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Cost Effectiveness of Human Papillomavirus Vaccination for Men Who have Sex with Men; Reviewing the Available Evidence


  • Didik Setiawan

    () (University of Groningen
    University of Muhammadiyah Purwokerto)

  • Abrham Wondimu

    () (University of Groningen
    University of Groningen, University Medical Center Groningen (UMCG))

  • KohJun Ong

    (Centre for Infectious Disease Surveillance and Control, National Infection Service, Public Health England)

  • Albert Jan Hoek

    (London School of Hygiene and Tropical Medicine)

  • Maarten J. Postma

    (University of Groningen
    University of Groningen, University Medical Center Groningen (UMCG)
    University of Groningen)


Background Men who have sex with men require special attention for human papillomavirus vaccination given elevated infection risks and the development of, in particular, anal cancer. Objective Our purpose was to review the cost effectiveness of human papillomavirus vaccination for both currently vaccine-eligible and non-eligible individuals, particularly the men-who-have-sex-with-men population, and synthesize the available evidence. Methods We systematically searched for published articles in two main databases (PubMed and EMBASE). Screening and data extraction were performed by two independent reviewers. The risk of bias was assessed using a validated instrument (Bias in Economic Evaluation, ECOBIAS). Methodological aspects, study results, and sensitivity analyses were extracted and synthesized to generate a consistent overview of the cost effectiveness of human papillomavirus vaccination in the men-who-have-sex-with-men population. Results From 770 identified articles, four met the inclusion criteria. Across the studies, human papillomavirus vaccination showed incremental cost-effectiveness ratios ranging from dominant to US$96,146 and US$14,000 to US$18,200 for tertiary prevention and primary prevention, respectively. The incremental cost-effectiveness ratio seemed most sensitive to vaccine efficacy, vaccine costs, and the incidence of anal cancer in the selected target populations. Conclusion This review presents the human papillomavirus vaccine, both as a primary and adjuvant (tertiary) vaccination, as a potentially cost-effective strategy for preventing mainly—but not limited to only—anal cancer in men-who-have-sex-with-men populations.

Suggested Citation

  • Didik Setiawan & Abrham Wondimu & KohJun Ong & Albert Jan Hoek & Maarten J. Postma, 2018. "Cost Effectiveness of Human Papillomavirus Vaccination for Men Who have Sex with Men; Reviewing the Available Evidence," PharmacoEconomics, Springer, vol. 36(8), pages 929-939, August.
  • Handle: RePEc:spr:pharme:v:36:y:2018:i:8:d:10.1007_s40273-018-0649-y
    DOI: 10.1007/s40273-018-0649-y

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    Blog mentions

    As found by, the blog aggregator for Economics research:
    1. Thesis Thursday: Koh Jun Ong
      by Chris Sampson in The Academic Health Economists' Blog on 2020-01-16 07:00:00

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