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Table 4 Base-case cost and outcomes when considering both direct and indirect effects

From: Cost-effectiveness of 2 + 1 dosing of 13-valent and 10-valent pneumococcal conjugate vaccines in Canada

Outcome

PCV13

PCV10

Difference(PCV13 – PCV10)

Total life-years

605,602,153

605,586,870

15,283

  Total QALYs

543,278,132

543,264,303

13,828

Annual number of cases

  Myringotomy

1,868

1,918

−49.5

  Neurological impairment

25.7

35.

−10.1

  Hearing loss

47.8

66.5

−18.7

  Death

9,601.03

10,480.47

−879.4

  Annual direct medical costs

$1,185,354,128

$1,318,177,638

–$132,823,511

Cost per QALY

PCV13 dominates PCV10

  1. PCV10 10-valent pneumococcal conjugate vaccine; PCV13 13-valent pneumococcal conjugate vaccine; QALY quality-adjusted life-year.