Evidence map›Paper›PMID 20298596›Full record

ArticleBMC infectious diseases2010

Effectiveness of the 23-valent polysaccharide pneumococcal vaccine against invasive pneumococcal disease in people 60 years or older.

Angel Vila-Corcoles, Olga Ochoa-Gondar, Jorge A Guzmán, Teresa Rodriguez-Blanco, Elisabet Salsench, Cruz M Fuentes, EPIVAC Study Group

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Vaccines for preventing pneumococcal infection in adults.The Cochrane database of systematic reviews · 2013
    Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. [Vaccination in advanced age].Der Internist · 2018
    Review
  11. Article
  12. Article
  13. Article
  14. [Pneumococcal vaccination for prevention of pneumonia].Zeitschrift fur Gerontologie und Geriatrie · 2015
    Article
  15. Article
  16. Article
  17. Article
  18. Bacteria in COPD; their potential role and treatment.Translational respiratory medicine · 2013
    Review
  19. [Vaccination in the elderly].Zeitschrift fur Gerontologie und Geriatrie · 2013
    Article
  20. Bacterial and viral infections associated with influenza.Influenza and other respiratory viruses · 2013
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Angel Vila-CorcolesPrimary Care Service of Tarragona-Valls, Institut Catalá de la Salut, Tarragona, Spain.
Olga Ochoa-Gondar
Jorge A Guzmán
Teresa Rodriguez-Blanco
Elisabet Salsench
Cruz M Fuentes
EPIVAC Study Group
Institut Català de la Salut · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ESUniversidad Rovira i Virgili · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 23-valent polysaccharide pneumococcal vaccine (PPV) is currently recommended in elderly and high-risk adults. However, its efficacy in preventing pneumococcal infections remains controversial. This study assessed the clinical effectiveness of vaccination against invasive pneumococcal disease (IPD) among people over 60 years.

methodsPopulation-based case-control study that included 88 case patients over 60 years-old with a laboratory-confirmed IPD (bacteraemic pneumonia, meningitis or sepsis) and 176 outpatient control subjects who were matched by primary care centre, age, sex and risk stratum. Adjusted odds ratios (ORs) for vaccination were calculated using conditional logistic regression, controlling for underlying conditions. Vaccine effectiveness was estimated as (1 - OR) x100.

resultsPneumococcal vaccination rate was significantly lower in cases than in control subjects (38.6% vs 59.1%; p = 0.002). The adjusted vaccine effectiveness was 72% (OR: 0.28; 95% CI: 0.15-0.54) against all IPD and 77% (OR: 0.23; 95% CI: 0.08-0.60) against vaccine-type IPD. Vaccination was significantly effective against all IPD in both age groups: 60-79 years-old (OR 0.32; 95% CI: 0.14-0.74) and people 80 years or older (OR: 0.29; 95% CI: 0.09-0.91). Vaccination appears significantly effective as for high-risk immunocompetent subjects (OR: 0.29; 95% CI: 0.11-0.79) as well as for immunocompromised subjects (OR: 0.12; 95% CI: 0.03-0.53).

conclusionThese findings confirm the effectiveness of the 23-valent PPV against IPD, and they also support the benefit of vaccination in preventing invasive infections among high-risk and older people.

Indexed as

AgedAged, 80 and overAge FactorsCase-Control StudiesHumansMiddle AgedPneumococcal InfectionsPneumococcal Vaccines23-valent pneumococcal capsular polysaccharide vaccinePneumococcal Vaccines

Identifiers

PMID20298596
PMCPMC2848154
OpenAlexW2053393255

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.