Evidence map›Paper›PMID 20409210›Full record

SynthesisInfluenza and other respiratory viruses2010

Efficacy of live attenuated influenza vaccine in children 6 months to 17 years of age.

Robert B Belshe, Seth L Toback, Tingting Yi, Christopher S Ambrose

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Influenza and other respiratory viruses, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Vaccines for preventing influenza in healthy children.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Pooled it
  3. Vaccines for preventing influenza in healthy children.The Cochrane database of systematic reviews · 2012
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Successes and Failures of the Live-attenuated Influenza Vaccine: Can We Do Better?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  15. Article
  16. Immune responses after live attenuated influenza vaccination.Human vaccines & immunotherapeutics · 2018
    Review
  17. Development of high-yield influenza B virus vaccine viruses.Proceedings of the National Academy of Sciences of the United States of America · 2016
    Article
  18. Article
  19. Article
  20. Article
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

4 authors at 1 institution in 1 country.

Robert B BelsheSaint Louis University Health Science Center, St Louis, MO, USA. belsherb@slu.edu
Seth L Toback
Tingting Yi
Christopher S Ambrose
Saint Louis University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been suggested that live attenuated influenza vaccine (LAIV) may be less effective in older individuals because of prior wild-type influenza infections. LAIV is currently approved in the United States, South Korea and Hong Kong for individuals 2-49 years of age.

objectiveTo examine data from previously published pediatric studies to determine the efficacy of LAIV in various age groups.

methodsFour studies in which the subject age range exceeded 36 months were identified: one 2-year study comparing LAIV with placebo and three 1-year studies comparing LAIV with trivalent inactivated influenza vaccine (TIV). Efficacy against any strain regardless of antigenic similarity to vaccine was analyzed by age; age groups were based on the study design and sample size. A logistic regression model was used to assess whether age, as a continuous variable, was an effect modifier on LAIV efficacy.

resultsThe efficacy of LAIV did not vary with age in children aged 15-84 months compared with placebo or in children aged 6 months to 17 years compared with TIV.

conclusionsThe available data from prospective, randomized studies in children does not support the concept that prior repeated exposure to influenza, either through wild-type infection or vaccination with live, attenuated or inactivated vaccines, reduces the efficacy of LAIV compared with placebo or TIV. The decreased immunologic responses to LAIV reported in older individuals or those with pre-existing immunity do not appear to translate into reduced protection from influenza in children.

Indexed as

AdolescentAge FactorsChildChild, PreschoolFemaleHumansInfantInfluenza, HumanInfluenza VaccinesMaleRandomized Controlled Trials as TopicVaccines, AttenuatedInfluenza VaccinesVaccines, Attenuated

Identifiers

PMID20409210
PMCPMC4941661
OpenAlexW2038849360

What OpenQuestion holds

Textmetadata
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.