaccine, necessitating comparative economic evaluation and estimation of relative vaccine effectiveness between enhanced vaccine options in the absence of direct head-to-head efficacy data. Distinct approaches to economic modeling and cost-effectiveness analysis (CEA) guide national vaccination policies in Europe, including how underlying data, such as RWE, are used in these models. RWE is an important evidence source for input into CEA models based on disease factors (e.g., antigenic shift and seasonal variation) and practical factors (e.g., limitations of performing multiple randomized clinical trials to capture seasonal variation; the need to obtain relevant patient-oriented, real-world endpoints, such as hospitalizations). CEA is considered crucial to vaccine assessment among certain countries in Europe, but further harmonization of economic evaluations, including the use of RWE, across NITAGs in Europe may be of benefit, alongside standardized approaches for vaccine appraisal. In the future, more countries may use RWE as an input in CEA models to support NITAG recommendations for enhanced influenza vaccines in older populations, especially considering the value of RWE for the assessment of influenza epidemiology and vaccine effectiveness as stated by the World Health Organization, and the availability of a broad RWE base for certain enhanced vaccines.
2023
38
Chicoye, Annie; Crépey, Pascal; Nguyen, Van Hung; Márquez-Peláez, Sergio; Postma, Maarten; Pugliese, Andrea; Ruiz-Aragón, Jesús; Mould-Quevedo, Joaqui...espandi
Contributions of cost-effectiveness analyses (CEA) to influenza vaccination policy for older adults in Europe / Chicoye, Annie; Crépey, Pascal; Nguyen, Van Hung; Márquez-Peláez, Sergio; Postma, Maarten; Pugliese, Andrea; Ruiz-Aragón, Jesús; Mould-Quevedo, Joaquin. - In: VACCINE. - ISSN 0264-410X. - 41:38(2023), pp. 5518-5524. [10.1016/j.vaccine.2023.07.073]
File in questo prodotto:
File Dimensione Formato  
vaccine_CEA.pdf

accesso aperto

Tipologia: Versione editoriale (Publisher’s layout)
Licenza: Creative commons
Dimensione 965.88 kB
Formato Adobe PDF
965.88 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11572/404849
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 3
  • ???jsp.display-item.citation.isi??? 3
social impact