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Table 6 Summary of studies assessing cost burden and healthcare resource utilisation in patients with AoRRP

From: "A systematic literature review of the epidemiology, clinical, economic and humanistic burden in recurrent respiratory papillomatosis”

Study

Country

Year

Parameter

Value [cost year]

Studies presenting cost data in patients with AoRRP

 Harrison 2016

UK

2013–2014

Total cost

£107,478 [2014]

Operating theatre cost

£92,828 [2014]

 Chesson 2012

US

2010

Annual medical costs

Baseline (range): $48 m (2–236 m) USD [2010]

 Derkay 1995

US

1993–1994

Surgical procedures

$42 m USD [NR]

 Tam 2020

US

2011–2014 and 2008–2012

Medical cost in the first 2 years after diagnosis for patients with newly diagnosed AoRRP

Approx. $5,000 USD [2015]

(Medicaid patients)

Approx. $11,000 USD [2015]

(privately insured)

 Miller 2017

UK

2005–2012

Operating theatre cost

Mean: $12,382 USD [NR]

Office procedure cost

Mean: $3,413 [NR]

Studies presenting resource data in patients with AoRRP

 Miller 2017

UK

2005–2012

Number of surgeries

In-office laser procedures per patient:

Mean (SD): 13.5 (19.1)

Mean (SD): 4.2 (17.1)

 Derkay 1995

US

1993–1994

Lifetime papilloma operations

11–20 operations: 15%

21–40 operations: 5%

41–100 operations: 10%

 > 100 operations: 9%

 Nogueira 2020

Brazil

2008–2015

Number of surgeries

HPV6 mean (SD): 3.4 (2.0)

HPV11 mean (SD): 4.5 (3.5)

 Omland 2014

Norway

1987–2009

Annual surgical treatment per year

Median: 1.2

Annual surgical treatment during first three years

Median: 2.3

Studies evaluating the impact of HPV vaccination on resource utilization in patients with AoRRP

 Kin 2017

Germany

NR

Incidence rate of surgeries

Pre-vaccination: 47.4/1000 patient months

Post-vaccination: 6.7/1000 patient months

p < 0.0001

 Matsuzaki 2020

Japan

2012–2018

Number of surgeries

Mean before combination therapy: 3.3

Mean after combination therapy: 1.6

 Yiu 2019

US

2012–2017

Number of surgeries

Pre-vaccination: 2.7

Post-vaccination: 0.8

p = 0.014

  1. AoRRP adult-onset recurrent respiratory papillomatosis, HPV Human papillomavirus, IQR Interquartile range, JoRRP juvenile onset recurrent respiratory papillomatosis, RRP Recurrent respiratory papillomatosis, NR not reported, USD US dollar