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Fig 1.

A: Overview of Markov model structure; B: Overview of event pathways. QIV, Quadrivalent influenza vaccine; TIV, Trivalent influenza vaccine; ATIV, Adjuvanted influenza vaccine. *acute complications or acute exacerbation of chronic diseases.

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Fig 1 Expand

Table 1.

Input data for probability, cost, utilities in non-at-risk and at-risk groups.

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Table 1 Expand

Table 2.

Input data for vaccine efficacy in non-at-risk and at-risk groups.

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Table 2 Expand

Table 3.

Expected clinical outcome of trivalent, quadrivalent, and adjuvanted influenza vaccines.

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Table 3 Expand

Table 4.

Base case analysis (per-person costs and effectiveness).

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Table 4 Expand

Table 5.

Subgroup analysis based on age and medical conditions (per-person costs and effectiveness).

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Table 5 Expand

Fig 2.

One-way sensitivity analysis.

(A) Quadrivalent influenza vaccine (QIV) and (B) Adjuvanted trivalent influenza (ATIV) in the elderly aged 65 and above.

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Fig 2 Expand

Fig 3.

Probabilistic sensitivity analysis.

Quadrivalent influenza vaccine (QIV was favored over 99% for willingness to pay (WTP) USD 35,731/QALY compared to TIV) and adjuvanted trivalent influenza vaccine (ATIV was cost-saving compared to TIV) among the elderly aged 65 and above. Willingness to pay; WTP.

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Fig 3 Expand

Table 6.

The scenario analysis where the intervention is only offered for 1 year.

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Table 6 Expand