Table 4 The impact of alternative assumptions for vaccine efficacy, waning, and vaccination age on selected cervical cancer outcomes in the United Kingdom

From: Estimating the long-term impact of a prophylactic human papillomavirus 16/18 vaccine on the burden of cervical cancer in the UK

 

CIN 2+CIN 3 prevalence

Cervical cancer cases ( n)

Cervical cancer deaths ( n)

No vaccine

1.07%

2636

1403

Base case a

   
 

0.361%

632

335

 % Reduction

66.3%

76.0%

76.1%

Scenario 1: Low efficacy (HPV 16/18)

 

0.390%

724

384

 % Reduction

63.6%

72.5%

72.7%

Scenario 2: High efficacy (HPV 16/18)

 

0.331%

538

287

 % Reduction

69.0%

79.6%

79.6%

Scenario 3: No cross protection

 

0.410%

710

375

 % Reduction

61.7%

73.1%

73.3%

Scenario 4: Vaccination coverage (80%)

 

0.502%

1032

549

 % Reduction

53.1%

60.8%

60.9%

Scenario 5: Lower age at vaccination (10 years)

 

0.361%

631

335

 % Reduction

66.3%

76.0%

76.1%

Scenario 6: Higher age at vaccination (18 years)

 

0.535%

896

506

 % Reduction

50.0%

66.0%

63.9%

Scenario 7: Vaccine waning (HPV 31, 45 types)

 

0.409%

709

375

 % Reduction

61.8%

73.1%

73.3%

Scenario 8: Vaccine waning (HPV 31, 45 types)+Booster at 10 years

 

0.400%

698

368

 % Reduction

62.7%

73.5%

73.8%

Scenario 9: Decreased HPV type distribution of 16/18 in cervical cancer

 

0.356%

749

397

 % Reduction

66.7%

71.6%

71.7%

  1. aBase case assumes 95% efficacy against 16 and 18 infection, 50% efficacy against HPV 31, 90% efficacy against HPV 45. No waning is assumed. Results are provided for 100% vaccine coverage.