{"id":"https://openalex.org/W4414516640","doi":"https://doi.org/10.1080/13696998.2025.2565902","title":"The incremental net monetary benefit of higher-valent pneumococcal conjugate vaccines for adults: a systematic review and meta-analysis of economic evaluations","display_name":"The incremental net monetary benefit of higher-valent pneumococcal conjugate vaccines for adults: a systematic review and meta-analysis of economic evaluations","publication_year":2025,"publication_date":"2025-09-25","ids":{"openalex":"https://openalex.org/W4414516640","doi":"https://doi.org/10.1080/13696998.2025.2565902","pmid":"https://pubmed.ncbi.nlm.nih.gov/40994424"},"language":"en","primary_location":{"id":"doi:10.1080/13696998.2025.2565902","doi":"https://doi.org/10.1080/13696998.2025.2565902","is_oa":true,"landing_page_url":"https://doi.org/10.1080/13696998.2025.2565902","pdf_url":null,"source":{"id":"https://openalex.org/S155267287","display_name":"Journal of Medical Economics","issn_l":"1369-6998","issn":["1369-6998","1941-837X"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-c","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320449","host_organization_name":"Informa","host_organization_lineage":["https://openalex.org/P4310320449"],"host_organization_lineage_names":["Informa"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Economics","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1080/13696998.2025.2565902","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065704014","display_name":"Haeseon Lee","orcid":"https://orcid.org/0000-0003-3956-9758","observed_orcids":["https://orcid.org/0000-0003-3956-9758"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Haeseon Lee","raw_affiliation_strings":["Department of Pharmacotherapy, University of Utah College of Pharmacy"],"raw_orcid":"https://orcid.org/0000-0003-3956-9758","affiliations":[{"raw_affiliation_string":"Department of Pharmacotherapy, University of Utah College of Pharmacy","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076692943","display_name":"Jeong\u2010Yeon Cho","orcid":"https://orcid.org/0000-0003-1351-5006","observed_orcids":["https://orcid.org/0000-0003-1351-5006"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeong-Yeon Cho","raw_affiliation_strings":["Department of Pharmacotherapy, University of Utah College of Pharmacy"],"raw_orcid":"https://orcid.org/0000-0003-1351-5006","affiliations":[{"raw_affiliation_string":"Department of Pharmacotherapy, University of Utah College of Pharmacy","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013052110","display_name":"Jeffrey Vietri","orcid":"https://orcid.org/0000-0002-5610-3098","observed_orcids":["https://orcid.org/0000-0002-5610-3098"]},"institutions":[{"id":"https://openalex.org/I180857899","display_name":"Pfizer (United States)","ror":"https://ror.org/01xdqrp08","country_code":"US","type":"company","lineage":["https://openalex.org/I180857899"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeffrey Vietri","raw_affiliation_strings":["Pfizer Inc"],"raw_orcid":"https://orcid.org/0000-0002-5610-3098","affiliations":[{"raw_affiliation_string":"Pfizer Inc","institution_ids":["https://openalex.org/I180857899"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118994496","display_name":"Euan Dawson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I189718659","display_name":"Pfizer (United Kingdom)","ror":"https://ror.org/04x4v8p40","country_code":"GB","type":"company","lineage":["https://openalex.org/I180857899","https://openalex.org/I189718659"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Euan Dawson","raw_affiliation_strings":["Pfizer Ltd"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pfizer Ltd","institution_ids":["https://openalex.org/I189718659"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5013349830","display_name":"Nathorn Chaiyakunapruk","orcid":"https://orcid.org/0000-0003-4572-8794","observed_orcids":["https://orcid.org/0000-0003-4572-8794","https://orcid.org/0000-0001-6213-722X","https://orcid.org/0000-0002-9762-5466"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]},{"id":"https://openalex.org/I4210089864","display_name":"VA Salt Lake City Healthcare System","ror":"https://ror.org/007fyq698","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210089864","https://openalex.org/I4210113540"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nathorn Chaiyakunapruk","raw_affiliation_strings":["Department of Pharmacotherapy, University of Utah College of Pharmacy","IDEAS Center, Veterans Affairs Salt Lake City Healthcare System"],"raw_orcid":"https://orcid.org/0000-0003-4572-8794","affiliations":[{"raw_affiliation_string":"Department of Pharmacotherapy, University of Utah College of Pharmacy","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"IDEAS Center, Veterans Affairs Salt Lake City Healthcare System","institution_ids":["https://openalex.org/I4210089864"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5013349830"],"corresponding_institution_ids":["https://openalex.org/I223532165","https://openalex.org/I4210089864"],"apc_list":null,"apc_paid":null,"fwci":0.4906,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.57221494,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":"28","issue":"1","first_page":"1761","last_page":"1778"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.7329000234603882,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.7329000234603882,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.26249998807907104,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10873","display_name":"Bacterial Infections and Vaccines","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pneumococcal-conjugate-vaccine","display_name":"pneumococcal conjugate vaccine","score":0.972000002861023},{"id":"https://openalex.org/keywords/pcv15","display_name":"PCV15","score":0.847000002861023},{"id":"https://openalex.org/keywords/pcv20","display_name":"PCV20","score":0.9990000128746033},{"id":"https://openalex.org/keywords/pcv21","display_name":"PCV21","score":0.9990000128746033},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.8259999752044678},{"id":"https://openalex.org/keywords/incremental-net-benefit","display_name":"incremental net benefit","score":0.6570000052452087},{"id":"https://openalex.org/keywords/adults","display_name":"adults","score":0.6679999828338623},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7929999828338623},{"id":"https://openalex.org/keywords/23-valent-pneumococcal-polysaccharide-vaccine","display_name":"23-valent pneumococcal polysaccharide vaccine","score":0.9229999780654907},{"id":"https://openalex.org/keywords/pcv13","display_name":"PCV13","score":0.6819999814033508},{"id":"https://openalex.org/keywords/vaccine-cost-effectiveness","display_name":"vaccine cost-effectiveness","score":0.34599998593330383},{"id":"https://openalex.org/keywords/funding-source-bias","display_name":"funding source bias","score":0.4059999883174896},{"id":"https://openalex.org/keywords/sensitivity-analysis","display_name":"sensitivity analysis","score":0.41999998688697815}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8521000146865845},{"id":"https://openalex.org/C2778866548","wikidata":"https://www.wikidata.org/wiki/Q7205991","display_name":"Pneumococcal conjugate vaccine","level":4,"score":0.6851000189781189},{"id":"https://openalex.org/C2776125615","wikidata":"https://www.wikidata.org/wiki/Q18391886","display_name":"Economic evaluation","level":2,"score":0.4778999984264374},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.40149998664855957},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.40059998631477356},{"id":"https://openalex.org/C22070199","wikidata":"https://www.wikidata.org/wiki/Q192995","display_name":"Vaccination","level":2,"score":0.39899998903274536},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3880999982357025},{"id":"https://openalex.org/C64332521","wikidata":"https://www.wikidata.org/wiki/Q614165","display_name":"Quality-adjusted life year","level":3,"score":0.3686000108718872},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.33809998631477356},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3158000111579895},{"id":"https://openalex.org/C127454912","wikidata":"https://www.wikidata.org/wiki/Q942582","display_name":"Cost\u2013benefit analysis","level":2,"score":0.3037000000476837},{"id":"https://openalex.org/C2776152631","wikidata":"https://www.wikidata.org/wiki/Q4366062","display_name":"Pneumococcal infections","level":4,"score":0.3003999888896942},{"id":"https://openalex.org/C3020803494","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Pneumococcal disease","level":4,"score":0.29679998755455017},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.2734000086784363},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2721000015735626},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2718000113964081},{"id":"https://openalex.org/C2779301066","wikidata":"https://www.wikidata.org/wiki/Q14538008","display_name":"Pneumococcal vaccine","level":4,"score":0.2630000114440918},{"id":"https://openalex.org/C2780801004","wikidata":"https://www.wikidata.org/wiki/Q1415366","display_name":"Immunization","level":3,"score":0.26100000739097595},{"id":"https://openalex.org/C2910282157","wikidata":"https://www.wikidata.org/wiki/Q14538008","display_name":"Pneumococcal vaccination","level":4,"score":0.2590999901294708},{"id":"https://openalex.org/C181230689","wikidata":"https://www.wikidata.org/wiki/Q192472","display_name":"Net present value","level":3,"score":0.2590000033378601},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.25870001316070557},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.25369998812675476}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D018074","descriptor_name":"Vaccines, Conjugate","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D018074","descriptor_name":"Vaccines, Conjugate","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D018074","descriptor_name":"Vaccines, Conjugate","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D018074","descriptor_name":"Vaccines, Conjugate","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D019057","descriptor_name":"Quality-Adjusted Life Years","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019057","descriptor_name":"Quality-Adjusted Life Years","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019057","descriptor_name":"Quality-Adjusted Life Years","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019057","descriptor_name":"Quality-Adjusted Life Years","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D022242","descriptor_name":"Pneumococcal Vaccines","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D022242","descriptor_name":"Pneumococcal Vaccines","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D022242","descriptor_name":"Pneumococcal Vaccines","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D022242","descriptor_name":"Pneumococcal Vaccines","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D022242","descriptor_name":"Pneumococcal Vaccines","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D022242","descriptor_name":"Pneumococcal Vaccines","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D022242","descriptor_name":"Pneumococcal Vaccines","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D022242","descriptor_name":"Pneumococcal Vaccines","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1080/13696998.2025.2565902","doi":"https://doi.org/10.1080/13696998.2025.2565902","is_oa":true,"landing_page_url":"https://doi.org/10.1080/13696998.2025.2565902","pdf_url":null,"source":{"id":"https://openalex.org/S155267287","display_name":"Journal of Medical Economics","issn_l":"1369-6998","issn":["1369-6998","1941-837X"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-c","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320449","host_organization_name":"Informa","host_organization_lineage":["https://openalex.org/P4310320449"],"host_organization_lineage_names":["Informa"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Economics","raw_type":"journal-article"},{"id":"pmid:40994424","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40994424","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical economics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1080/13696998.2025.2565902","doi":"https://doi.org/10.1080/13696998.2025.2565902","is_oa":true,"landing_page_url":"https://doi.org/10.1080/13696998.2025.2565902","pdf_url":null,"source":{"id":"https://openalex.org/S155267287","display_name":"Journal of Medical Economics","issn_l":"1369-6998","issn":["1369-6998","1941-837X"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-c","anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320449","host_organization_name":"Informa","host_organization_lineage":["https://openalex.org/P4310320449"],"host_organization_lineage_names":["Informa"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Medical Economics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"sustainable_development_goals_aurora":[],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"},{"display_name":"Meta-Analysis","id":"https://openalex.org/study-designs/meta-analysis"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320307765","display_name":"Pfizer","ror":"https://ror.org/01xdqrp08"},{"id":"https://openalex.org/F4320332759","display_name":"Pfizer UK","ror":"https://ror.org/04x4v8p40"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":52,"referenced_works":["https://openalex.org/W1558728221","https://openalex.org/W1928395014","https://openalex.org/W2056260217","https://openalex.org/W2102094268","https://openalex.org/W2179102356","https://openalex.org/W2788385232","https://openalex.org/W2921469132","https://openalex.org/W2968979577","https://openalex.org/W3023668533","https://openalex.org/W4206071468","https://openalex.org/W4214573055","https://openalex.org/W4223543536","https://openalex.org/W4225796371","https://openalex.org/W4281909135","https://openalex.org/W4304822982","https://openalex.org/W4306957465","https://openalex.org/W4307900249","https://openalex.org/W4308075632","https://openalex.org/W4310056354","https://openalex.org/W4310197920","https://openalex.org/W4311334107","https://openalex.org/W4378909328","https://openalex.org/W4380360370","https://openalex.org/W4384825303","https://openalex.org/W4384923027","https://openalex.org/W4384936987","https://openalex.org/W4385698541","https://openalex.org/W4386456197","https://openalex.org/W4387186400","https://openalex.org/W4387294064","https://openalex.org/W4387893010","https://openalex.org/W4387950372","https://openalex.org/W4388904751","https://openalex.org/W4390125670","https://openalex.org/W4390127212","https://openalex.org/W4390919664","https://openalex.org/W4391880470","https://openalex.org/W4392603873","https://openalex.org/W4393949705","https://openalex.org/W4394716752","https://openalex.org/W4396626065","https://openalex.org/W4396645667","https://openalex.org/W4399260910","https://openalex.org/W4399700437","https://openalex.org/W4400178589","https://openalex.org/W4401200560","https://openalex.org/W4402443459","https://openalex.org/W4402482849","https://openalex.org/W4402993687","https://openalex.org/W4405629626","https://openalex.org/W4405808514","https://openalex.org/W4410159729"],"related_works":[],"abstract_inverted_index":{"AIMS:":[0],"This":[1,272],"study":[2],"aimed":[3],"to":[4,154,203,232,240,279],"evaluate":[5],"the":[6,116,140,269],"cost-effectiveness":[7],"of":[8,32,52,118],"newly":[9],"developed":[10],"higher-valent":[11],"pneumococcal":[12],"conjugate":[13],"vaccines":[14],"(PCVs)":[15],"-":[16,22],"including":[17],"PCV15,":[18,53],"PCV20,":[19,54],"and":[20,30,70,80,101,107,109,123,173,191,211,216,246,261,267],"PCV21":[21,56,247],"for":[23,136],"adult":[24,259],"populations":[25,260],"through":[26,59,74],"a":[27,43,83,146,275],"systematic":[28],"review":[29],"meta-analysis":[31,273],"economic":[33],"evaluations":[34],"(MAEE),":[35],"providing":[36],"pooled":[37,81],"incremental":[38],"net":[39],"benefits":[40],"(INBs)":[41],"as":[42],"quantitative":[44,277],"summary":[45],"across":[46],"studies.":[47],"METHODS:":[48],"Economic":[49],"evaluation":[50],"studies":[51,129],"or":[55],"were":[57,78,92,130],"identified":[58],"database":[60],"searches":[61],"(PubMed,":[62],"EMBASE,":[63],"EconLit,":[64],"Tufts":[65],"CEA":[66],"registry,":[67],"HTA":[68],"database,":[69],"NITAG":[71],"resource":[72],"center)":[73],"November":[75],"2024.":[76],"INBs":[77,201],"calculated":[79],"using":[82],"random-effects":[84],"model,":[85],"with":[86,132],"positive":[87],"INB":[88],"indicating":[89],"cost-effectiveness.":[90],"Outcomes":[91],"stratified":[93],"by":[94,157],"population":[95,165,176],"age":[96],"(\u2265":[97],"18,":[98],"\u2265":[99,102,163,174,195,224],"50":[100],"60":[103,175,225],"years),":[104],"perspective":[105],"(healthcare":[106],"societal),":[108],"country":[110],"income":[111],"level.":[112],"Sensitivity":[113],"analyses":[114],"assessed":[115],"impact":[117],"funding":[119],"sources,":[120],"imputed":[121],"variance,":[122],"incomplete":[124],"sensitivity":[125],"analysis.":[126],"RESULTS:":[127],"Twenty-seven":[128],"included,":[131],"14":[133],"comparisons":[134],"eligible":[135],"meta-analysis.":[137],"PCV20":[138,149,198,227],"was":[139,150,182,228],"most":[141,258],"frequently":[142],"studied":[143],"vaccine.":[144],"From":[145],"healthcare":[147,209,221,270],"perspective,":[148,210],"significantly":[151,229],"cost-effective":[152,230,256],"compared":[153,185,202,231,239],"PCV15":[155,233,245],"followed":[156],"PPSV23":[158,187,206],"(PCV15":[159],"+":[160,205],"PPSV23)":[161],"in":[162,257,264],"18":[164,196],"(INB":[166],"=":[167,171],"19.3;":[168],"95%":[169],"CI":[170],"14.2-24.4)":[172],"(44.3;":[177],"21.1-67.4).":[178],"A":[179],"similar":[180],"trend":[181],"observed":[183],"when":[184],"against":[186],"alone":[188,234],"(269.3;":[189],"96.4-442.1":[190],"161.2;":[192],"3.5-318.9).":[193],"Among":[194,223],"population,":[197,226],"showed":[199],"favorable":[200],"PCV13":[204],"(241.7;":[207],"-5.6-488.9;":[208],"171.4;":[212],"-44.2-386.9;":[213],"societal":[214],"perspective),":[215],"no":[217,241],"vaccine":[218,242,281],"(65.6;":[219],"-35.7-167.0;":[220],"perspective).":[222],"(37.5;":[235],"28.0-47.0),":[236],"but":[237],"not":[238],"(-13.3;":[243],"-122.0-95.5).":[244],"had":[248],"few":[249],"meta-analyzable":[250],"comparisons.":[251],"CONCLUSIONS:":[252],"Higher-valent":[253],"PCVs":[254],"appear":[255],"settings,":[262],"especially":[263],"high-income":[265],"countries":[266],"from":[268],"perspective.":[271],"provides":[274],"rigorous":[276],"synthesis":[278],"support":[280],"policy":[282],"decisions.":[283]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}
