AI Article Synopsis
- Respiratory syncytial virus (RSV) is a serious infectious disease with significant health, social, and economic impacts, prompting the need for effective preventive measures, such as the newly approved nirsevimab for infants.
- A novel multi-criteria decision analysis (MCDA) framework was developed to evaluate the effectiveness of nirsevimab compared to a placebo, incorporating insights from a panel of nine experts.
- The findings indicate that nirsevimab holds considerable value for RSV prevention in Spain, showcasing high efficacy, potential cost savings for healthcare, and promoting public health awareness while addressing health disparities.
Article Abstract
Background: Respiratory syncytial virus (RSV) is a highly infectious disease that poses a significant clinical and medical burden, as well as social disruption and economic costs, recognized by the World Health Organization as a public health issue. After several failed attempts to find preventive candidates (compounds, products, including vaccines), new alternatives might be available, one being nirsevimab, the first and only option approved for RSV prevention in neonates and infants during their first RSV season. The objective of this study was to develop a novel multi-criteria decision analysis (MCDA) framework for RSV antibody-based preventive alternatives and to use it to assess the value of nirsevimab vs. placebo as a systematic immunization approach to prevent RSV in neonates and infants during their first RSV season in Spain.
Methods: Based on a pre-established model called Vaccinex, an ad-hoc MCDA framework was created to reflect relevant attributes for the assessment of current and future antibody-based preventive measures for RSV. The estimated value of nirsevimab was obtained by means of an additive linear model combining weights and scores assigned by a multidisciplinary committee of 9 experts. A retest and three sensitivity analyses were conducted.
Results: Nirsevimab was evaluated through a novel framework with 26 criteria by the committee as a measure that adds value (positive final estimated value: 0.56 ± 0.11) to the current RSV scenario in Spain, by providing a high efficacy for prevention of neonates and infants. In addition, its implementation might generate cost savings in hospitalizations and to the healthcare system and increase the level of public health awareness among the general population, while reducing health inequities.
Conclusions: Under a methodology with increasing use in the health field, nirsevimab has been evaluated as a measure which adds value for RSV prevention in neonates and infants during their first RSV season in Spain.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10797756 | PMC |
| http://dx.doi.org/10.1186/s12879-024-08988-9 | DOI Listing |
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