Evidence map›Paper›PMID 21933357›Full record

ArticleInfluenza and other respiratory viruses2012

The potential economic value of a 'universal' (multi-year) influenza vaccine.

Bruce Y Lee, Julie H Y Tai, Sarah M McGlone, Rachel R Bailey, Angela R Wateska, Shanta M Zimmer, Richard K Zimmerman, Michael M Wagner

Open access · bronzeAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 35% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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  14. Prevention of influenza in healthy children.Expert review of anti-infective therapy · 2012
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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

8 authors at 1 institution in 1 country.

Bruce Y LeeDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA. byl1@pitt.edu
Julie H Y Tai
Sarah M McGlone
Rachel R Bailey
Angela R Wateska
Shanta M Zimmer
Richard K Zimmerman
Michael M Wagner
University of Pittsburgh · US

Funding

Training, Outreach & Diversity ComponentU54GM088491 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VAN PANHUIS, WILLEM GIJSBERT · 2009 to 2018
$16.7M
Computational Models of Infectious Disease ThreatsU01GM070708 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BURKE, DONALD SCOTT · 2004 to 2008
$3.8M
Decision Making in BiosurveillanceR01LM009132 · NLM · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WAGNER, MICHAEL MATTHEW · 2008 to 2011
$1.9M
NIGMS NIH HHS 1U54GM088491-0109NIGMS NIH HHS U01 GM070708NIGMS NIH HHS U54 GM088491NLM NIH HHS 5R01LM009132-02NLM NIH HHS R01 LM009132PHITPO CDC HHS 1P01HK000086-01PHITPO CDC HHS P01 HK000086
6 · The paper itself

Abstract

backgroundLimitations of the current annual influenza vaccine have led to ongoing efforts to develop a 'universal' influenza vaccine, i.e., one that targets a ubiquitous portion of the influenza virus so that the coverage of a single vaccination can persist for multiple years.

objectivesTo estimate the economic value of a 'universal' influenza vaccine compared to the standard annual influenza vaccine, starting vaccination in the pediatric population (2-18 year olds), over the course of their lifetime. PATIENT/

methodsMonte Carlo decision analytic computer simulation model.

resultsUniversal vaccine dominates (i.e., less costly and more effective) the annual vaccine when the universal vaccine cost ≤ $100/dose and efficacy ≥ 75% for both the 5- and 10-year duration. The universal vaccine is also dominant when efficacy is ≥ 50% and protects for 10 years. A $200 universal vaccine was only cost-effective when ≥ 75% efficacious for a 5-year duration when annual compliance was 25% and for a 10-year duration for all annual compliance rates. A universal vaccine is not cost-effective when it cost $200 and when its efficacy is ≤ 50%. The cost-effectiveness of the universal vaccine increases with the duration of protection.

conclusionsAlthough development of a universal vaccine requires surmounting scientific hurdles, our results delineate the circumstances under which such a vaccine would be a cost-effective alternative to the annual influenza vaccine.

Indexed as

AdolescentAdultAgedChildChild, PreschoolCost-Benefit AnalysisFemaleHumansInfluenza, HumanInfluenza VaccinesMaleMiddle AgedMonte Carlo MethodVaccinationYoung AdultInfluenza Vaccines

Identifiers

PMID21933357
PMCPMC3253949
OpenAlexW1941305604

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.