From: Cost-effectiveness of seasonal influenza vaccination of children in China: a modeling analysis
Parameters | Baseline value (range) | Distribution |
---|---|---|
Demographic parameters | Â | Â |
 Number of age-specific children [29] | Additional file 1: Tables S1–2 | NA |
 Proportion of age-specific children in the urban area [30] | Additional file 1: Tables S1–2 | NA |
Additional file 1: Table S3 | NA | |
Epidemiologic parameters | Â | Â |
 Symptomatic influenza rate [11] |  < 5 years: 0.0586 (0.0362–0.0976) 5–14 years: 0.0155 (0.0096–0.0256) | Beta |
 Proportion of cases seeking healthcare among symptomatic cases [25] | Urban: 0.844 (0.6752–1) Rural: 0.791 (0.6328–0.9492) | Beta |
 Proportion of outpatient among seeking healthcare cases [33] |  < 5 years: 0.6976 (0.5581–0.8371) 5–14 years: 0.6579 (0.5263–0.7895) | NA |
 Proportion of hospitalization among seeking healthcare cases [33] |  < 5 years: 0.0745 (0.0596–0.0894) 5–14 years: 0.0504 (0.0403–0.0605) | Beta |
Proportion of complications and death | Â | Â |
0.2017 (0.1614–0.2420) | Beta | |
0.0017 (0.0014–0.0020) | Beta | |
 Influenza-associated excess respiratory mortality [36] | Additional file 1: Table S5 | Beta |
 Odds ratio of influenza-related hospitalization in high-risk groups compared to low-risk groups [37] | 3.39 (2.60–4.42) | Lognormal |
 Odds ratio of influenza-related death in high-risk groups compared to low-risk groups [37] | 2.04 (1.74–2.39) | Lognormal |
 Duration of influenza episode [45] | Outpatient: 6.2 (5.0–7.4) Hospitalization: 11.8 (9.4–14.2) | Normal |
Vaccine related parameters | Â | Â |
 Cost of vaccine | Children’s type: 4.56 (4.08–5.11) Adults’ type: 6.66 (4.70–9.74) | Gamma |
 Cost of administration [39] | 3.52 (2.81–4.22) | Gamma |
 Cost of parent’s time to obtain the influenza vaccine in urban and rural areas [39] | Additional file 1: Table S7 | NA |
 Odds ratio of vaccination effectiveness [40] | Matched: 0.35 (0.28–0.42) Mismatched: 0.44 (0.34–0.57) | Beta |
Proportion of side effects | Â | Â |
 Proportion of fever [41] | 0.00004274 | Beta |
 Proportion of injection site reaction [41] | 0.00000854 | Beta |
 Proportion of anaphylaxis [41] | 0.00000753 | Beta |
 Influenza vaccine coverage | Fully-funded policy: 0.400 Self-paid policy: 0.695 | NA |
Cost of illness and side effects | Â | Â |
 Cost of self-medication [42] | High-risk children: 8.68 (6.944–10.416) Low-risk children: 6.06 (4.848, 7.272) | Gamma |
 Cost of outpatient [43] |  < 5 years: 197.96 (158.38–237.56) 5–14 years: 154.53 (123.63–185.44) | Gamma |
 Cost of hospitalization [43] |  < 5 years: 1523.12 (1218.55–1827.83) 5–14 years: 1431.21 (1145.02–1717.53) | Gamma |
 Cost of pneumonia [38] | 1435.99 (1148.79–1723.19) | Gamma |
 Cost of neurologic disorders [38] | 5270.80 (4216.64–6324.96) | Gamma |
 Cost of death [12] |  < 5 years: 15,230.12 (12,184.10–18,276.14) 5–14 years: 14,310.21 (11,448.17–17,172.25) | Gamma |
 Discounted lifetime productivity [38] | Additional file 1: Table S9 | NA |
 Cost of fever [42] | High-risk children: 8.68 (6.944–10.416) Low-risk children: 6.06 (4.848–7.272) | Gamma |
 Cost of injection site reaction [24] | 77.53 (0–863.66) | Gamma |
 Cost of anaphylaxis [24] | 1990.25 (65.76–17,388.08) | Gamma |
Utilities | Â | Â |
 Background health utility [46] | 0.996 (0.953–1) | Beta |
 Utility of outpatient [45] |  < 5 years: 0.6286 (0.5029–0.7543) 5–14 years: 0.6216 (0.4720–0.7080) | Beta |
 Utility of hospitalization [45] |  < 5 years: 0.5900 (0.4973–0.7459) 5–14 years: 0.6132 (0.4906–0.7358) | Beta |
 Self-medication (QALY loss) | 0.005 (0.001–0.01) | NA |
 Pneumonia (QALY loss) [24] | 0.08 (0.054–0.1) | NA |
 Neurologic disorders (QALY loss) [24] | 0.08 (0.054–0.1) | NA |
 Anaphylaxis (QALY loss) [24] | 0.020 (0.006–0.041) | NA |