OBJECTIVE: To analyze the cost-effectiveness of the national Perinatal Hepatitis B Prevention Program (PHBPP) over the lifetime of the 2009 US birth cohort and compare the costs and outcomes of the program to a scenario without PHBPP support. PHBPP's goals are to ensure all infants born to hepatitis B (HepB) surface antigen-positive women receive timely postexposure prophylaxis, complete HepB vaccine series, and obtain serologic testing after series completion. METHODS: A decision analytic tree and a long-term Markov model represented the risk of perinatal and childhood infections under different prevention alternatives, and the long-term health and economic consequences of HepB infection. Outcome measures were the number of perinatal infections and childhood infections from infants born to HepB surface antigen-positive women, quality-adjusted life-years (QALYs), lifetime costs, and incremental cost per QALY gained. The health outcomes and total costs of each strategy were compared incrementally. Costs were evaluated from the health care system perspective and expressed in US dollars at a 2010 price base. RESULTS: In all analyses, the PHBPP increased QALYs and led to higher reductions in the number of perinatal and childhood infections than no PHBPP, with a cost-effectiveness ratio of $ 2602 per QALY. In sensitivity analyses, the cost-effectiveness ratio was robust to variations in model inputs, and there were instances where the program was both more effective and cost saving. CONCLUSIONS: This study indicated that the current PHBPP represents a cost-effective use of resources, and ensuring the program reaches all pregnant women could present additional public health benefits. Pediatrics 2014; 133: 243-253
机构:
Shanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R ChinaShanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R China
Du, Jiangyang
Wang, Zhenhua
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Shanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Dept Gastroenterol, Shanghai, Peoples R ChinaShanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R China
Wang, Zhenhua
Wu, Bin
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Shanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R ChinaShanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R China
机构:
Catalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
Georgalis, Leonidas
de Sanjose, Silvia
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Catalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
Barcelona Biomed Res Pk PRBB, Publ Hlth & Epidemiol CIBERESP, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
de Sanjose, Silvia
Esnaola, Mikel
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Barcelona Biomed Res Pk PRBB, Ctr Res Environm Epidemiol CREAL, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
Esnaola, Mikel
Xavier Bosch, F.
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Catalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
Xavier Bosch, F.
Diaz, Mireia
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Catalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
机构:
Univ Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R ChinaUniv Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R China
Cheung, Ka Wang
Seto, Mimi Tin Yan
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Univ Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R ChinaUniv Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R China
Seto, Mimi Tin Yan
Lao, Terence Tzu-Hsi
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Univ Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R ChinaUniv Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R China
机构:
Univ Amsterdam, Dept Obstet & Gynaecol, Amsterdam UMC, Amsterdam, NetherlandsMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Rijken, Marcus J.
Sriprawa, Kanlaya
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Mahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, ThailandMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Sriprawa, Kanlaya
Kobphan, Pachinee
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Mahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, ThailandMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Kobphan, Pachinee
Nosten, Francois N.
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h-index: 0
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Mahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Univ Oxford, Nuffield Dept Med Res Bldg, Ctr Trop Med & Global Hlth, Oxford OX3 7FZ, EnglandMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Nosten, Francois N.
van Vugt, Michele
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h-index: 0
机构:
Univ Amsterdam, Acad Med Ctr, Div Infect Dis, Amsterdam, NetherlandsMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
van Vugt, Michele
McGready, Rose
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h-index: 0
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Mahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Univ Oxford, Nuffield Dept Med Res Bldg, Ctr Trop Med & Global Hlth, Oxford OX3 7FZ, EnglandMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
McGready, Rose
Devine, Angela
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h-index: 0
机构:
Charles Darwin Univ, Menzies Sch Hlth Res, Div Global & Trop Hlth, Casuarina, Australia
Univ Melbourne, Melbourne Sch Populat & Global Hlth, Ctr Epidemiol & Biostat, Parkvilles, Vic, AustraliaMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
机构:
Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Wuhan Ctr Dis Prevent & Control, Wuhan, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Guo, Yan
Zhang, Wei
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Wuhan Med Care Ctr Women & Children, Wuhan, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Zhang, Wei
Zhang, Yu
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Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Zhang, Yu
Lin, Xiaofang
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Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Lin, Xiaofang
Zhang, Bin
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302 Mil Hosp, Ctr Noninfect Liver Dis, Beijing, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Zhang, Bin
Chen, Chong
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302 Mil Hosp, Ctr Noninfect Liver Dis, Beijing, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Chen, Chong
Du, Yukai
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Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
机构:
Shanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R ChinaShanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R China
Du, Jiangyang
Wang, Zhenhua
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Shanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Dept Gastroenterol, Shanghai, Peoples R ChinaShanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R China
Wang, Zhenhua
Wu, Bin
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Shanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R ChinaShanghai Jiao Tong Univ, Ren Ji Hosp, Sch Med, Med Decis & Econ Grp,Dept Pharm, South Campus, Shanghai, Peoples R China
机构:
Catalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
Georgalis, Leonidas
de Sanjose, Silvia
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h-index: 0
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Catalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
Barcelona Biomed Res Pk PRBB, Publ Hlth & Epidemiol CIBERESP, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
de Sanjose, Silvia
Esnaola, Mikel
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h-index: 0
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Barcelona Biomed Res Pk PRBB, Ctr Res Environm Epidemiol CREAL, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
Esnaola, Mikel
Xavier Bosch, F.
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Catalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
Xavier Bosch, F.
Diaz, Mireia
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Catalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, SpainCatalan Inst Oncol ICO IDIBELL, Unit Infect & Canc UNIC, Canc Epidemiol Res Program CERP, Barcelona, Spain
机构:
Univ Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R ChinaUniv Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R China
Cheung, Ka Wang
Seto, Mimi Tin Yan
论文数: 0引用数: 0
h-index: 0
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Univ Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R ChinaUniv Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R China
Seto, Mimi Tin Yan
Lao, Terence Tzu-Hsi
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R ChinaUniv Hong Kong, Queen Mary Hosp, Dept Obstet & Gynaecol, 6-F,Professorial Block,102 Pokfulam Rd, Hong Kong, Peoples R China
机构:
Univ Amsterdam, Dept Obstet & Gynaecol, Amsterdam UMC, Amsterdam, NetherlandsMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Rijken, Marcus J.
Sriprawa, Kanlaya
论文数: 0引用数: 0
h-index: 0
机构:
Mahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, ThailandMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Sriprawa, Kanlaya
Kobphan, Pachinee
论文数: 0引用数: 0
h-index: 0
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Mahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, ThailandMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Kobphan, Pachinee
Nosten, Francois N.
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h-index: 0
机构:
Mahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Univ Oxford, Nuffield Dept Med Res Bldg, Ctr Trop Med & Global Hlth, Oxford OX3 7FZ, EnglandMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Nosten, Francois N.
van Vugt, Michele
论文数: 0引用数: 0
h-index: 0
机构:
Univ Amsterdam, Acad Med Ctr, Div Infect Dis, Amsterdam, NetherlandsMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
van Vugt, Michele
McGready, Rose
论文数: 0引用数: 0
h-index: 0
机构:
Mahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
Univ Oxford, Nuffield Dept Med Res Bldg, Ctr Trop Med & Global Hlth, Oxford OX3 7FZ, EnglandMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
McGready, Rose
Devine, Angela
论文数: 0引用数: 0
h-index: 0
机构:
Charles Darwin Univ, Menzies Sch Hlth Res, Div Global & Trop Hlth, Casuarina, Australia
Univ Melbourne, Melbourne Sch Populat & Global Hlth, Ctr Epidemiol & Biostat, Parkvilles, Vic, AustraliaMahidol Univ, Shoklo Malaria Res Unit, Mahidol Oxford Trop Med Res Unit, Mae Sot 63110, Thailand
机构:
Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Wuhan Ctr Dis Prevent & Control, Wuhan, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Guo, Yan
Zhang, Wei
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h-index: 0
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Wuhan Med Care Ctr Women & Children, Wuhan, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Zhang, Wei
Zhang, Yu
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h-index: 0
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Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Zhang, Yu
Lin, Xiaofang
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h-index: 0
机构:
Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Lin, Xiaofang
Zhang, Bin
论文数: 0引用数: 0
h-index: 0
机构:
302 Mil Hosp, Ctr Noninfect Liver Dis, Beijing, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Zhang, Bin
Chen, Chong
论文数: 0引用数: 0
h-index: 0
机构:
302 Mil Hosp, Ctr Noninfect Liver Dis, Beijing, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China
Chen, Chong
Du, Yukai
论文数: 0引用数: 0
h-index: 0
机构:
Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R ChinaHuazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, Wuhan 430030, Hubei, Peoples R China