PMID- 34814581 OWN - NLM STAT- MEDLINE DCOM- 20211125 LR - 20211125 IS - 0254-6450 (Print) IS - 0254-6450 (Linking) VI - 42 IP - 9 DP - 2021 Sep 10 TI - [Cost-benefit analysis of the hepatitis B vaccination to prevent mother-to-child transmission strategies in China, 1992-2019]. PG - 1537-1545 LID - 10.3760/cma.j.cn112338-20210319-00226 [doi] AB - Objective: To make a cost-benefit analysis of the hepatitis B vaccination (HepB) to prevent mother-to-child transmission (PMTCT) strategies in China, 1992-2019. Methods: We built a decision analytic-Markov model to estimate the birth cohorts of 1992-2019. The parameters in our model were referred from literature, published yearbooks, and data from Chinese Center for Disease Control and Prevention. We conducted a univariate sensitivity analysis to test the robustness of the model. Results: For the 28 birth cohorts, the Chinese government has invested 37.43 billion RMB Yuan in direct costs and 47.61 billion RMB Yuan in societal costs on HepB vaccination and HBV prevention of mother to child transmission (PMTCT). And we estimated that about 50 million chronic HBV infections and 12.5 million premature deaths due to HBV-related diseases would be averted. China would save 2.89 trillion RMB Yuan and 6.92 trillion RMB Yuan for the direct and societal medical burden on HBV-related conditions. The direct and societal net benefit was 2.85 trillion RMB yuan 6.87 trillion RMB yuan, respectively. The direct and societal benefit-cost ratios (BCRs) were 77.21 and 145.29, respectively. Conclusion: The strategies of HepB vaccination for HBV PMTCT prevention were cost-effective in China during 1992-2019. FAU - Zheng, H AU - Zheng H AD - Department of National Immunization Program,Chinese Center for Disease Control and Prevention, Beijing 100050, China. FAU - Wang, F Z AU - Wang FZ AD - Department of National Immunization Program,Chinese Center for Disease Control and Prevention, Beijing 100050, China. FAU - Zhang, G M AU - Zhang GM AD - Department of National Immunization Program,Chinese Center for Disease Control and Prevention, Beijing 100050, China. FAU - Miao, N AU - Miao N AD - Department of National Immunization Program,Chinese Center for Disease Control and Prevention, Beijing 100050, China. FAU - Liang, X F AU - Liang XF AD - School of Medicine Jinan University, Guangzhou 510632, China. FAU - Yin, Z D AU - Yin ZD AD - Department of National Immunization Program,Chinese Center for Disease Control and Prevention, Beijing 100050, China. LA - chi GR - 11971375/National Natural Science Foundation of China/ GR - 2018ZX10721202/National Science and Technology Major Project of China/ PT - Journal Article PL - China TA - Zhonghua Liu Xing Bing Xue Za Zhi JT - Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi JID - 8208604 RN - 0 (Hepatitis B Vaccines) SB - IM MH - China/epidemiology MH - Cost-Benefit Analysis MH - Female MH - *Hepatitis B/prevention & control MH - Hepatitis B Vaccines MH - Humans MH - *Infectious Disease Transmission, Vertical/prevention & control MH - Vaccination EDAT- 2021/11/25 06:00 MHDA- 2021/11/26 06:00 CRDT- 2021/11/24 02:19 PHST- 2021/11/24 02:19 [entrez] PHST- 2021/11/25 06:00 [pubmed] PHST- 2021/11/26 06:00 [medline] AID - 10.3760/cma.j.cn112338-20210319-00226 [doi] PST - ppublish SO - Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Sep 10;42(9):1537-1545. doi: 10.3760/cma.j.cn112338-20210319-00226.