@article {2114,
	title = {Time for change? An economic evaluation of integrated cervical screening and HPV immunization programs in Canada.},
	journal = {Vaccine},
	volume = {30},
	year = {2012},
	month = {2012 Jan 5},
	pages = {425-35},
	abstract = {Many jurisdictions have implemented universal human papillomavirus (HPV) immunization programs in preadolescent females. However, the cost-effectiveness of modified cervical screening guidelines and/or catch-up immunization in older females in Canada has not been evaluated. We conducted a cost-utility analysis of screening and immunization with the bivalent vaccine for the Canadian setting from the Ministry of Health perspective. We used a dynamic model to capture herd immunity and included cross-protection against strains not included in the vaccine. We found that adding catch-up immunization to the current program would be cost-effective, and that combining catch-up immunization with delaying the age at which screening is first initiated could result in cost savings and net health gains.},
	issn = {1873-2518},
	author = {Tully, Stephen P and Anonychuk, Andrea M and Sanchez, Diana Maria and Galvani, Alison P and Bauch, Chris T}
}
